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Movement Behavior during Pregnancy and Adverse Maternal–Fetal Outcomes in Women with Gestational Diabetes: A Pilot Case-Control Study

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Listed:
  • Sávio F. Camargo

    (Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil
    Maternity Hospital-School Januário Cicco, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil)

  • Juliana D. Camargo

    (Maternity Hospital-School Januário Cicco, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil)

  • Daniel Schwade

    (Faculty of Kinesiology and Recreation Management, Health, Leisure, and Human Performance Research Institute, University of Manitoba, Winnipeg, MB R3B 2E9, Canada)

  • Raíssa M. Silva

    (Department of Physical Education, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil)

  • Maria da Conceição M. Cornetta

    (Maternity Hospital-School Januário Cicco, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil)

  • Ricardo N. Cobucci

    (Maternity Hospital-School Januário Cicco, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil
    Graduate Program in Biotechnology, Potiguar University, Natal 59010-000, Brazil)

  • Eduardo C. Costa

    (Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil
    Department of Physical Education, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil)

Abstract

Gestational diabetes mellitus (GDM) is a major complication in pregnancy. GDM is associated with a higher risk for adverse maternal–fetal outcomes. Associations between movement behavior, including physical activity (PA) and sedentary behavior (SB), and maternal–fetal outcomes are still unclear. The objective of this study was to investigate associations between movement behavior and adverse maternal–fetal outcomes in women with GDM. A total of 68 women with GDM (20–35 weeks, 32.1 ± 5.8 years) were included in this pilot case-control study. The cases were defined by the presence of an adverse composite maternal–fetal outcome (preterm birth, newborn large for gestational age, and neonatal hypoglycemia). Controls were defined as no adverse maternal–fetal outcome. PA intensities and domains, steps/day (pedometer), and SB were analyzed. A total of 35.3% of participants showed adverse maternal–fetal outcomes (n = 24). The controls showed a higher moderate-intensity PA level than the cases (7.5, 95%CI 3.6–22.9 vs. 3.1, 95%CI 0.4–10.3 MET-h/week; p = 0.04). The moderate-intensity PA level was associated with a lower risk for adverse maternal–fetal outcomes (OR 0.21, 95%CI 0.05–0.91). No significant associations were observed for other PA and SB measures ( p > 0.05). In conclusion, moderate-intensity PA during pregnancy seems to have a protective role against adverse maternal–fetal outcomes in women with GDM.

Suggested Citation

  • Sávio F. Camargo & Juliana D. Camargo & Daniel Schwade & Raíssa M. Silva & Maria da Conceição M. Cornetta & Ricardo N. Cobucci & Eduardo C. Costa, 2021. "Movement Behavior during Pregnancy and Adverse Maternal–Fetal Outcomes in Women with Gestational Diabetes: A Pilot Case-Control Study," IJERPH, MDPI, vol. 18(3), pages 1-10, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1114-:d:487865
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    References listed on IDEAS

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    1. José Alberto Laredo-Aguilera & María Gallardo-Bravo & Joseba Aingerun Rabanales-Sotos & Ana Isabel Cobo-Cuenca & Juan Manuel Carmona-Torres, 2020. "Physical Activity Programs during Pregnancy Are Effective for the Control of Gestational Diabetes Mellitus," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    2. Izabela Walasik & Katarzyna Kwiatkowska & Katarzyna Kosińska Kaczyńska & Iwona Szymusik, 2020. "Physical Activity Patterns among 9000 Pregnant Women in Poland: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(5), pages 1-12, March.
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