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ADA: Only exercise during pregnancy can better reduce the risk of diabetes during gestation

After learning that they are pregnant, many expectant mothers will prepare for healthy babies. Among them, proper exercise after pregnancy is the most common measure. However, how to exercise after pregnancy, how strong the intensity is, and which exercise is the most suitable still makes many expectant mothers be able to touch it.

The American pregnancy association has released a report that exercise during pregnancy can prevent symptoms such as constipation, swelling of lower limbs, venous veins, hemorrhoids, and leg cramps. At the same time, expectant mothers can also get good sleep through exercise and help control weight. However, these exercises must be completed under the premise of security.

Gestational diabetes (GDM) is a common complication during pregnancy, and has increased in recent years. GDM is related to the increase in complications during pregnancy and has a profound impact on the long -term metabolic risks of both maternal and infants. However, due to abnormal blood sugar tolerance, the phenomenon of abnormal blood tolerance is usually resumed in postpartum. At present, most of the guidelines for clinical management are mainly for short -term risks during pregnancy and delivery.

Last year, an article published in the Lancet sub-magazine’s “Liuye Knife-Diabetes and Internal Diamonds” magazine reminded that women with a history of GDM medical history may suffer from type 2 diabetes in their lives may be 20 times higher than other women. What is even more terrible is that these women are often accompanied by a series of cardiovascular disease risks, including obesity (BMI ≥ 30), hypertension, abnormal blood lipids, and even ischemic heart disease.

In addition, GDM can also lead to various severe perinatal complications, including macrobia, fetal death, periarthritis, birth injury, congenital malformations, neonatal hypoglycemia, and hyperbilide. Even GDM is also related to the increase in the incidence of diabetes in children and adolescence. It can be seen that GDM affects the health of the fetus and mother is a recognized fact, and the prevention and treatment of GDM is extremely urgent.

Recently, research led by the research team of the School of Public Health at the University of Tennessee showed that in the early trimester (3 months ago), at least 38 minutes of medium -intensity exercise per day may reduce the risk of GDM. The relevant results were published in the latest American Diabetes Society (ADA) journal “Diabetes Care”.

Researchers collected data from 2,246 pregnant women (79%of ethnic minorities) from the pregnancy environment and lifestyle research (Petals) research. The glucose test results of each participant were obtained through the questionnaire, and the glucose test results were obtained from the electronic health records. These women come from different ethnic groups and have a large weight difference before pregnancy.

Analysis of mixed factors including BMI, exercise and pregnancy weight before pregnancy, pre -pregnancy exercise and pregnancy. Divide all the amount of exercise into: 1) 75 percentage of the highest-intensity exercise in the queue (weekly ≥13.2 MET-H or mid-week exercise amount ≥264 min), 2) The current recommended amount of exercise (weekly ≥7.5 MET per week -H or mid -week exercise amount ≥150 min), 3) any high -intensity exercise.

The results showed that 24.3%and 6.5%of all participants include blood sugar screening abnormalities and diagnosed GDM. After adjusting the mixed factors, the exercise reaches or exceeds the 75th percentage level (that is, at least 38 minutes per day), which can reduce the risk of blood glucose abnormalities and GDM of every 100 pregnant women (95% CI 1.1—1–1- 8.5) and 2.1 people (0.2-4.1).

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The current guidelines are recommended to exercise 30 minutes every Friday and 30 minutes per day during pregnancy. Therefore, the first author of this article, Professor Samantha Ehrlich at the University of Tennessee said that exercise can reduce the risk of blood glucose abnormalities and GDM during pregnancy, but the amount required to reduce these risks may be higher than the current suggestions.

In general, reasonable exercise is not only safe and beneficial to healthy pregnant women, but also helps prevent GDM.

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