Research Obstetrics| Volume 203, ISSUE 6, P556.e1-556.e6, December 2010

Resistance exercise and glycemic control in women with gestational diabetes mellitus

Published:September 23, 2010DOI:


      The objective of the study was to evaluate the effect of a resistance exercise program with an elastic band on insulin requirement and glycemic control in patients with gestational diabetes mellitus (GDM).

      Study Design

      Sixty-four patients with gestational diabetes mellitus were randomly assigned into 2 groups: an exercise group (EG; n = 32) and a control group not submitted to the exercise program (CG; n = 32).


      A significant reduction in the number of patients who required insulin was observed in the EG (7/32) compared with the CG group (18/32) (P = .005). The percentage of time spent within the proposed target glucose range (of at least 80% of weekly measurements below the limits preestablished for the disease) was significantly higher in EG compared with the CG group (EG = 0.63 ± 0.30; CG = 0.41 ± 0.31; P = .006).


      The resistance exercise program was effective in reducing the number of patients with GDM who required insulin and in improving capillary glycemic control in this population.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


      1. Proceedings of the 4th International Workshop-Conference on Gestational Diabetes Mellitus.
        Diabetes Care. 1998; 21: B1-B167
        • Artal R.
        Exercise: the alternative therapeutic intervention for gestational diabetes.
        Clin Obstet Gynecol. 2003; 46: 479-487
        • Coustan D.R.
        • Imarah J.
        Prophylactic insulin treatment of gestational diabetes reduces the incidence of macrosomia, operative delivery, and birth trauma.
        Am J Obstet Gynecol. 1984; 150: 836-842
        • Coustan D.R.
        Pharmacological management of gestational diabetes: an overview.
        Diabetes Care. 2007; 30: S206-S208
        • Leturque A.
        • Burnol A.F.
        • Ferre P.
        • Girard J.
        Pregnancy-induced insulin resistance in the rat: assessment by glucose clamp technique.
        Am J Physiol. 1984; 246: E25-E31
        • Pate R.R.
        • Pratt M.
        • Blair S.N.
        • et al.
        A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine.
        JAMA. 1995; 273: 402-407
        • Artal R.
        • O'Toole M.
        Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period.
        Br J Sports Med. 2003; 37: 6-12
        • Fleck S.J.
        • Kraemer W.J.
        Designing resistance exercise programs.
        3rd ed. Human Kinetics, Champaign; IL2003
        • Brankston G.N.
        • Mitchell B.F.
        • Ryan E.A.
        • Okun N.B.
        Resistance exercise decreases the need for insulin in overweight woman with gestational diabetes mellitus.
        Am J Obstet Gynecol. 2004; 190: 188-193
        • Metzger B.E.
        • Buchanan T.A.
        • Coustan D.R.
        • et al.
        Summary and recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitus.
        Diabetes Care. 2007; 30: S251-S260
        • Matsudo S.
        • Araújo T.
        • Matsudo V.
        • Andrade D.
        • et al.
        Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no Brasil.
        RBAFS. 2001; 6: 5-18
        • Wichmann B.A.
        • Hill I.D.
        Algorithm AS 183.
        Appl Stat. 1982; 31: 188-190
        • Robertson R.J.
        • Goss F.L.
        • Rutkowski J.
        • et al.
        Concurrent validation of the OMNI perceived exertion scale for resistance exercise.
        Med Sci Sports Exerc. 2003; 35: 333-341
        • Hadlock F.P.
        • Harrist R.B.
        • Martinez-Poyer J.
        In utero analysis of fetal growth: a sonographic weight standard.
        Radiology. 1991; 181: 129-133
        • Bussab W.O.
        • Morettin P.A.
        Estatística Básica.
        4th ed. Atual, São Paulo, Brazil1987
        • Kirkwood B.R.
        • Sterne J.A.C.
        Essential medical statistics.
        2nd ed. Blackwell Science, Boston, MA2006
        • Singer J.M.
        • Andrade D.F.
        Analysis of longitudinal data.
        in: Sen P.K. Rao C.R. Handbook of statistics Volume 18: Bio-environmental and public health statistics. North Holland, Amsterdam2000
        • Neter J.
        • Kutner M.H.
        • Nachtsheim C.J.
        • Wasserman W.
        Applied linear statistical models.
        4th ed. Richard D. Irwing, Homewood, IL1996
        • Dempsey J.C.
        • Sorensen T.K.
        • Williams M.A.
        • et al.
        Prospective study of gestational diabetes mellitus risk in relation to maternal recreational physical activity before and during pregnancy.
        Am J Epidemiol. 2004; 159: 663-670
        • Zhang C.
        • Solomon C.G.
        • Manson J.E.
        • Hu F.B.
        A prospective study of pregravid physical activity and sedentary behaviors in relation to the risk for gestational diabetes mellitus.
        Arch Intern Med. 2006; 166: 543-548
        • Rudra C.B.
        • Williams M.A.
        • Lee I.M.
        • Miller R.S.
        • Sorensen T.K.
        Perceived exertion in physical activity and risk of gestational diabetes mellitus.
        Epidemiology. 2006; 17: 31-37
        • Oken E.
        • Ning Y.
        • Rifas-Shiman S.L.
        • Radesky J.S.
        • Rich-Edwards J.W.
        • Gillman M.W.
        Associations of physical activity and inactivity before and during pregnancy with glucose tolerance.
        Obstet Gynecol. 2006; 108: 1200-1207