Open Access妊娠糖尿病妇女的体力活动水平:妊娠后生活方式干预预防糖尿病(LINDA‐巴西)研究
Author(s) -
Galliano Leony M.,
Del Vecchio Anelita H. M.,
Silvani Juliana,
Façanha Cristina,
Del Vecchio Fabrício B.
Publication year - 2019
Publication title -
journal of diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.949
H-Index - 43
eISSN - 1753-0407
pISSN - 1753-0393
DOI - 10.1111/1753-0407.12872
Subject(s) - medicine , gestational diabetes , pregnancy , diabetes mellitus , physical activity , socioeconomic status , obstetrics , poisson regression , cross sectional study , gynecology , physical therapy , gestation , population , environmental health , endocrinology , genetics , pathology , biology
Background The aim of this study was to investigate physical activity and associated factors in women with gestational diabetes mellitus (GDM). Methods This cross‐sectional study was performed on 2706 women as part of the Lifestyle INtervention for Diabetes prevention After pregnancy (LINDA‐Brasil) study, recruited between 2012 and 2016 in Brazil. A structured questionnaire was used to assess physical activity. Descriptive and Poisson regression analyses were used to investigate physical activity and associated factors. Results Counseling regarding physical activity practices was reported by 47.4% and 34.3% of women before and after a diagnosis of GDM, respectively. During pregnancy, 26% of women were classified as inactive, 39.7% were classified as insufficiently active, and 34.3% were classified as active. Compared with prepregnancy, 63.1% of women reported a decrease in physical activity levels during pregnancy. The prevalence of being inactive during pregnancy was higher among women who did not live with a partner ( P = 0.003), had a lower household income ( P = 0.01), were employed ( P < 0.001), and who had four or more children ( P < 0.001). Conclusion Among Brazilian women with GDM, physical activity levels and practices were low, with most women reporting decreased physical activity during pregnancy. A low socioeconomic status was associated with lower physical activity. These findings indicate the need to reinforce the importance of physical activity in the management of GDM in Brazil.