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Bibliography Gestational Diabetes

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The Effect of Exercise on the Prevention of Gestational Diabetes in Obese and

Overweight Pregnant Women: A Systematic Review and Meta-Analysis

Authors: Fatemeh Nasiri-Amiri, Mahdi Sepidarkish, Marjan Ahmad Shirvani, Payam


Habibipour and Narges Sadat Motahari Tabari

Source:
Nasiri-Amiri, F., Sepidarkish, M., Shirvani, M.A. et al. The effect of exercise on the
prevention of gestational diabetes in obese and overweight pregnant women: a
systematic review and meta-analysis. Diabetol Metab Syndr 11, 72 (2019)
doi:10.1186/s13098-019-0470-6

Keywords: Gestational diabetes mellitus, Exercise, Obese and overweight, Pregnancy,


Prevention

I. What is the significance of the research article you have chosen to your Related
Learning Experience?

Gestational diabetes mellitus (GDM) is a common condition that occurs among


pregnant women. Moreover, it is known as a disorder that affects carbohydrate and
glucose metabolism and is usually diagnosed during pregnancy. Gestational diabetes
mellitus (GDM) is a result of an increase of insulin resistance caused by physiological,
endocrine and metabolic changes during pregnancy to continuously sustain the nutrient
and oxygen necessities of the fetus. The prevalence of this condition is increasing
worldwide and can cause the development of type two diabetes among women.
Furthermore, GDM can cause maternal and perinatal complications such as macrosomia,
increased cesarean section, hypertension, fetal hyperinsulinemia, preterm labor, and
birth defects. Therefore, the study is significant because it delves on how and why
exercise decreases the risk of gestational diabetes among obese pregnant women.
Screening and treatment of GDM are important and is required in order to prevent further
long-term maternal and perinatal complications.

II. What are the implications of the findings to your patients?

The effect of exercise activities on the prevalence of GDM was found to be not
significant. However, the results of the study showed that there is a 24% decrease of
occurrence of GDM among the group of pregnant women who performed exercises
compare to the group who don’t. Moreover, exercise is important not only because it helps
prevent GDM but also because of its long term health benefits and improves the whole
pregnancy experience of the mother. Exercise can aid in decreasing blood sugar levels
and enhance maternal and prenatal outcomes as well as improve physical fitness.
Additionally, based on one article, ta 25-day structured aerobic exercise can help
efficiently manage FBG and plasma insulin levels. Furthermore, the research observed
that women with low physical activity in the first 20 weeks of pregnancy are at a higher
risk of development of GDM compared to those who are physically fit. In conclusion, the
study recommends that physical activity or exercises should be accompanied with other
interventions such as a change of lifestyle in order to further decrease the risk of
gestational diabetes on obese pregnant women.

III. What interventions/innovation was used or implemented in the reviewed


study?

The research systematically examined and reviewed several of articles on the


effect of exercise on the prevention of gestational diabetes mellitus on obese or
overweight pregnant women. Furthermore, articles were found by searching PubMed,
Embase, Cochrane library, Web of Science, Scopus, Proquest and by manually searching
the reference lists of related articles. Additionally, articles that were retrieved are from the
period January 1, 2008 to May 30, 2018. The research also observed and compared two
groups of obese and overweight pregnant women using an inclusion criterion consistent
of randomized controlled clinical trials. The control group consisted of obese pregnant
women that undergo prenatal care while the intervention group performed exercise as
well as routine prenatal care.

IV. Would this practice change/improve process of patient care? How about
patient outcomes?
An increase in physical activity and performing exercises can improve the physical
well being of a person as well as provide long-term health benefits. Moreover, this
research would encourage women to exercise as well as change their lifestyle and diet in
order to decrease the occurrence of gestational diabetes mellitus. By making exercise a
habit for women, the rate of gestational diabetes mellitus can decrease as well as the
occurrence of maternal and prenatal complications. Moreover, exercise has a lot of
benefits aside from weight control such as it helps your body manage blood sugar and
insulin levels, improves mental health, and lessen the risk of cancer. Additionally, regular
exercise can during pregnancy have many benefits such improving posture and reducing
common discomforts such as backaches and fatigue.
V. Identify a nursing theory related to the article findings and discuss/describe how
these findings support/contradict to your identified nursing theory

Dorethy Orem developed the Self-care Deficit Theory in order to enhance the

quality of nursing care. Furthermore, this theory focuses on the ability of the patient to

perform self-care which are independent practices that maintains the life, health and well-

being of an individual. The theory also states that an individual should be responsible for

their own well-being as well as their family who needs care.

With this, Orem’s theory is applicable to this study because exercising or

performing physical activities is also a way of self-care as the patient can independently

take care of herself for the well-being of her baby. The nurse should prioritize in providing

the mother with proper prenatal care and educate her on the benefits on exercise on the

prevention of gestational diabetes mellitus. By promoting self-care, the mother will be able

to independently take care of her physical and mental well-being, and can prioritize in

caring for the baby’s health.

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