{"title":"日常步行对超重孕妇血糖水平的影响","authors":"Rania M. Abdel Ghani","doi":"10.4103/nms.nms_56_20","DOIUrl":null,"url":null,"abstract":"Background: Overweight and obese pregnant women are more than twice at the risk of developing gestational diabetes mellitus in comparison to nonobese women. Objective: The objective of the study was to examine the effect of daily walking program on glucose level among overweight pregnant women. Methods: A quasi-experimental study was conducted in 2019 at Kasr El Aini, Cairo University Maternity Hospitals, at the antenatal outpatient clinic. A purposive sample of 100 primigravida, singleton, overweight, had an uncomplicated pregnancy, at 14 weeks of gestation were recruited in the study. A structured interview scheduled questionnaire, an anthropometric measurement scale, the pregnancy physical activity questionnaire, and a pedometer/step counter were used for data collection. The walking program was an 8-week program with six interviews and emphasized practice walking. The walking program started after the third interview and continued for 8 weeks. All women in the study group were instructed to practice daily walking for 8 weeks. They instructed to walk 30 min (brisk steps) on daily base, started by 15 min and gradually increase the timing of walking up to 30 min for at least 5 days weekly. The hypothesis was tested through student’s t-test and Chi-square test. Results: The intervention group had lower fasting plasma glucose mg/dl levels with mean of 110.80 ± 5.86 versus 114.80 ± 8.07 in the control group and HbA1c with mean of 6.38 ± 0.62 versus 6.60 ± 0.52 in the control group (P ≤ 0.05). Conclusion: Prediabetic, overweight pregnant women who have completed an average of 6,000 steps walking or more per day early in the second trimester may have lower levels of insulin resistance and lower frequency of exposure to gestational diabetes.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of daily walking program on glucose level among overweight pregnant women\",\"authors\":\"Rania M. Abdel Ghani\",\"doi\":\"10.4103/nms.nms_56_20\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Overweight and obese pregnant women are more than twice at the risk of developing gestational diabetes mellitus in comparison to nonobese women. Objective: The objective of the study was to examine the effect of daily walking program on glucose level among overweight pregnant women. Methods: A quasi-experimental study was conducted in 2019 at Kasr El Aini, Cairo University Maternity Hospitals, at the antenatal outpatient clinic. A purposive sample of 100 primigravida, singleton, overweight, had an uncomplicated pregnancy, at 14 weeks of gestation were recruited in the study. A structured interview scheduled questionnaire, an anthropometric measurement scale, the pregnancy physical activity questionnaire, and a pedometer/step counter were used for data collection. The walking program was an 8-week program with six interviews and emphasized practice walking. The walking program started after the third interview and continued for 8 weeks. All women in the study group were instructed to practice daily walking for 8 weeks. They instructed to walk 30 min (brisk steps) on daily base, started by 15 min and gradually increase the timing of walking up to 30 min for at least 5 days weekly. The hypothesis was tested through student’s t-test and Chi-square test. Results: The intervention group had lower fasting plasma glucose mg/dl levels with mean of 110.80 ± 5.86 versus 114.80 ± 8.07 in the control group and HbA1c with mean of 6.38 ± 0.62 versus 6.60 ± 0.52 in the control group (P ≤ 0.05). Conclusion: Prediabetic, overweight pregnant women who have completed an average of 6,000 steps walking or more per day early in the second trimester may have lower levels of insulin resistance and lower frequency of exposure to gestational diabetes.\",\"PeriodicalId\":45398,\"journal\":{\"name\":\"Nursing and Midwifery Studies\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2021-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing and Midwifery Studies\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/nms.nms_56_20\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing and Midwifery Studies","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/nms.nms_56_20","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
背景:超重和肥胖孕妇患妊娠期糖尿病的风险是非肥胖孕妇的两倍多。目的:研究超重孕妇日常步行对血糖水平的影响。方法:2019年在开罗大学妇产医院Kasr El Aini的产前门诊进行了一项准实验研究。本研究招募了100名怀孕14周、单胎、超重、妊娠无并发症的初产妇作为目标样本。采用结构化访谈计划问卷、人体测量量表、妊娠体力活动问卷和计步器/步数计进行数据收集。步行项目为期8周,共有6次采访,重点是练习步行。步行项目在第三次面试后开始,持续了8周。研究组中的所有女性都被要求每天步行8周。他们指示步行30 min(轻快的步伐),从15开始 min,并逐渐增加步行时间至30 每周至少5天。该假设通过学生t检验和卡方检验进行检验。结果:干预组空腹血糖mg/dl平均值为110.80±5.86,对照组为114.80±8.07;HbA1c平均值为6.38±0.62,对照组则为6.60±0.52(P≤0.05),在妊娠中期早期平均每天步行6000步或以上的超重孕妇,其胰岛素抵抗水平可能较低,接触妊娠期糖尿病的频率也较低。
Effect of daily walking program on glucose level among overweight pregnant women
Background: Overweight and obese pregnant women are more than twice at the risk of developing gestational diabetes mellitus in comparison to nonobese women. Objective: The objective of the study was to examine the effect of daily walking program on glucose level among overweight pregnant women. Methods: A quasi-experimental study was conducted in 2019 at Kasr El Aini, Cairo University Maternity Hospitals, at the antenatal outpatient clinic. A purposive sample of 100 primigravida, singleton, overweight, had an uncomplicated pregnancy, at 14 weeks of gestation were recruited in the study. A structured interview scheduled questionnaire, an anthropometric measurement scale, the pregnancy physical activity questionnaire, and a pedometer/step counter were used for data collection. The walking program was an 8-week program with six interviews and emphasized practice walking. The walking program started after the third interview and continued for 8 weeks. All women in the study group were instructed to practice daily walking for 8 weeks. They instructed to walk 30 min (brisk steps) on daily base, started by 15 min and gradually increase the timing of walking up to 30 min for at least 5 days weekly. The hypothesis was tested through student’s t-test and Chi-square test. Results: The intervention group had lower fasting plasma glucose mg/dl levels with mean of 110.80 ± 5.86 versus 114.80 ± 8.07 in the control group and HbA1c with mean of 6.38 ± 0.62 versus 6.60 ± 0.52 in the control group (P ≤ 0.05). Conclusion: Prediabetic, overweight pregnant women who have completed an average of 6,000 steps walking or more per day early in the second trimester may have lower levels of insulin resistance and lower frequency of exposure to gestational diabetes.