International Journal of Endocrinology and Metabolism

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The Association Between Physical Activity During Pregnancy and Gestational Diabetes Mellitus: A Case-Control Study

Fatemeh Nasiri-Amiri 1 , Afsaneh Bakhtiari 1 , * , Mahbobeh Faramarzi 2 , Hajar Adib Rad 3 and Hajar Pasha 3
Authors Information
1 Assistant Professor, Department of Midwifery, Babol University of Medical Sciences, Babol, IR Iran
2 Assistant Professor, Fatemeh Zahra Infertility and Reproductive Health Research Center, Department of Psychiatry, Faculty of Medicine, Babol University of Medical Sciences, Babol, IR Iran
3 Infertility and Reproductive Health Research Center, Health Research Institute, Department of Midwifery, Babol University of Medical Sciences, Babol, IR Iran
Article information
  • International Journal of Endocrinology and Metabolism: July 01, 2016, 14 (3); e37123
  • Published Online: June 28, 2016
  • Article Type: Research Article
  • Received: February 15, 2016
  • Revised: April 5, 2016
  • Accepted: May 14, 2016
  • DOI: 10.5812/ijem.37123

To Cite: Nasiri-Amiri F, Bakhtiari A, Faramarzi M, Adib Rad H, Pasha H. The Association Between Physical Activity During Pregnancy and Gestational Diabetes Mellitus: A Case-Control Study, Int J Endocrinol Metab. 2016 ; 14(3):e37123. doi: 10.5812/ijem.37123.

Copyright © 2016, Research Institute For Endocrine Sciences and Iran Endocrine Society. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Tobias DK, Zhang C, van Dam RM, Bowers K, Hu FB. Physical activity before and during pregnancy and risk of gestational diabetes mellitus: a meta-analysis. Diabetes Care. 2011; 34(1): 223-9[DOI][PubMed]
  • 2. Rajput R, Yadav Y, Nanda S, Rajput M. Prevalence of gestational diabetes mellitus & associated risk factors at a tertiary care hospital in Haryana. Indian J Med Res. 2013; 137(4): 728-33[PubMed]
  • 3. Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Diabetes melitus williams obstetrics. 2014;
  • 4. Metzger BE, Buchanan TA, Coustan DR, de Leiva A, Dunger DB, Hadden DR, et al. Summary and recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitus. Diabetes Care. 2007; 30 Suppl 2-60[DOI][PubMed]
  • 5. Dyck R, Klomp H, Tan LK, Turnell RW, Boctor MA. A comparison of rates, risk factors, and outcomes of gestational diabetes between aboriginal and non-aboriginal women in the Saskatoon health district. Diabetes Care. 2002; 25(3): 487-93[PubMed]
  • 6. Hadaegh F, Tohidi M, Harati H, Kheirandish M, Rahimi S. Prevalence of gestational diabetes mellitus in southern Iran (Bandar Abbas City). Endocr Pract. 2005; 11(5): 313-8[DOI][PubMed]
  • 7. Ferrara A. Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care. 2007; 30 Suppl 2-6[DOI][PubMed]
  • 8. Dempsey JC, Sorensen TK, Williams MA, Lee IM, Miller RS, Dashow EE, 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(7): 663-70[PubMed]
  • 9. Deierlein AL, Siega-Riz AM, Evenson KR. Physical activity during pregnancy and risk of hyperglycemia. J Womens Health (Larchmt). 2012; 21(7): 769-75[DOI][PubMed]
  • 10. Chasan-Taber L, Marcus BH, Stanek E, Ciccolo JT, Marquez DX, Solomon CG, et al. A randomized controlled trial of prenatal physical activity to prevent gestational diabetes: design and methods. J Womens Health (Larchmt). 2009; 18(6): 851-9[DOI][PubMed]
  • 11. Wang L, Yamaguchi T, Yoshimine T, Katagiri A, Shirogane K, Ohashi Y. A case-control study of risk factors for development of type 2 diabetes: emphasis on physical activity. J Epidemiol. 2002; 12(6): 424-30[PubMed]
  • 12. Hu FB, Li TY, Colditz GA, Willett WC, Manson JE. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA. 2003; 289(14): 1785-91[DOI][PubMed]
  • 13. Leturque A, Burnol AF, Ferre P, Girard J. Pregnancy-induced insulin resistance in the rat: assessment by glucose clamp technique. Am J Physiol. 1984; 246(1 Pt 1)-31[PubMed]
  • 14. Harding AH, Williams DE, Hennings SH, Mitchell J, Wareham NJ. Is the association between dietary fat intake and insulin resistance modified by physical activity? Metabolism. 2001; 50(10): 1186-92[DOI][PubMed]
  • 15. Zhang C, Solomon CG, Manson JE, Hu FB. A prospective study of pregravid physical activity and sedentary behaviors in relation to the risk for gestational diabetes mellitus. Arch Intern Med. 2006; 166(5): 543-8[DOI][PubMed]
  • 16. Han S, Middleton P, Crowther CA. Exercise for pregnant women for preventing gestational diabetes mellitus. Cochrane Database Syst Rev. 2012; (7)[DOI][PubMed]
  • 17. Stafne SN, Salvesen KA, Romundstad PR, Eggebo TM, Carlsen SM, Morkved S. Regular exercise during pregnancy to prevent gestational diabetes: a randomized controlled trial. Obstet Gynecol. 2012; 119(1): 29-36[DOI][PubMed]
  • 18. Russo LM, Nobles C, Ertel KA, Chasan-Taber L, Whitcomb BW. Physical activity interventions in pregnancy and risk of gestational diabetes mellitus: a systematic review and meta-analysis. Obstet Gynecol. 2015; 125(3): 576-82[DOI][PubMed]
  • 19. Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982; 144(7): 768-73[PubMed]
  • 20. Chasan-Taber L, Schmidt MD, Roberts DE, Hosmer D, Markenson G, Freedson PS. Development and validation of a Pregnancy Physical Activity Questionnaire. Med Sci Sports Exerc. 2004; 36(10): 1750-60[PubMed]
  • 21. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000; 32(9 Suppl)-504[PubMed]
  • 22. Morkrid K, Jenum AK, Sletner L, Vardal MH, Waage CW, Nakstad B, et al. Failure to increase insulin secretory capacity during pregnancy-induced insulin resistance is associated with ethnicity and gestational diabetes. Eur J Endocrinol. 2012; 167(4): 579-88[DOI][PubMed]
  • 23. Harizopoulou VC, Kritikos A, Papanikolaou Z, Saranti E, Vavilis D, Klonos E, et al. Maternal physical activity before and during early pregnancy as a risk factor for gestational diabetes mellitus. Acta Diabetol. 2010; 47 Suppl 1: 83-9[DOI][PubMed]
  • 24. Holloszy JO. Exercise-induced increase in muscle insulin sensitivity. J Appl Physiol (1985). 2005; 99(1): 338-43[DOI][PubMed]
  • 25. Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, et al. Exercise and type 2 diabetes: the American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care. 2010; 33(12)-67[DOI][PubMed]
  • 26. Gradmark A, Pomeroy J, Renstrom F, Steiginga S, Persson M, Wright A, et al. Physical activity, sedentary behaviors, and estimated insulin sensitivity and secretion in pregnant and non-pregnant women. BMC Pregnancy Childbirth. 2011; 11: 44[DOI][PubMed]
  • 27. Hawkins M, Chasan-Taber L, Marcus B, Stanek E, Braun B, Ciccolo J, et al. Impact of an exercise intervention on physical activity during pregnancy: the behaviors affecting baby and you study. Am J Public Health. 2014; 104(10)-81[DOI][PubMed]
  • 28. Chasan-Taber L, Schmidt MD, Pekow P, Sternfeld B, Manson JE, Solomon CG, et al. Physical activity and gestational diabetes mellitus among Hispanic women. J Womens Health (Larchmt). 2008; 17(6): 999-1008[DOI][PubMed]
  • 29. Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS, et al. A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Metab Rev. 2004; 66(2): 203-15[DOI]
  • 30. Oken E, Ning Y, Rifas-Shiman SL, Radesky JS, Rich-Edwards JW, Gillman MW. Associations of physical activity and inactivity before and during pregnancy with glucose tolerance. Obstet Gynecol. 2006; 108(5): 1200-7[DOI][PubMed]
  • 31. Connolly Christopher P. Accuracy of Physical Activity Monitors in Pregnant Women 2010;
  • 32. Chandonnet N, Saey D, Almeras N, Marc I. French Pregnancy Physical Activity Questionnaire compared with an accelerometer cut point to classify physical activity among pregnant obese women. PLoS One. 2012; 7(6)[DOI][PubMed]
  • 33. Schmidt MD, Pekow P, Freedson PS, Markenson G, Chasan-Taber L. Physical activity patterns during pregnancy in a diverse population of women. J Womens Health (Larchmt). 2006; 15(8): 909-18[DOI][PubMed]
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