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Comparative study of circuit resistance training and aerobic training on glycemic control of gestational diabetes mellitus

Abstract

Background

Gestational diabetes mellitus (GDM) is a standout among the most well-known medical complications of pregnancy. The occurrence of GDM has multiplied in the most recent 6–8 years and is associated with the obesity epidemic.

Objective

To compare the effect of circuit resistance training (CRT) versus aerobic training (AT) on glycemic control in women with GDM.

Participants and methods

A total of 50 pregnant women with a diagnosis of GDM were randomly assigned to a CRT group or an AT group. Both the groups trained for 40 min, three times per week for 36 sessions, starting at 20–24 weeks gestation (second trimester) until the end of 37 weeks gestation. The fasting and 2-h postprandial plasma glucose levels were assessed in all the participants before and after the treatment program.

Results

The results revealed a significant decrease in both fasting and 2-h postprandial plasma glucose levels in both the groups after the training program (CRT group, P<0.0001 and AT group, P<0.01). However, the participants in the CRT group exhibited a greater decrease in both fasting and 2-h postprandial plasma glucose levels, with the mean difference between both groups being –15.05 and –46.75 mg/dl, respectively, favoring the CRT group, (P<0.0001).

Conclusion

These results suggest that the CRT was more effective than AT in improving glycemic control among gestational diabetic women.

References

  1. 1

    Baptiste? Roberts K, Barone B, Gary T, Golden S, Wilson L, Bass E, Nicholson W. Risk factors for type 2 diabetes among women with gestational diabetes: a systematic review. Am J Med 2009; 122:207–214.

    PubMed  PubMed Central  Google Scholar 

  2. 2

    Pridjian G, Benjamin T. Update on gestational diabetes. Obstet Gynecol Clin North Am 2010; 37:255–267.

    PubMed  Google Scholar 

  3. 3

    Mulla WR, Henry TQ, Homko CJ. Gestational diabetes screening after HAPO: has anything changed? Curr Diab Rep 2010; 10:224–228.

    PubMed  Google Scholar 

  4. 4

    Corrigan N, Brazil D, Auliffe F. Fetal cardiac effects of maternal hyperglycemia during pregnancy. Birth Defects Res A Clin Mol Teratol 2009; 85:523–530.

    CAS  PubMed  Google Scholar 

  5. 5

    Cheung N. The management of gestational diabetes. Vasc Health Risk Manag 2009; 5:153–164.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. 6

    American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2010; 33:6–13.

    Google Scholar 

  7. 7

    Buchanan TA, Xiang AH. Gestational diabetes mellitus. J Clin Invest 2005; 115:485–491.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. 8

    Blanco AT, Semilen SW, Davis Y, Lopez S, Lapinski R, Lockwood CJ. Pregnancy outcome and weight gain recommendations for the morbidly obese women. Obstet Gynecol 1998; 91:97–102.

    Google Scholar 

  9. 9

    Davies GA, Maxwell C, McLeod L, Gagnon R, Basso M, Bos H, et al. Obesity in pregnancy. J Obstet Gynaecol Can 2010; 32:165–173.

    PubMed  Google Scholar 

  10. 10

    Saldana TM, Siega-Riz AM, Adair LS, Suchindran C. The relationship between pregnancy weight gain and glucose tolerance status among black and white women in central North Carolina. Am J Obstet Gynecol 2006; 195:1629–1635.

    CAS  PubMed  Google Scholar 

  11. 11

    American Diabetes Association. Standards of medical care in diabetes. Diabetes Care J 2011; 34:11–61.

    Google Scholar 

  12. 12

    Metzger B, Buchanan T, Coustan D, Leiva A, Dunger D, Hadden D, et al. Summary and recommendations of the Fifth International Workshop-Conference on Gestational Diabetes Mellitus. Diabetes Care J 2007; 30:251–260.

    Google Scholar 

  13. 13

    Zanesco A, Antunes E. Effects of exercise training on the cardiovascular system:pharmacologicalapproaches. Pharmacol Ther J 2007; 114:307–317.

    CAS  Google Scholar 

  14. 14

    García-Patterson A, Martín E, Ubeda J, María MA, de Leiva A, Corcoy R. Evaluation of light exercise in the treatment of gestational diabetes. Diabetes Care 2001; 24:2006–2007.

    PubMed  Google Scholar 

  15. 15

    Wallberg-Henriksson H. Exercise and diabetes mellitus. Exerc Sport Sci Rev 1992; 20:339–368.

    CAS  PubMed  Google Scholar 

  16. 16

    Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 43:1334–1359.

    PubMed  Google Scholar 

  17. 17

    Barakat R, Lucia A, Ruiz JR. Resistance exercise training during pregnancy and newborn’s birth size: a randomised controlled trial. Int J Obes (Lond) 2009; 33:1048–1057.

    CAS  Google Scholar 

  18. 18

    Fieril K, Olsen MF, Glantz A, Larsson M. Experiences of exercise during pregnancy among women who perform regular resistance training: a qualitative study. Phys Ther 2014; 94:1135–1143.

    Google Scholar 

  19. 19

    White E, Pivarnik J, Pfeiffer K. Resistance training during pregnancy and pregnancy and perinatal outcomes. J Phys Act Health 2014; 11:1141–1148.

    PubMed  Google Scholar 

  20. 20

    De Barros MC, Lopes MA, Francisco RP, Sapienza AD, Zugaib M. Resistance exercise and glycemic control in women with gestational diabetes mellitus. Am J Obstet Gynecol 2010; 203:556.

    PubMed  Google Scholar 

  21. 21

    Brankston GN, Mitchell BF, Ryan EA, Okun NB. Resistance exercise decreases the need for insulin in overweight women with gestational diabetes mellitus. Am J Obstet Gynecol 2004; 190:188–193.

    CAS  PubMed  Google Scholar 

  22. 22

    Mottola MF. Exercise prescription for overweight and obese women: pregnancy and postpartum. Obstet Gynecol Clin North Am 2009; 36:301–316.

    PubMed  Google Scholar 

  23. 23

    Martens DL, Barbara H, George S, Douglas B. Pregnancy and exercise: physiological changes and effects on the mother and fetus. Strength Condit J 2006; 28:46–67.

    Google Scholar 

  24. 24

    O’Connor PJ, Poudevigne MS, Cress ME, Motl RW, Clapp JF. Safety and efficacy of supervised strength training adopted in pregnancy. J Phys Act Health 2011; 8:309–320.

    PubMed  PubMed Central  Google Scholar 

  25. 25

    Brown WJ, Finch C, Robinson D, Torode M, White S. SMA statement: the benefits and risks of exercise during pregnancy. J Sci Med Sport 2002; 5:11–19.

    Google Scholar 

  26. 26

    Mosher PE, Nash SM, Perry CA, LaPerriere RA, Goldberg BR. Aerobic circuit exercise training: Effect on adolescents with well-controlled insulin-dependent diabetes mellitus. Arch Phys Med Rehabil 1998; 79:652–657.

    CAS  PubMed  Google Scholar 

  27. 27

    Ibanez J, Izquierdo M, Arguelles I, Forga L, Larrion JL, Garcia-Unciti M, et al. Twice weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes. Diabetes Care 2005; 28:662–667.

    PubMed  Google Scholar 

  28. 28

    Earnest CP. Exercise interval training: an improved stimulus for improving the physiology of pre-diabetes. Med Hypotheses 2008; 71:752–761.

    CAS  PubMed  Google Scholar 

  29. 29

    Bruce CR, Kriketos AD, Cooney GJ, Hawley JA. Disassociation of muscle triglyceride content and insulin sensitivity after exercise training in patients with type 2 diabetes. Diabetologia 2004; 47:23–30.

    CAS  PubMed  Google Scholar 

  30. 30

    Zierath JR. Invited review: exercise training-induced changes in insulin signaling in skeletal muscle. J Appl Physiol 2002; 93:773–781.

    CAS  PubMed  Google Scholar 

  31. 31

    American College of Sports Medicine (ACSM’s). Guidelines for exercise testing and prescription. Chapter 10. 8th ed. Philadelphia: Williams & Wilkins; 2010. pp. 28–65.

    Google Scholar 

  32. 32

    Gilmar MS, Graziela MT, Graziela de Gasperi II M, Giseli RB. Mechanical evaluation of the resistance of elastic bands. Braz J Phys Ther 2009; 13:521–526.

    Google Scholar 

  33. 33

    Kaya E, Zinnuroglu M, Tugcu I. Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome. Clin Rheumatol 2011; 30:201–207.

    PubMed  Google Scholar 

  34. 34

    American Diabetes Association. Gestational diabetes mellitus. Diabetes Care 2004; 27:88–90.

    Google Scholar 

  35. 35

    Artal R, Catanzaro RB, Gavard JA, Mostello DJ, Friganza JC. A lifestyle intervention of weight-gain restriction: diet and exercise in obese women with gestational diabetes mellitus. Appl Physiol Nutr Metab J 2007; 32:596–601.

    Google Scholar 

  36. 36

    Poehlman ET, Denino WF, Beckett T, Kinaman KA, Dionne IJ, Dvorak R, Ades PA. Effects of endurance and resistance training on total daily energy expenditure in young women: a controlled randomized trial. J Clin Endocrinol Metab 2002;87:1004–1009.

    CAS  PubMed  Google Scholar 

  37. 37

    Jovanovic-Peterson L, Durak EP, Peterson CM. Randomized trial of diet versus diet plus cardiovascular conditioning on glucose levels in gestational diabetes. Am J Obstet Gynecol 1989; 161:415–419.

    CAS  PubMed  Google Scholar 

  38. 38

    Dunstan DW, Puddey IB, Beilin LJ, Burke V, Morton AR, Stanton KG. Effects of a short-term circuit weight training program on glycemic control in NIDDM. Diabetes Res Clin Pract 1998; 40:53–61.

    CAS  PubMed  Google Scholar 

  39. 39

    Shabani R, Nazari M, Dalili S, Hassanzadeh AR. Effect of circuit resistance training on glycemic control of females with diabetes type II. Int J Prev Med 2015; 6:34.

    PubMed  PubMed Central  Google Scholar 

  40. 40

    Bacchi E, Negri C, Zanolin ME, Milanese C, Faccioli N, Trombetta M, et al. Metabolic effects of aerobic training and resistance training in type 2 diabetic subjects: a randomized controlled trial (the RAED2 study). Diabetes Care 2012; 35:676–682.

    CAS  PubMed  PubMed Central  Google Scholar 

  41. 41

    Wycherley TP, Noakes M, Clifton PM, Cleanthous X, Keogh JB, Brinkworth GD. A high-protein diet with resistance exercise training improves weight loss and body composition in overweight and obese patients with type 2 diabetes. Diabetes Care 2010; 33:969–976.

    CAS  PubMed  PubMed Central  Google Scholar 

  42. 42

    Zhang C, Solomon C, Manson J, Hu F. 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.

    PubMed  Google Scholar 

  43. 43

    Dunstan DR, Daly N, Owen D, Jolley M, De Courten J, Shaw P. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care 2002; 25:1729–1736.

    PubMed  PubMed Central  Google Scholar 

  44. 44

    Cuff DJ, Meneilly S, Martin A, Ignaszewski A, Tildesley HD, Frohlich JJ. Effective exercise modality to reduce insulin resistance in women with type 2 diabetes. Diabetes Care 2003; 26:2977–2982

    PubMed  Google Scholar 

  45. 45

    Barbour L, Curdy C, Hernandez T, Kirwan J, Catalano P, Friedman J. Cellular mechanisms for insulin resistance in normal pregnancy and gestational diabetes. Diabetes Care J 2007; 30:112–119.

    Google Scholar 

  46. 46

    Castaneda C, Layne JE, Munoz-Orians L, Gordon PL, Joseph Walsmith MA, Mona Foldvari M, et al. A randomized controlled trial of resistance exercise training to improve glycemic control in older adults with type 2 diabetes. Diabetes Care 2002; 25:2335–2341.

    PubMed  PubMed Central  Google Scholar 

  47. 47

    American Diabetes Association. Standards of medical care in diabetes. Diabetes Care 2008; 1:12–54.

    Google Scholar 

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Correspondence to Ghada E. El Refaye.

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El Refaye, G.E., Abdel Aziz, G.F. Comparative study of circuit resistance training and aerobic training on glycemic control of gestational diabetes mellitus. Bull Fac Phys Ther 22, 89–95 (2017). https://doi.org/10.4103/bfpt.bfpt_46_16

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Keywords

  • aerobic training
  • circuit resistance training
  • gestational diabetes mellitus
  • glycemic control