Effect of Stretching Versus Aerobic Exercises on Pregnant Diabetic Women

Abstract

Purpose: This study was conducted to determine the effect of stretching versus aerobic exercises on pregnant diabetic women. Subjects: Sixty primigravidae and multigravidae women shared in this study. They were selected from Benha University Hospital in Benha. Their ages were ranged from 25-35 years. Their BMI was ranged from 30-35 kg/m2. Their gestational ages were between 20-24 weeks’ gestation. All pregnant women were complaining of gestational diabetes mellitus. Design: Design of this study was randomized controlled study. They were randomly assigned into two equal groups: Group A (stretching exercises group); It consisted of thirty pregnant diabetic women. They were treated by medical treatment, diet control and stretching exercises for 40 minutes, 3 times per week, after one hour of the main meal and insulin injection, for 12 weeks. Group B (aerobic exercises group); It consisted of thirty pregnant diabetic women. They were treated by medical treatment, diet control and aerobic exercise program in the form of walking on treadmill, at moderate intensity (60% of the maximum heart rate), for 45 minutes, 3 times per week, after one hour of the main meal and insulin injection, for 12 weeks. Methods: Body mass index (BMI) was assessed by weight and height scale. Fasting and postprandial blood glucose levels were assessed by using blood glucose monitoring system; fasting insulin level and HbA1C were assessed by blood analysis for each woman in both groups A and B before and after treatment. Results: Results of this study revealed that there was significant decrease in fasting blood glucose level, post-prandial blood glucose level, fasting insulin level and HbA1C level in both groups A and B after treatment. Pretreatment, there was no significant difference between both groups A and B in fasting blood glucose level, post-prandial blood glucose level, fasting insulin level and HbA1C level. Post treatment, there was significant difference between both groups A and B in fasting blood glucose level, post-prandial blood glucose level, fasting insulin level and HbA1C level (more decrease in group A). Conclusion: It can be concluded that both stretching and aerobic exercises during pregnancy can improve gestational diabetes mellitus by decreasing fasting blood glucose level, post-prandial blood glucose level, fasting insulin level and HbA1C level, but stretching exercises are more effective than aerobic exercises