Evidence map›Paper›PMID 28238600›Full record

ArticleDiabetes & metabolism2017

Moderate intensity sports and exercise is associated with glycaemic control in women with gestational diabetes.

S F Ehrlich, M M Hedderson, S D Brown, B Sternfeld, L Chasan-Taber, J Feng, J Adams, J Ching, Y Crites, C P Quesenberry and 1 more

Abstract read
In one paragraph

Article in Diabetes & metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

S F EhrlichDivision of research, Kaiser Permanente Northern California, Oakland, CA, USA; Department of Public Health, College of Education, Health and Human Sciences, University of Tennessee, Knoxville, TN, USA. Electronic address: sehrlic1@utk.edu.
M M HeddersonDivision of research, Kaiser Permanente Northern California, Oakland, CA, USA.
S D BrownDivision of research, Kaiser Permanente Northern California, Oakland, CA, USA.
B SternfeldDivision of research, Kaiser Permanente Northern California, Oakland, CA, USA.
L Chasan-TaberDepartment of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, USA.
J FengDivision of research, Kaiser Permanente Northern California, Oakland, CA, USA.
J AdamsDivision of research, Kaiser Permanente Northern California, Oakland, CA, USA.
J ChingDivision of Perinatology, Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Santa Clara, CA, USA.
Y CritesDivision of Perinatology, Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, Santa Clara, CA, USA.
C P QuesenberryDivision of research, Kaiser Permanente Northern California, Oakland, CA, USA.
A FerraraDivision of research, Kaiser Permanente Northern California, Oakland, CA, USA.
Kaiser Permanente · USKaiser Permanente Santa Clara Medical Center · USUniversity of Massachusetts Amherst · US

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Comparative effectiveness of diabetes prevention strategies in women with GDMR01HS019367 · AHRQ · KAISER FOUNDATION RESEARCH INSTITUTE · PI FERRARA, ASSIAMIRA · 2010 to 2010
$8.5M
Translational Diebetes Prevention in GDMR18DK067334 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI FERRARA, ASSIAMIRA · 2006 to 2014
$3.7M
Physical Activity in Pregnancy for Intergenerational Obesity PreventionK01DK105106 · NIDDK · UNIVERSITY OF TENNESSEE KNOXVILLE · PI EHRLICH, SAMANTHA F · 2015 to 2021
$782k
Engaging At-Risk Minority Women in Health System Diabetes Prevention ProgramsK01DK099404 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI BROWN, SUSAN DENISE · 2014 to 2017
$643k
AHRQ HHS R01 HS019367NIDDK NIH HHS K01 DK099404NIDDK NIH HHS K01 DK105106NIDDK NIH HHS P30 DK092924NIDDK NIH HHS R18 DK067334
6 · The paper itself

Abstract

aimTo assess the association of regular, unsupervised sports and exercise during pregnancy, by intensity level, with glycaemic control in women with gestational diabetes (GDM).

methodsProspective cohort study of 971 women who, shortly after being diagnosed with GDM, completed a Pregnancy Physical Activity Questionnaire assessing moderate and vigorous intensity sports and exercise in the past 3 months. Self-monitored capillary glucose values were obtained for the 6-week period following the questionnaire, with optimal glycaemic control defined≥80% values meeting the targets<5.3mmol/L for fasting and <7.8mmol/L 1-hour after meals. Logistic regression estimated the odds of achieving optimal control; linear regression estimated activity level-specific least square mean glucose, as well as between-level mean glucose differences.

resultsFor volume of moderate intensity sports and exercise ([MET×hours]/week), the highest quartile, compared to the lowest, had significantly increased odds of optimal control (OR=1.82 [95% CI: 1.06-3.14] P=0.03). There were significant trends for decreasing mean 1-hour post breakfast, lunch and dinner glycaemia with increasing quartile of moderate activity (all P<0.05). Any participation in vigorous intensity sports and exercise was associated with decreased mean 1-hour post breakfast and lunch glycaemia (both P<0.05). No associations were observed for fasting.

conclusionHigher volumes of moderate intensity sports and exercise, reported shortly after GDM diagnosis, were significantly associated with increased odds of achieving glycaemic control. Clinicians should be aware that unsupervised moderate intensity sports and exercise performed in mid-pregnancy aids in subsequent glycaemic control among women with GDM.

Indexed as

AdultBlood GlucoseDiabetes, GestationalExerciseFemaleGlucose Tolerance TestHumansPregnancyProspective StudiesSportsSurveys and QuestionnairesBlood GlucoseCapillary glucoseExerciseGestational diabetesGlycaemic controlPhysical activityPregnancy

Identifiers

PMID28238600
PMCPMC5568986
OpenAlexW2590833080

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.