Abstract
Objective: To ascertain how low-impact exercise affects gestational diabetes mellitus in the third trimester and Compare the efficacy of normal prenatal treatment both on alone and in conjunction with low-impact workouts and physical activity to manage gestational diabetes mellitus.
Study design: It was a Randomized Control Trial study design.
Place and duration of study: The study was conducted in The Physiotherapy Clinic, Saidpur Road, Rawalpindi from 1st August 2021 to 31st January 2022.
Material and Methods: Sample size was calculated by using open epi sample size calculator with 5% level of significance and 95% level of confidence. 30 females were selected by using non probability convenient sampling initially and then randomly allocated into control and experimental groups. Inclusion criteria encompassed obese/overweight females in their 3rd trimester, aged 25-40 years. Females with specific medical conditions and without GDM were excluded. Assessment was done by using data collection tools (OGTT, Weight (kg) BMI).Outcome measures are diastolic, systolic blood pressure, fasting plasma glucose, 1 hour and 2 hours plasma glucose after meal. Data was analyzed by using SPSS version 21. An independent sample t-test was used for comparison of means between the groups.
Results: Out of 30 females, there were 15 in each group and there was a statistically significant differences of all outcome measures from baseline values for both groups(p<0.001).However, the experimental group's statistical outcomes were better than those of the control group in terms of plasma glucose levels at fasting, one hour, and two hours.(p<0.001).
Conclusion: It is concluded that low-impact exercises are found to effectively manage glucose levels in females during the third trimester and minimize the complications associated with gestational diabetes mellitus.
Keywords: Gestational Diabetes Mellitus, Impaired Glucose Intolerance, Body mass index, Oral Glucose Tolerance Test, Big Baby syndrome.
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