ORIGINAL PAPER
Effect of Pilates exercises on blood glucose, urinary problems, sexual symptoms, pain and anxiety in women with gestational diabetes mellitus
 
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1
Student of the Physiotherapy course of the Integrated Institute of Health (INISA), Federal University of Mato Grosso of South (UFMS), Campo Grande, MS, Brazil
 
2
Masters Student of the Graduate Program of Movement Sciences, Integrated Institute of Health (INISA), Federal University of Mato Grosso of South (UFMS), Campo Grande, MS, Brazil
 
3
Maria Aparecida Pedrossian University Hospital, Brazilian Services Company, Federal University of Mato Grosso of South (UFMS), Campo Grande, MS, Brasil
 
4
Maria Aparecida Pedrossian University Hospital, Federal University of Mato Grosso of South (UFMS), Campo Grande, MS, Brazil
 
5
Faculty of Medicine, Federal University of Mato Grosso of South (UFMS), Campo Grande, MS, Brazil
 
6
Graduate Program of Movement Sciences, Integrated Institute of Health (INISA), Federal University of Mato Grosso of South (UFMS), Campo Grande, MS, Brazil
 
 
Submission date: 2020-03-06
 
 
Acceptance date: 2020-07-06
 
 
Publication date: 2021-06-17
 
 
Hum Mov. 2021;22(4):36-45
 
KEYWORDS
TOPICS
ABSTRACT
Purpose:
To verify the impact of Pilates training on blood glucose, urinary problems, sexual symptoms, pain and anxiety in women with gestational diabetes mellitus (GDM).

Methods:
Overall, 25 pregnant women with GDM were randomly divided into an experimental and a control group. The participants allocated into the experimental group were submitted to 12 weeks of conventional treatment for GDM associated with supervised Pilates exercises. The control group were submitted to 12 weeks of conventional treatment, without the Pilates intervention. Fasting blood glucose was measured with a glucose monitor. Urinary symptoms were assessed by using the Short-Form International Consultation on Incontinence Questionnaire. For sexual function, the authors applied the Female Sexual Function Index. Maternal weight gain was obtained from the patients’ medical records. Pain was assessed by visual analogue scale and localized by nordic questionnaire. Owing to a non-parametric pattern of the data, values were expressed as median and interquartile range. Inferential analysis was performed with the Mann-Whitney U test (to assess between-group comparisons) and Wilcoxon test (to assess pre- and post-intervention comparisons).

Results:
Considering the baseline similarity of the groups regarding anthropometric and clinical variables, Pilates training improved fasting glucose, maternal weight gain, and urinary incontinence score as compared with the group submitted exclusively to conventional therapy (p < 0.05).

Conclusions:
The results reinforce the beneficial effects of supervised Pilates training on reducing blood glucose, maternal weight gain, and urinary incontinence in pregnant women with GDM.

 
REFERENCES (40)
1.
Melchior H, Kurch-Bek D, Mund M. The prevalence of gestational diabetes. Dtsch Arztebl Int. 2017;114(24):412–418; doi: 10.3238/arztebl.2017.0412.
 
2.
Bener A, Saleh NM, Al-Hamaq A. Prevalence of gestational diabetes and associated maternal and neonatal complications in a fast-developing community: global comparisons. Int J Womens Health. 2011;3:367–373; doi: 10.2147/IJWH.S26094.
 
3.
Allehdan SS, Basha AS, Asali FF, Tayyem RF. Dietary and exercise interventions and glycemic control and maternal and newborn outcomes in women diagnosed with gestational diabetes: systematic review. Diabetes Metab Syndr. 2019;13(4):2775–2784; doi: 10.1016/j.dsx.2019.07.040.
 
4.
Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes Care. 2002;25(10):1862–1868; doi: 10.2337/diacare.25.10.1862.
 
5.
Kawasaki M, Arata N, Miyazaki C, Mori R, Kikuchi T, Ogawa Y, et al. Obesity and abnormal glucose tolerance in offspring of diabetic mothers: a systematic review and meta-analysis. PLoS One. 2018;13(1):e0190676; doi: 10.1371/journal.pone.0190676.
 
6.
Schmidt MI, Duncan BB, Reichelt AJ, Branchtein L, Matos MC, Costa e Forti A, et al. Gestational diabetes mellitus diagnosed with a 2-h 75-g oral glucose tolerance test and adverse pregnancy outcomes. Diabetes Care. 2001;24(7):1151–1155; doi: 10.2337/diacare.24.7.1151.
 
7.
Martis R, Crowther CA, Shepherd E, Alsweiler J, Downie MR, Brown J. Treatments for women with gestational diabetes mellitus: an overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2018;8(8):CD012327; doi: 10.1002/14651858.CD012327.pub2.
 
8.
Cremona A, O’Gorman C, Cotter A, Saunders J, Donnelly A. Effect of exercise modality on markers of insulin sensitivity and blood glucose control in pregnancies complicated with gestational diabetes mellitus: a systematic review. Obes Sci Pract. 2018;4(5):455–467; doi: 10.1002/osp4.283.
 
9.
Wang C, Wei Y, Zhang X, Zhang Y, Xu Q, Sun Y, et al. A randomized clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women. Am J Obstet Gynecol. 2017;216(4):340–351; doi: 10.1016/j.ajog.2017.01.037.
 
10.
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):e147–e167; doi: 10.2337/dc10-9990.
 
11.
Pilates JH, Miller WJ. Return to life through contrology. New York: J. J. Augustin; 1945.
 
12.
Pilates JH. Your health. Incline Village: Presentation Dynamics; 1934.
 
13.
Latey P. The Pilates method: history and philosophy. J Bodyw Mov Ther. 2001;5(4):275–282; doi: 10.1054/jbmt.2001.0237.
 
14.
Lessen D. The PMA Pilates certification exam study guide. Miami: Pilates Method Alliance; 2014.
 
15.
Mazzarino M, Kerr D, Wajswelner H, Morris ME. Pilates method for women’s health: systematic review of randomized controlled trials. Arch Phys Med Rehabil. 2015;96(12):2231–2242; doi: 10.1016/j.apmr.2015.04.005.
 
16.
Cruz-Ferreira A, Fernandes J, Laranjo L, Bernardo LM, Silva A. A systematic review of the effects of Pilates method of exercise in healthy people. Arch Phys Med. Rehabil. 2011;92(12):2071–2081; doi: 10.1016/j.apmr.2011.06.018.
 
17.
Rodrigues AQ, Martins FM, Barbosa AC, Figueiredo PS, Lima MO, Vieira ER. Effects of an eleven-week Pilates exercise program on progressive-speed walking capacity in sedentary young women: a pilot study. Hum Mov. 2016;17(2):102–106; doi: 10.1515/humo-2016-0011.
 
18.
FEBRASGO (Federação Brasileira das Associações de Ginecologia e Obstetrícia). Manual of high-risk pregnancy [in Portuguese]. Rio de Janeiro: FEBRASGO;2011.
 
19.
Tamanini JTN, Dambros M, D’Ancona CAL, Palma PCR, Netto NR Jr. Validation of the “International Consultation on Incontinence Questionnaire – Short Form” (ICIQ-SF) for Portuguese [in Portuguese]. Rev Saude Publica. 2004;38(3):438–444; doi: 10.1590/S0034-89102004000300015.
 
20.
Pais-Ribeiro JL, Honrado A, Leal I. Contribution to the adaptation study of the Portuguese adaptation of the Lovibond and Lovibond depression anxiety stress scales (EADS) with 21 items [in Portuguese]. Psicol Saude Doencas. 2004;5(2):229–239.
 
21.
Pacagnella RC, Martinez EZ, Vieira EM. Construct validity of a Portuguese version of the Female Sexual Function Index [in Portuguese]. Cad Saude Publica. 2009;25(11):2333–2344; doi: 10.1590/S0102-311X2009001100004.
 
22.
Lausen A, Marsland L, Head S, Jackson J, Lausen B. Modified Pilates as an adjunct to standard physiotherapy care for urinary incontinence: a mixed methods pilot for a randomised controlled trial. BMC Womens Health. 2018;18(1):16; doi: 10.1186/s12905-017-0503-y.
 
23.
American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 190: gestational diabetes mellitus. Obstet Gynecol. 2018;131(2):e49–e64; doi: 10.1097/AOG.0000000000002501.
 
24.
Halse RE, Wallman KE, Newnham JP, Guelfi KJ. Home-based exercise training improves capillary glucose profile in women with gestational diabetes. Med. Sci Sports Exerc. 2014;46(9):1702–1709; doi: 10.1249/MSS.0000000000000302.
 
25.
Halse RE, Wallman KE, Newnham JP, Guelfi KJ. Pregnant women exercise at higher intensity during 30 min of self-paced cycling compared with walking during late gestation: implications for 2 h postprandial glucose levels. Metabolism. 2013;62(6):801–807; doi: 10.1016/jmetabol.2012.12.009.
 
26.
Turcotte LP, Fisher JS. Skeletal muscle insulin resistance: roles of fatty acid metabolism and exercise. Phys Ther. 2008;88(11):1279–1296; doi: 10.2522/ptj.20080018.
 
27.
Harrison AL, Shields N, Taylor NF, Frawley HC. Exercise improves glycaemic control in women diagnosed with gestational diabetes mellitus: a systematic review. J Physiother. 2016;62(4):188–196; doi: 10.1016/j.jphys.2016.08.003.
 
28.
Barakat R, Refoyo I, Coteron J, Franco E. Exercise during pregnancy has a preventive effect on excessive maternal weight gain and gestational diabetes. A randomized controlled trial. Braz J Phys Ther. 2019;23(2):148–155; doi: 10.1016/j.bjpt.2018.11.005.
 
29.
De Oliveira Santini C, Imakawa TDS, Duarte G, Quintana SM, Moisés ECD. Do the body mass index and the diagnosis of gestational diabetes mellitus influence the level of physical activity during pregnancy and postpartum? PLoS One. 2019;14(8):e0220947; doi: 10.1371/journal.pone.0220947.
 
30.
Wang C, Zhu W, Wei Y, Feng H, Su R, Yang H. Exercise intervention during pregnancy can be used to manage weight gain and improve pregnancy outcomes in women with gestational diabetes mellitus. BMC Pregnancy Childbirth. 2015;15:255; doi: 10.1186/s12884-015-0682-1.
 
31.
Oliveira M, Ferreira M, Azevedo MJ, Firmino-Machado J, Santos PC. Pelvic floor muscle training protocol for stress urinary incontinence in women: a systematic review. Rev Assoc Med Bras. 2017;63(7):642–650; doi: 10.1590/1806-9282.63.07.642.
 
32.
Bates JN, Pastuszak AW, Khera M. Effect of body weight on sexual function in men and women. Curr Sex Health Rep. 2019;11(1):52–59; doi: 10.1007/s11930-019-00192-0.
 
33.
Ponting C, Mahrer NE, Zelcer H, Dunkel Schetter C, Chavira DA. Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: a systematic review. Clin Psychol Psychother. 2020;27(2):249–265; doi: 10.1002/cpp.2424.
 
34.
Ross GP, Falhammar H, Chen R, Barraclough H, Kleivenes O, Gallen I. Relationship between depression and diabetes in pregnancy: a systematic review. World J Diabetes. 2016;7(19):554–571; doi: 10.4239/wjd.v7.i19.554.
 
35.
Davenport MH, McCurdy AP, Mottola MF, Skow RJ, Meah VL, Poitras VJ, et al. Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis. Br J Sports Med. 2018;52(21):1376–1385; doi: 10.1136/bjsports-2018-099697.
 
36.
Kawanishi Y, Hanley SJB, Tabata K, Nakagi Y, Ito T, Yoshioka E, et al. Effects of prenatal yoga: a systematic review of randomized controlled trials [in Japanese]. Nihon Koshu Eisei Zasshi. 2015;62(5):221–231; doi: 10.11236/jph.62.5_221.
 
37.
Ramamoorthi R, Gahreman D, Skinner T, Moss S. The effect of yoga practice on glycemic control and other health parameters in the prediabetic state: a systematic review and meta-analysis. PLoS One. 2019;14(10):e0221067; doi: 10.1371/journal.pone.0221067.
 
38.
Natour J, de Araujo Cazotti L, Ribeiro LH, Baptista AS, Jones A. Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015;29(1):59–68; doi: 10.1177/0269215514538981.
 
39.
Tomas-Carus P, Garrido M, Branco JC, Castaño MY, Gómez MÁ, Biehl-Printes C. Non-supervised breathing exercise regimen in women with fibromyalgia: a quasiexperimental.
 
40.
exploratory study. Complement Ther Clin Pract. 2019;35:170–176; doi: 10.1016/j.ctcp.2019.02.006.
 
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