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:: Volume 16, Issue 1 (Spring 2021) ::
Iranian J Nutr Sci Food Technol 2021, 16(1): 27-36 Back to browse issues page
Effects of Aerobic Training and Dietary Approaches to Stop Hypertension Diets on Insulin Response and Resistance in Women with Gestational Diabetes
S Dolati , S Mansouri * , A Vadizadeh , Kh Namiranian , T Anafge , F Mohammadi
Abadan University of Medical Sciences Deputy Minister of Health , samanemansouri07@gmail.com
Abstract:   (1860 Views)
Background and Objectives: Gestational diabetes is one of the most common diseases in pregnancy with transient effects on fetuses and mothers. The aim of this study was to assess effects of aerobic training and dietary approaches to stop hypertension diets on insulin response and resistance in women with gestational diabetes.
 Materials & Methods: In this quasi-experimental study, 30 obese women with gestational diabetes at 24–28 weeks of gestation with an age range of 30–40 years were selected using random sampling and randomly grouped into three ten-sample groups of dietary approaches to stop hypertension diets, aerobic training, and dietary approaches to stop hypertension diets and aerobic training. In aerobic training group, the eight-week training protocol started at 30% of the stored heart rate for 30 min and finished at 70% of the heart rate for 45 min. For macronutrients, dietary approaches to stop hypertension diets were similar to normal diets but rich in fruits (4–6) unit, vegetables (3–6) unit, whole grains (6–13) unit, low-fat dairy products (2–4) unit and (1) unit of nuts, fats and oils (2–3) unit as well as meats, poultries and fishes (2) unit and contained small quantities of saturated fats with 2400 mg of sodium per day. Blood sampling was carried out to assess biochemical variables after 12 h of fasting at the beginning and end of eight weeks. Fasting blood sugar, 2-h blood sugar and insulin were assessed in fasting blood samples. Data were analyzed using Shapirville test, Leven test, correlated T,  analysis of variance and Bonferroni. Significance levels were reported for the statistical methods when p < 0.05.
Results: Results showed that eight weeks of aerobic training with dietary approaches to stop hypertension  diets decreased fasting blood sugar levels (p = 0.001), 2-h blood sugar (p = 0.001) and insulin resistance (p = 0.02) and increased insulin levels (p = 0.002) in women with gestational diabetes (p < 0.05).
Conclusion: It seems that aerobic training in combination with dietary approaches to stop hypertension diets is effective in improving blood sugar control and blood insulin levels in women with gestational diabetes.
Keywords: Exercise, DASH diet, Insulin resistance, Gestational diabetes
Full-Text [PDF 545 kb]   (637 Downloads)    
Article type: Research | Subject: nutrition
Received: 2020/05/22 | Accepted: 2020/10/18 | Published: 2021/03/25
References
1. Golbidi S, Laher I. Potential mechanisms of exercise in gestational diabetes. J Nutr Metab 2013;2013. [DOI:10.1155/2013/285948]
2. Kazemi N, Kordi Mr, Noori R, Kasraian M. The Effect Of Aerobic And Resistance Training Program On Fasting Blood Sugar Levels And Insulin In Women With Gestational Diabetes. Armaghan Danesh 2016;21(3):110.
3. Azarmy M, Abolfathi A, Ahmadi Jouybari T, Ataee M, Lotfi B, Aghaei A. Comparison of serum and urinary cortisol levels in women with gestational diabetes and healthy pregnant women. IJOGI 2015;17(135):16-25.
4. Buchanan TA, Xiang A, Kjos SL, Watanabe R. What is gestational diabetes? Diabetes Care 2007;30(Supplement 2):S105-S11. [DOI:10.2337/dc07-s201]
5. Kühl C. 2 Aetiology of gestational diabetes. Baillieres Clin Obstet Gynaecol 1991;5(2):279-92. [DOI:10.1016/S0950-3552(05)80098-7]
6. Esmaelzadeh Toloee M, Faramarzi M, Noroozian P. Effect of Aerobic Training with Ginger Supplementation on some Liver Enzymes (AST,ALT,GGT) and Resistance to Insulin in Obese Women with Type 2 Diabetes. mjms 2017;60(4):636-47.
7. Embaby H, Elsayed E, Fawzy M. Insulin sensitivity and plasma glucose response to aerobic exercise in pregnant women at risk for gestational diabetes mellitus. Ethiop J Health Sci 2016;26(5):409-14. [DOI:10.4314/ejhs.v26i5.2]
8. Acheson KJ. Carbohydrate for weight and metabolic control: where do we stand? Nutrition 2010;26(2):141-5. [DOI:10.1016/j.nut.2009.07.002]
9. Lim SS, Noakes M, Norman RJ. Dietary effects on fertility treatment and pregnancy outcomes. Current opinion in endocrinology, diabetes and obesity 2007;14(6):465-9. [DOI:10.1097/MED.0b013e3282f1cfc6]
10. McGowan CA, McAuliffe FM. The influence of maternal glycaemia and dietary glycaemic index on pregnancy outcome in healthy mothers. British journal of nutrition 2010;104(2):153-9. [DOI:10.1017/S0007114510000425]
11. Barbour LA, McCurdy CE, Hernandez TL, Kirwan JP, Catalano PM, Friedman JE. Cellular mechanisms for insulin resistance in normal pregnancy and gestational diabetes. Diabetes care 2007;30(Supplement 2):S112-S9. [DOI:10.2337/dc07-s202]
12. Rashidlamir A, Alizadeh A, Ebrahimiatri A, Dastani M. The Effect Of Four-Week Period Of Aerobic Exercise With Cinnamon Consumption On Lipoprotein Indicates And Blood Sugar In Diabetic Female Patients (Type 2). JSSU 2012;20(5):86.
13. Azadbakht L, Fard NRP, Karimi M, Baghaei MH, Surkan PJ, Rahimi M, et al. Effects of the Dietary Approaches to Stop Hypertension (DASH) eating plan on cardiovascular risks among type 2 diabetic patients: a randomized crossover clinical trial. Diabetes care 2011;34(1):55-7. [DOI:10.2337/dc10-0676]
14. Azadbakht L, Borzoi A, Esmaillzadeh A. Effects Of Dietary Approaches To Stop Hypertension (Dash) Eating Plan On Inflammation And Liver Functional Tests Among Type 2 Diabetic Patients. Tabib-E-Shargh 2012;14(2):-.
15. Mirmiran P, Azadbakht L, Padyab M, Esmaeilzadeh A, Azizi F. Beneficial Effects Of A Dash (Dietary Approaches To Stop Hypertension) Eating Plan On Features Of The Metabolic Syndrome. Ijem 2006;8(2)Sn 30:-.
16. Sanei P, Khayatzadeh S, Asemi Z, Tabasi Z, Samimi M, Fahiminejhad T, et al. The desired effects of blood pressure-lowering diet (DASH) on glucose tolerance and lipid profile in gestational diabetes: a randomized clinical trial. J Diabetes Metab Disord 2012;12(1):31-8.
17. Mohammadzadeh G, Zarghami N, Larijani B. Relationship Of Serum Resistin Level With Insulin Resistance Indices In Non-Diabetic And Diabetic Obese Subjects. J Diabetes Metab Disord 2007;7(1):55-69.
18. Mishima Y, Kuyama A, Tada A, Takahashi K, Ishioka T, Kibata M. Relationship between serum tumor necrosis factor-α and insulin resistance in obese men with Type 2 diabetes mellitus. Diabetes Res Clin Pract 2001;52(2):119-23. [DOI:10.1016/S0168-8227(00)00247-3]
19. Karstoft K, Winding K, Knudsen SH, Nielsen JS, Thomsen C, Pedersen BK, et al. The effects of free-living interval-walking training on glycemic control, body composition, and physical fitness in type 2 diabetic patients: a randomized, controlled trial. Diabetes care 2013;36(2):228-36. [DOI:10.2337/dc12-0658]
20. Yavari A, Najafipoor F, Ali Asgarzadeh A, Niafar M, Mobasseri M, Nikookheslat S. Effect Of Aerobic Exercise, Resistance Training Or Combined Training On Glycemic Control And Cardiovascular Risk Factors In Patients With Type 2 Diabetes Mellitus. Medical Journal Of Tabriz University Of Medical Sciences 2011;33(4):-. [DOI:10.5604/20831862.990466]
21. Yao J, Cong L, Zhu B, Wang T. Effect of dietary approaches to stop hypertension diet plan on pregnancy outcome patients with gestational diabetes mellitus. Bangladesh J Pharmacol 2015;10(4):732-8. [DOI:10.3329/bjp.v10i4.23813]
22. Shakil-ur-Rehman S, Karimi H, Gillani SA. Effects of supervised structured aerobic exercise training program on fasting blood glucose level, plasma insulin level, glycemic control, and insulin resistance in type 2 diabetes mellitus. Pak J Med Sci 2017;33(3):576. [DOI:10.12669/pjms.333.12023]
23. Tadibi V, ali Rahimi M, Bayat Z. The Effectiveness of 8-week aerobic exercise and drug modification on metabolic indices in women with type 2 diabetes. J Kermanshah Univ Med Sci 2012;16(5):380-90.
24. Bazyar F, Banitalebi E, Amirhosseini SE. The comparison of two methods of exercise (intense interval training and concurrent resistance-endurance training) on fasting sugar, insulin and insulin resistance in women with mellitus diabetes. Armaghane danesh 2016;21(2):123-34.
25. Egger A, Niederseer D, Diem G, Finkenzeller T, Ledl-Kurkowski E, Forstner R, et al. Different types of resistance training in type 2 diabetes mellitus: effects on glycaemic control, muscle mass and strength. Eur J Prev Cardiol 2013;20(6):1051-60. [DOI:10.1177/2047487312450132]
26. Shenoy S, Arora E, Jaspal S. Effects of progressive resistance training and aerobic exercise on type 2 diabetics in Indian population. Int J Diabetes Metab 2009;17(1):27-30.
27. Dunstan DW, Daly RM, Owen N, Jolley D, De Courten M, Shaw J, et al. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes care 2002;25(10):1729-36. [DOI:10.2337/diacare.25.10.1729]
28. Adams OP. The impact of brief high-intensity exercise on blood glucose levels. Diabetes, metabolic syndrome and obesity: targets and therapy 2013;6:113. [DOI:10.2147/DMSO.S29222]
29. Hamedinia MR, Amiri-Parsa T, Khademosharie M, Azarnive MS, Hedayati M. The effect of five-week daily aerobic exercise training and ten-week every other day aerobic training on some markers of women with type 2 diabetes. Daneshvar Medicine 2012;19(99):71-8.
30. Shaban N, Kenno K, Milne K. The effects of a 2 week modified high intensity interval training program on the homeostatic model of insulin resistance (HOMA-IR) in adults with type 2 diabetes. J Sports Med Phys Fitness 2014;54(2):203-9.
31. Shavandi N, Sharjerdi S, Sheikh Hoseini R, Ghorbani A. The effect of strengthening exercises on metabolic factors, quality of life and mental health in women with type 2 diabetes. IJEM 2010;12(3):222-30.
32. 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(4):676-82. [DOI:10.2337/dc11-1655]
33. Misra A, Alappan NK, Vikram NK, Goel K, Gupta N, Mittal K, et al. Effect of supervised progressive resistance-exercise training protocol on insulin sensitivity, glycemia, lipids, and body composition in Asian Indians with type 2 diabetes. Diabetes care 2008;31(7):1282-7. [DOI:10.2337/dc07-2316]
34. De Feyter HM, Praet SF, van den Broek NM, Kuipers H, Stehouwer CD, Nicolay K, et al. Exercise training improves glycemic control in long-standing insulin-treated type 2 diabetic patients. Diabetes Care 2007;30(10):2511-3. [DOI:10.2337/dc07-0183]
35. Safarzade A, Esmailpour K, Talebi-Garakani E, Fathi R. He Effect Of Low Intensity Resistance Training On Serum Omentin-1 And Adiponectin Concentrations In Streptozotocin-Induced Diabetic Rats. IJDLD 2014;13(3):235-42. [DOI:10.1186/2251-6581-13-41]
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Dolati S, Mansouri S, Vadizadeh A, Namiranian K, Anafge T, Mohammadi F. Effects of Aerobic Training and Dietary Approaches to Stop Hypertension Diets on Insulin Response and Resistance in Women with Gestational Diabetes. Iranian J Nutr Sci Food Technol 2021; 16 (1) :27-36
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Volume 16, Issue 1 (Spring 2021) Back to browse issues page
Iranian Journal of  Nutrition Sciences and Food  Technology
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