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Abstract：
The prevalence of gestational diabetes mellitus (GDM) is increasing worldwide. This disease has many detrimental consequences for the woman, the unborn foetus and child. The management of GDM aims to mediate the effects of hyperglycaemia by controlling blood glucose levels. Along with pharmacology and dietary interventions, exercise has a powerful potential to assist with blood glucose control. Due to the uncertainty of risks and benefits of exercise during pregnancy, women tend to avoid exercise. However, under adequate supervision exercise is both safe and beneficial in the treatment of GDM. Therefore it is vital that exercise is incorporated into the continuum of care for women with GDM. Medical doctors should be able to refer to competently informed exercise professionals to aid in GDM treatment. It is important that exercise treatment is informed by research. Hence, the development of evidence-based guidelines is important to inform practice. Currently there are no guidelines for exercise in GDM. This review aims to assess the efficacy of exercise for the management of GDM in order to establish an exercise prescription guideline specific to the condition. It is recommended that women with GDM should do both aerobic and resistance exercise at a moderate intensity, a minimum of three times a week for 30-60 min each time.
摘要：
妊娠期糖尿病(GDM)的患病率在全球范围内呈上升趋势。这种疾病对女性有许多有害的后果，未出生的胎儿和孩子。GDM的管理旨在通过控制血糖水平来介导高血糖的影响。随着药理学和饮食干预，运动具有强大的潜力来帮助血糖控制。由于怀孕期间运动的风险和益处的不确定性，女性倾向于避免运动。然而,在充分的监督下锻炼对治疗GDM既安全又有益。因此，将运动纳入GDM妇女的连续护理中至关重要。医生应该能够参考有能力的运动专业人员来帮助GDM治疗。重要的是，运动治疗是由研究提供信息。因此，制定循证指南对实践具有重要意义.目前没有关于GDM运动的指南。这篇综述旨在评估运动对GDM管理的功效，以建立针对该疾病的运动处方指南。建议患有GDM的女性应同时进行中等强度的有氧和抵抗运动，每周至少三次，每次30-60分钟。
