| Peer-Reviewed

The Correlation Between Gestational Diabetes Mellitus Patient’s Characteristics, Attitude and Knowledge to Antenatal Physical Exercise

Received: 31 October 2022    Accepted: 15 November 2022    Published: 8 December 2022
Views:       Downloads:
Abstract

Background: Gestational diabetes mellitus (GDM) is currently emerging as a major global health concern for pregnant women. Considerably, knowledge has been gained regarding the diagnosis, implications, and management with improved outcomes for the mother and fetus. Scientific evidence support ante-natal regular participation in physical exercise as an essential part of management of GDM. However, despite the well-documented health benefits of physical exercise, 60 to 80% of pregnant women with GDM, do not engage in the recommended levels of physical exercise. This study was designed to examine the relationship between participant characteristics, knowledge and attitude to physical exercise. Materials and methods: A total of 76 subjects from the Ante-natal clinic of Federal Medical Center, Asaba, Delta State, Nigeria were engaged in this study. A modified and pre-tested self-administered questionnaire with a structured knowledge and attitude (KA) component was employed and data was collected for analysis. Results: The rate of response was 100%. The age range of the study group was 26-40 years. The majority (82.9%) of the study population were of the Ibo tribe of Nigeria while about 67.1% had a post primary education and 80.3% were self-employed. The total knowledge score was 67.1% while 65.8% were found to have a positive attitude toward physical exercise. The patients’ characteristics such as age, education, employment status, employment type, occupation, monthly income, duration of pregnancy, number of pregnancies, number of successful pregnancies and number of children were found to significantly correlate with knowledge of ante-natal physical exercise. Education, occupation, and gestational week of GDM were found to significantly correlate with attitudes toward physical exercise during pregnancy in women with GDM. Conclusion: The results of this study showed that, there is a high level of awareness of the need for physical exercise and positive attitude towards physical but the predominant circumstances around the women have a major influence on the exercise performance.

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 6)
DOI 10.11648/j.jgo.20221006.14
Page(s) 257-263
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Knowledge, Attitude, Physical Exercise, Age, Occupation, Education, Gestational Diabetes Mellitus

References
[1] Almalki, M., Buhary, B., Almohareb, O., Aljohani, N., Alzahrani, S., Elkaissi, S., Sherbeeni, S., & Almaghamsi, A. (2016). Glycemic control and pregnancy outcomes in patients with diabetes in pregnancy: A retrospective study. Indian Journal of Endocrinology and Metabolism, 20 (4), 481. https://doi.org/10.4103/2230-8210.183478
[2] American College of Obstetricians and Gynecologists. (2020). Physical Activity and Exercise During Pregnancy and the Postpartum Period. Acog.org. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/04/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period
[3] Artal, R. (2015). The role of exercise in reducing the risks of gestational diabetes mellitus in obese women. Best Practice & Research Clinical Obstetrics & Gynaecology, 29 (1), 123–132. https://doi.org/10.1016/j.bpobgyn.2014.05.013
[4] Barakat, R., Pelaez, M., Montejo, R., Luaces, M., & Zakynthinaki, M. (2011). Exercise during pregnancy improves maternal health perception: a randomized controlled trial. American Journal of Obstetrics and Gynecology, 204 (5), 402. e1–402. e7. https://doi.org/10.1016/j.ajog.2011.01.043
[5] Berghella, V., & Saccone, G. (2017). Exercise in pregnancy! American Journal of Obstetrics and Gynecology, 216 (4), 335–337. https://doi.org/10.1016/j.ajog.2017.01.023
[6] Bidhendi Yarandi, R., Vaismoradi, M., Panahi, M. H., Gåre Kymre, I., & Behboudi-Gandevani, S. (2021). Mild Gestational Diabetes and Adverse Pregnancy Outcome: A Systemic Review and Meta-Analysis. Frontiers in Medicine, 8. https://doi.org/10.3389/fmed.2021.699412
[7] Billionnet, C., Mitanchez, D., Weill, A., Nizard, J., Alla, F., Hartemann, A., & Jacqueminet, S. (2017). Gestational diabetes and adverse perinatal outcomes from 716, 152 births in France in 2012. Diabetologia, 60 (4), 636–644. https://doi.org/10.1007/s00125-017-4206-6
[8] Choudhury, A. A., & Devi Rajeswari, V. (2021). Gestational diabetes mellitus - A metabolic and reproductive disorder. Biomedicine & Pharmacotherapy, 143, 112183. https://doi.org/10.1016/j.biopha.2021.112183
[9] Davenport, M. H., McCurdy, A. P., Mottola, M. F., Skow, R. J., Meah, V. L., Poitras, V. J., Jaramillo Garcia, A., Gray, C. E., Barrowman, N., Riske, L., Sobierajski, F., James, M., Nagpal, T., Marchand, A.-A., Nuspl, M., Slater, L. G., Barakat, R., Adamo, K. B., Davies, G. A., & Ruchat, S.-M. (2018). Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis. British Journal of Sports Medicine, 52 (21), 1376–1385. https://doi.org/10.1136/bjsports-2018-099697
[10] Edwards, E. S., & Sackett, S. C. (2016). Psychosocial Variables Related to Why Women are Less Active than Men and Related Health Implications. Clinical Medicine Insights: Women’s Health, 9s1, CMWH. S34668. https://doi.org/10.4137/cmwh.s34668
[11] Farrar, D. (2016). Hyperglycemia in pregnancy: prevalence, impact, and management challenges. International Journal of Women’s Health, Volume 8, 519–527. https://doi.org/10.2147/ijwh.s102117
[12] Gaston, A., & Vamos, C. A. (2012). Leisure-Time Physical Activity Patterns and Correlates Among Pregnant Women in Ontario, Canada. Maternal and Child Health Journal, 17 (3), 477–484. https://doi.org/10.1007/s10995-012-1021-z
[13] Geurtsen, M. L., van Soest, E. E. L., Voerman, E., Steegers, E. A. P., Jaddoe, V. W. V., & Gaillard, R. (2019). High maternal early-pregnancy blood glucose levels are associated with altered fetal growth and increased risk of adverse birth outcomes. Diabetologia, 62 (10), 1880–1890. https://doi.org/10.1007/s00125-019-4957-3
[14] Harrison, A. L., Taylor, N. F., Shields, N., & Frawley, H. C. (2018). Attitudes, barriers and enablers to physical activity in pregnant women: a systematic review. Journal of Physiotherapy, 64 (1), 24–32. https://doi.org/10.1016/j.jphys.2017.11.012
[15] Hasan, M., Zahid, S., Hafeez, S., Hashmi, Z., Mannan, H., & Hassan, D. (2019). Knowledge and Attitude of Women towards Antenatal Exercise in Pakistani women: A Cross- Sectional Survey across Lahore. Journal of the Pakistan Medical Association, 69 (12), 1. https://doi.org/10.5455/jpma.294813
[16] Hesketh, K. R., & Evenson, K. R. (2016). Prevalence of U.S. Pregnant Women Meeting 2015 ACOG Physical Activity Guidelines. American Journal of Preventive Medicine, 51 (3), e87–e89. https://doi.org/10.1016/j.amepre.2016.05.023
[17] Hinman, S. K., Smith, K. B., Quillen, D. M., & Smith, M. S. (2015). Exercise in Pregnancy. Sports Health: A Multidisciplinary Approach, 7 (6), 527–531. https://doi.org/10.1177/1941738115599358
[18] Hussain, Z., Yusoff, Z. M., & Sulaiman, S. A. S. (2015). Evaluation of knowledge regarding gestational diabetes mellitus and its association with glycaemic level: A Malaysian study. Primary Care Diabetes, 9 (3), 184–190. https://doi.org/10.1016/j.pcd.2014.07.007
[19] International Diabetes Federation. (2021). IDF Diabetes Atlas 10th edition 2021. Diabetesatlas.org. https://diabetesatlas.org/
[20] Janakiraman, B., Gebreyesus, T., Yihunie, M., & Genet, M. G. (2021). Knowledge, attitude, and practice of antenatal exercises among pregnant women in Ethiopia: A cross-sectional study. PLOS ONE, 16 (2), e0247533. https://doi.org/10.1371/journal.pone.0247533
[21] Johns, E. C., Denison, F. C., Norman, J. E., & Reynolds, R. M. (2018). Gestational Diabetes Mellitus: Mechanisms, Treatment, and Complications. Trends in Endocrinology & Metabolism, 29 (11), 743–754. https://doi.org/10.1016/j.tem.2018.09.004
[22] Kc, K., Shakya, S., & Zhang, H. (2015). Gestational diabetes mellitus and macrosomia: a literature review. Annals of Nutrition & Metabolism, 66 Suppl 2, 14–20. https://doi.org/10.1159/000371628
[23] Khanpaye, A., Madmoli, Y., Riahipour, B., Mohebifar, M., Madmoli, M., Mahmoodi, R., & Shirmardi, S. (2019). Evaluation of Knowledge, Attitude and Performance Regarding Gestational Diabetes Mellitus in Southwest of Iran. Journal of Pharmaceutical Research International, 1–6. https://doi.org/10.9734/jpri/2019/v28i430207
[24] Laredo-Aguilera, J. A., Gallardo-Bravo, M., Rabanales-Sotos, J. A., Cobo-Cuenca, A. I., & Carmona-Torres, J. M. (2020). Physical Activity Programs during Pregnancy Are Effective for the Control of Gestational Diabetes Mellitus. International Journal of Environmental Research and Public Health, 17 (17), 6151. https://doi.org/10.3390/ijerph17176151
[25] Lee, Y.-C., & Wu, W.-L. (2014). The effects of situated learning and health knowledge involvement on health communications. Reproductive Health, 11, 93. https://doi.org/10.1186/1742-4755-11-93
[26] Lende, M., & Rijhsinghani, A. (2020). Gestational Diabetes: Overview with Emphasis on Medical Management. International Journal of Environmental Research and Public Health, 17 (24), 9573. https://doi.org/10.3390/ijerph17249573
[27] Limbers, C. A., McCollum, C., Ylitalo, K. R., & Hebl, M. (2020). Physical activity in working mothers: Running low impacts quality of life. Women’s Health, 16, 174550652092916. https://doi.org/10.1177/1745506520929165
[28] Mbada, C. E., Adebayo, O. E., Adeyemi, A. B., Arije, O. O., Dada, O. O., Akinwande, O. A., Awotidebe, T. O., & Alonge, I. A. (2014). Knowledge and Attitude of Nigerian Pregnant Women towards Antenatal Exercise: A Cross-Sectional Survey. ISRN Obstetrics and Gynecology, 2014, 1–8. https://doi.org/10.1155/2014/260539
[29] Mitanchez, D. (2015). What neonatal complications should the pediatrician be aware of in case of maternal gestational diabetes? World Journal of Diabetes, 6 (5), 734. https://doi.org/10.4239/wjd.v6.i5.734
[30] Monir, N., Zeba, Z., & Rahman, A. (2018). Comparison of Knowledge of Women with Gestational Diabetes Mellitus and Healthy Pregnant Women Attending at Hospital in Bangladesh. Journal of Science Foundation, 16 (1), 20–26. https://doi.org/10.3329/jsf.v16i1.38175
[31] Mortier, I., Blanc, J., Tosello, B., Gire, C., Bretelle, F., & Carcopino, X. (2017). Is gestational diabetes an independent risk factor of neonatal severe respiratory distress syndrome after 34 weeks of gestation? A prospective study. Archives of Gynecology and Obstetrics, 296 (6), 1071–1077. https://doi.org/10.1007/s00404-017-4505-7
[32] Muche, A. A., Olayemi, O. O., & Gete, Y. K. (2020). Effects of gestational diabetes mellitus on risk of adverse maternal outcomes: a prospective cohort study in Northwest Ethiopia. BMC Pregnancy and Childbirth, 20 (1). https://doi.org/10.1186/s12884-020-2759-8
[33] O’Sullivan, E. P., Avalos, G., O’Reilly, M., Dennedy, M. C., Gaffney, G., & Dunne, F. (2011). Atlantic Diabetes in Pregnancy (DIP): the prevalence and outcomes of gestational diabetes mellitus using new diagnostic criteria. Diabetologia, 54 (7), 1670–1675. https://doi.org/10.1007/s00125-011-2150-4
[34] Ornoy, A., Becker, M., Weinstein-Fudim, L., & Ergaz, Z. (2021). Diabetes during Pregnancy: A Maternal Disease Complicating the Course of Pregnancy with Long-Term Deleterious Effects on the Offspring. A Clinical Review. International Journal of Molecular Sciences, 22 (6). https://doi.org/10.3390/ijms22062965
[35] Padayachee, C. (2015). Exercise guidelines for gestational diabetes mellitus. World Journal of Diabetes, 6 (8), 1033. https://doi.org/10.4239/wjd.v6.i8.1033
[36] Ribeiro, C. P., & Milanez, H. (2011). Knowledge, attitude and practice of women in Campinas, São Paulo, Brazil with respect to physical exercise in pregnancy: a descriptive study. Reproductive Health, 8 (1). https://doi.org/10.1186/1742-4755-8-31
[37] Ruchat, S.-M., & Mottola, M. F. (2013). The important role of physical activity in the prevention and management of gestational diabetes mellitus. Diabetes/Metabolism Research and Reviews, 29 (5), 334–346. https://doi.org/10.1002/dmrr.2402
[38] Shriraam V, Rani MA, Sathiyasekaran BWC, Mahadevan S (2013). Awareness of gestational diabetes mellitus among antenatal women in a primary health center in South india. Indian Journal of Endocrinology and Metabolism, 17 (1): 146-8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3659882/
[39] Symons Downs, D., & Ulbrecht, J. S. (2006). Understanding Exercise Beliefs and Behaviors in Women With Gestational Diabetes Mellitus. Diabetes Care, 29 (2), 236–240. https://doi.org/10.2337/diacare.29.02.06.dc05-1262
[40] Yaping, X., Huifen, Z., Meijing, Z., Huibin, H., Chunhong, L., Fengfeng, H., & Jingjing, W. (2021). Effects of ModerateIntensity Aerobic Exercise on Blood Glucose Levels and Pregnancy Outcomes in Patients With Gestational Diabetes Mellitus: A Randomized Controlled Trial. Diabetes Therapy, 12 (9), 2585–2598. https://doi.org/10.1007/s13300021011356
[41] Zhang, L., Zheng, W., Huang, W., Zhang, L., Liang, X., & Li, G. (2022). Differing risk factors for new onset and recurrent gestational diabetes mellitus in multipara women: a cohort study. BMC Endocrine Disorders, 22 (1), 1–7. https://doi.org/10.1186/s12902-021-00920-5
Cite This Article
  • APA Style

    Ogbutor Udoji Godsday, Omorode V, Ephraim Chukwuemeka, Nkemakonam Ezeonu, Ezunu Emmanuel, et al. (2022). The Correlation Between Gestational Diabetes Mellitus Patient’s Characteristics, Attitude and Knowledge to Antenatal Physical Exercise. Journal of Gynecology and Obstetrics, 10(6), 257-263. https://doi.org/10.11648/j.jgo.20221006.14

    Copy | Download

    ACS Style

    Ogbutor Udoji Godsday; Omorode V; Ephraim Chukwuemeka; Nkemakonam Ezeonu; Ezunu Emmanuel, et al. The Correlation Between Gestational Diabetes Mellitus Patient’s Characteristics, Attitude and Knowledge to Antenatal Physical Exercise. J. Gynecol. Obstet. 2022, 10(6), 257-263. doi: 10.11648/j.jgo.20221006.14

    Copy | Download

    AMA Style

    Ogbutor Udoji Godsday, Omorode V, Ephraim Chukwuemeka, Nkemakonam Ezeonu, Ezunu Emmanuel, et al. The Correlation Between Gestational Diabetes Mellitus Patient’s Characteristics, Attitude and Knowledge to Antenatal Physical Exercise. J Gynecol Obstet. 2022;10(6):257-263. doi: 10.11648/j.jgo.20221006.14

    Copy | Download

  • @article{10.11648/j.jgo.20221006.14,
      author = {Ogbutor Udoji Godsday and Omorode V and Ephraim Chukwuemeka and Nkemakonam Ezeonu and Ezunu Emmanuel and Nwabueze Odegua Zuwaira},
      title = {The Correlation Between Gestational Diabetes Mellitus Patient’s Characteristics, Attitude and Knowledge to Antenatal Physical Exercise},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {10},
      number = {6},
      pages = {257-263},
      doi = {10.11648/j.jgo.20221006.14},
      url = {https://doi.org/10.11648/j.jgo.20221006.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221006.14},
      abstract = {Background: Gestational diabetes mellitus (GDM) is currently emerging as a major global health concern for pregnant women. Considerably, knowledge has been gained regarding the diagnosis, implications, and management with improved outcomes for the mother and fetus. Scientific evidence support ante-natal regular participation in physical exercise as an essential part of management of GDM. However, despite the well-documented health benefits of physical exercise, 60 to 80% of pregnant women with GDM, do not engage in the recommended levels of physical exercise. This study was designed to examine the relationship between participant characteristics, knowledge and attitude to physical exercise. Materials and methods: A total of 76 subjects from the Ante-natal clinic of Federal Medical Center, Asaba, Delta State, Nigeria were engaged in this study. A modified and pre-tested self-administered questionnaire with a structured knowledge and attitude (KA) component was employed and data was collected for analysis. Results: The rate of response was 100%. The age range of the study group was 26-40 years. The majority (82.9%) of the study population were of the Ibo tribe of Nigeria while about 67.1% had a post primary education and 80.3% were self-employed. The total knowledge score was 67.1% while 65.8% were found to have a positive attitude toward physical exercise. The patients’ characteristics such as age, education, employment status, employment type, occupation, monthly income, duration of pregnancy, number of pregnancies, number of successful pregnancies and number of children were found to significantly correlate with knowledge of ante-natal physical exercise. Education, occupation, and gestational week of GDM were found to significantly correlate with attitudes toward physical exercise during pregnancy in women with GDM. Conclusion: The results of this study showed that, there is a high level of awareness of the need for physical exercise and positive attitude towards physical but the predominant circumstances around the women have a major influence on the exercise performance.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - The Correlation Between Gestational Diabetes Mellitus Patient’s Characteristics, Attitude and Knowledge to Antenatal Physical Exercise
    AU  - Ogbutor Udoji Godsday
    AU  - Omorode V
    AU  - Ephraim Chukwuemeka
    AU  - Nkemakonam Ezeonu
    AU  - Ezunu Emmanuel
    AU  - Nwabueze Odegua Zuwaira
    Y1  - 2022/12/08
    PY  - 2022
    N1  - https://doi.org/10.11648/j.jgo.20221006.14
    DO  - 10.11648/j.jgo.20221006.14
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 257
    EP  - 263
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20221006.14
    AB  - Background: Gestational diabetes mellitus (GDM) is currently emerging as a major global health concern for pregnant women. Considerably, knowledge has been gained regarding the diagnosis, implications, and management with improved outcomes for the mother and fetus. Scientific evidence support ante-natal regular participation in physical exercise as an essential part of management of GDM. However, despite the well-documented health benefits of physical exercise, 60 to 80% of pregnant women with GDM, do not engage in the recommended levels of physical exercise. This study was designed to examine the relationship between participant characteristics, knowledge and attitude to physical exercise. Materials and methods: A total of 76 subjects from the Ante-natal clinic of Federal Medical Center, Asaba, Delta State, Nigeria were engaged in this study. A modified and pre-tested self-administered questionnaire with a structured knowledge and attitude (KA) component was employed and data was collected for analysis. Results: The rate of response was 100%. The age range of the study group was 26-40 years. The majority (82.9%) of the study population were of the Ibo tribe of Nigeria while about 67.1% had a post primary education and 80.3% were self-employed. The total knowledge score was 67.1% while 65.8% were found to have a positive attitude toward physical exercise. The patients’ characteristics such as age, education, employment status, employment type, occupation, monthly income, duration of pregnancy, number of pregnancies, number of successful pregnancies and number of children were found to significantly correlate with knowledge of ante-natal physical exercise. Education, occupation, and gestational week of GDM were found to significantly correlate with attitudes toward physical exercise during pregnancy in women with GDM. Conclusion: The results of this study showed that, there is a high level of awareness of the need for physical exercise and positive attitude towards physical but the predominant circumstances around the women have a major influence on the exercise performance.
    VL  - 10
    IS  - 6
    ER  - 

    Copy | Download

Author Information
  • Department of Physiotherapy, Federal Medical Centre, Asaba, Nigeria

  • Department of Physiotherapy, Federal Medical Centre, Asaba, Nigeria

  • Department of Physiotherapy, Federal Medical Centre, Asaba, Nigeria

  • Department of Physiotherapy, Federal Medical Centre, Asaba, Nigeria

  • Department of Internal Medicine, Federal Medical Centre, Asaba, Nigeria

  • Department of Physiotherapy, Federal Medical Centre, Asaba, Nigeria

  • Sections