Telesna dejavnost nosečnic z gestacijskim diabetesom : magistrsko delo

Smolič, Manca (author), Karpljuk, Damir (mentor), Videmšek, Mateja (co-mentor)

Namen magistrskega dela je bilo ugotoviti, kakšna je telesna dejavnost nosečnic z gestacijskim diabetesom. K raziskavi smo povabili nosečnice, ki obiskujejo Klinični oddelek za endokrinologijo, diabetes in presnovne bolezni v Univerzitetnem kliničnem centru Ljubljana. Vključili smo vse ženske, ki so jim ob prvem pregledu v nosečnosti, s presejalnim oralnim glukoznim tolerančnim testom ali kadarkoli ob znakih povišane ravni glukoze diagnosticirali gestacijski diabetes. Izsledki raziskave so pokazali, da ima večina anketirank vrednosti glukoze v krvi na tešče ≤ 5,3 mmol/l, prav tako ima večina nosečnic raven postprandialne glukoze ≤ 6,6 mmol/l. Za zdravljenje gestacijskega diabetesa je le 13,68 % nosečnic uporabljalo inzulin. Med nosečnostjo so bile v povprečju telesno dejavne 160 minut na teden pri zmerni intenzivnosti. Hitra hoja in vadba za nosečnice sta bili najpogostejši vrsti telesne dejavnosti v nosečnosti. Nosečnice so med drugimi razlogi za telesno nedejavnost najpogosteje navedle pomanjkanje časa in lenobo, sledile so nosečniške težave. Med njimi so se najpogosteje srečevale z bolečinami v križu. Veselje in pričakovanje sta čustvi, ki so ju nosečnice doživljale največkrat, najmanjkrat pa jezo. Največji delež nosečnic je menil, da je razpoložljivost organiziranih vadb za nosečnice zadostna. Organizirane vadbe pod vodstvom kineziologa bi se udeležila večina nosečnic. Ugotovili smo, da razlike med telesno dejavnimi in nedejavnimi nosečnicami nastajajo samo v splošnem počutju, v telesnem in psihičnem pa ne. Prav tako med skupinama nosečnic ni razlik v ravni glukoze na tešče in po obroku ter občutenju nosečniških težav.

• Language: Slovenian
• Keywords: telesna dejavnost, nosečnost, gestacijski diabetes
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: FŠ - Faculty of Sport
• Year: 2021
• PID: 20.500.12556/RUL-126745
• COBISS.SI-ID: 66788099
• Publication date in RUL: 05.05.2021

Secondary language

• Language: English
• Title: Physical Activity in Pregnancy and Gestational Diabetes Mellitus

Abstract

The purpose of this master's thesis was to examine the physical activity of women with gestational diabetes mellitus. In our study we investigated 95 pregnant women diagnosed with gestational diabetes mellitus. Participants in our study were treated at the Clinical Department of Endocrinology, Diabetes and Metabolic Diseases at the University Medical Center Ljubljana. The results of our study showed that the majority of women had fasting blood glucose values 5,3 mmol/l or lower, as well as the majority of their postprandial glucose levels were 6.6 mmol/l or lower. Treatment using insulin was relatively low (13,68 %). During pregnancy, they were physically active for an average of 160 minutes per week at moderate intensity. Brisk walks and prenatal workouts were the most common activities. Reasons for physical inactivity were most often cited as lack of time and laziness, followed by common health problems in pregnancy. Among those, low back pain was most represented. Joy and anticipation were emotions experienced the most by our participants and anger was the least. The largest proportion of women agreed that the availability of organized prenatal workouts was sufficient. Most of our participants would attend organized prenatal workouts supervised by a kinesiology practitioner. We found that differences between physically active and inactive women occurred only in general well-being. No differences were found in physical and mental well-being. There were also no differences between groups of pregnant women in fasting and postprandial glucose levels and in common pregnancy health problems.

• Keywords: physical activity, pregnancy, gestational diabetes mellitus