Comparison of Home Exercises and Home Exercise Pogram Taught by Physiotherapist in Women With Gestational Diabetes

Study Overview
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Brief Summary
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Participants will be randomized and divided into 3 groups. The exercise program prepared for the 1st group gestational diabetes will be explained to the pregnant women by the physiotherapist and the exercises will be taught to the patient. They do these exercises as home exercise with 10 repetitions 3 days a week, until the 34th week of pregnancy. In the second group, the same exercise program will be given to the participants only as a brochure and they will be asked to do 10 repetitions at home, 3 days a week, until the 34th week of pregnancy. In the 3rd group, the participants will not be given any exercise program, they will be asked to continue their routine care.

Detailed Description
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45 pregnant women who applied to Çamlıca Medipol Hospital Gynecology and Obstetrics and were diagnosed with gestational diabetes will be included in the study. Being between the ages of 20-40, pregnancy of 26-30 weeks, being diagnosed with gestational diabetes as a result of oral glucose tolerance test, BMI>45 kg/m2, being physically inactive are inclusion criteria. Exclusion criteria are being younger than 18 years of age, having a history of Type 1 or Type 2 diabetes, having undergone bariatric surgery, using drugs that cause weight gain, and contraindications that prevent exercise. Participants will be randomized and divided into 3 groups. The exercise program prepared for the 1st group gestational diabetes will be explained to the pregnant women by the physiotherapist and the exercises will be taught to the patient. They do these exercises as home exercise with 10 repetitions 3 days a week, until the 34th week of pregnancy. In the second group, the same exercise program will be given to the participants only as a brochure and they will be asked to do 10 repetitions at home, 3 days a week, until the 34th week of pregnancy. In the 3rd group, the participants will not be given any exercise program, they will be asked to continue their routine care. Participants' fasting glucose and HbA1c values, anthropometric measurements, physical activity levels with the pregnancy physical activity questionnaire (GFAA) and their quality of life with the World Health Organization Quality of Life Scale Short Form will be evaluated.

Official Title
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Comparison of Home Exercises and Home Exercise Pogram Taught by Physiotherapist in Women With Gestational Diabetes

Conditions
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Gestational Diabetes

Intervention / Treatment
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* Other: The exercise program
* Other: The exercise program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being between 20-40 years old 26-30. week of pregnancy Diagnosis of gestational diabetes as a result of an oral glucose tolerance test BMI>45 kg/m2 Being physically inactive Exclusion Criteria: Being under the age of 18 History of Type 1 or Type 2 diabetes Have had bariatric surgery Use of drugs that cause weight gain Contraindications preventing exercise

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: First group<br>The exercise program prepared for the 1st group gestational diabetes will be explained to the pregnant women by the physiotherapist and the exercises will be taught to the patient. You will be asked to do these exercises as home exercise with 10 repetitions 3 days a week, until the 34th week of pregnancy. | Other: The exercise program<br>* The exercise program prepared for the 1st group gestational diabetes will be explained to the pregnant women by the physiotherapist and the exercises will be taught to the patient.<br>|
| Experimental: Second group<br>The same exercise program will be given to the participants only as a brochure and they will be asked to do 10 repetitions at home, 3 days a week, until the 34th week of pregnancy | Other: The exercise program<br>* The same exercise program will be given to the participants only as a brochure and they will be asked to do 10 repetitions at home, 3 days a week, until the 34th week of pregnancy.<br>|
| No Intervention: Third group<br>The participants will not be given any exercise program, they will be asked to continue their routine care. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pregnancy physical activity questionnaire for physical activity level measurement | It is a questionnaire that asks pregnant women to report their usual physical activities during the last month and questions the time spent with a total of 32 activities under the subheadings of housework/care activities, professional activities, sports/exercise. | 5 minutes | 
| HbA1c measurement | HbA1c values of the participants will be done in Medipol University laboratory. | 10 minutes | 
| Fasting glucose measurements | Fasting glucose values of the participants will be done in Medipol University laboratory. | 10 minutes | 
| World Health Organization Quality of life Short Form for measurement of quality of life | The scale measures physical, mental, social and environmental well-being and consists of 26 questions. | 5 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weight measurement | Weight in kilogram will be measured with weighing machine | 2 minutes | 
| Height measurement | Height in meters will be measured with tape measure | 2 minutes | 
| Body mass index (BMI) measurement | Weight and height will be combined to report BMI in kg/m2 | 2 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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gestational diabetes, home exercise, physiotherapist