Mehmet Murat Isikalan, Ali Acar, Haççe Yeniçeri

The effect of physical activity performed in the firsttrimester on the development of preeclampsia andgestational diabetes

Aim: We aimed to investigate the effects of physical activity performed in the first trimester on preeclampsia, gestational diabetes,and other pregnancy outcomes. Materials and Methods: This prospective observational study included 205 healthy pregnant women with 11 to 13 weeks of gestationwho applied to our gynecology and obstetrics outpatient clinic between April and July 2019. The demographic information of thepatients was recorded and a short form of the International Physical Activity Questionnaire was used to determine physical activitylevels. These pregnant women were followed until birth. A confounder control was performed with logistic regression. Results: While 16 (7.8%) of the participants developed preeclampsia, 20 (9.8%) of them developed gestational diabetes. Total physicalactivity levels were lower in women who developed preeclampsia. In the group that developed gestational diabetes, the number ofpregnant women with low physical activity levels and the number of nulliparous pregnant women were found to be significantlyhigher. There was no effect of daily sitting time on preeclampsia and gestational diabetes development. Second-hour blood glucoselevels were found to be higher in the group with low physical activity. Conclusion: Pregnancies complicated by gestational diabetes or preeclampsia are associated with poor pregnancy outcomes andare very important risk factors for postpartum maternal and fatal healt. Inadequate physical activity is a modifiable risk factor for thedevelopment of preeclampsia and gestational diabetes. Behavioral changes in women with insufficient physical activity levels in thefirst trimester may decrease the risk of gestational diabetes and preeclampsia.

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