title: Home-Based Exercise Improves Fitness and Exercise Attitude and Intention in Women with GDM.
abstract: OBJECTIVE
  The purpose of the study was to determine the effect of a home-based cycling program for women with a recent diagnosis of gestational diabetes mellitus (GDM) on aerobic fitness, weight gain, self-reported mobility, attitude, and intentions toward maternal exercise, and obstetric and neonatal outcomes.
  
  
  METHODS
  Forty women (mean ± SD, 28.8 ± 0.9-wk gestation) were randomized to either a supervised, home-based exercise program, combining continuous steady-state and interval cycling at various intensities, in combination with unsupervised moderate intensity aerobic activity and conventional diabetic management (EX; n = 20) or to conventional management alone (CON; n = 20). The program began following diagnosis until week 34 of pregnancy (mean ± SD duration of training, 6 ± 1 wk).
  
  
  RESULTS
  Mean compliance to the training program was 96%. Maternal aerobic fitness, and attitude and intentions toward exercise were improved in response to the home-based exercise intervention compared with CON (P < 0.05). No differences were observed between the groups with respect to maternal weight gain or obstetric and neonatal outcomes (P > 0.05).
  
  
  CONCLUSIONS
  A home-based exercise program of 6 ± 1 wk in duration commenced after diagnosis of GDM can improve aerobic fitness and attitude and intentions toward exercise, with no adverse effect on maternal and neonatal pregnancy outcomes.
authors.affiliation: 1School of Sport Science, Exercise and Health, The University of Western Australia, Perth, Western Australia, AUSTRALIA; 2School of Women's and Infants' Health, The University of Western Australia, Perth, Western Australia, AUSTRALIA.
authors.forename: Rhiannon E
authors.initials: RE
authors.lastname: Halse
authors.forename: Karen E
authors.initials: KE
authors.lastname: Wallman
authors.forename: James A
authors.initials: JA
authors.lastname: Dimmock
authors.forename: John P
authors.initials: JP
authors.lastname: Newnham
authors.forename: Kym J
authors.initials: KJ
authors.lastname: Guelfi
mesh_terms: D000328:Adult; D001290:Attitude; D016640:Diabetes, Gestational / Q000628:therapy*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D033182:Intention; D011247:Pregnancy; D011795:Surveys and Questionnaires; D014904:Western Australia