05/18/2026
Gestational diabetes Mellitus (GDM) in pregnancy risk is increased 6 times for obese women and consistent exercise adherence may improve outcomes.
A 2025 meta-analysis found consistent adherence to exercise programs, rather than a specific exercise program in obese women, reduced risk of GDM and fetal macrosomia. GDM can increase risk of serious pregnancy and birth complications such as preeclampsia, induction, and cesarean. Infants born to GDM mothers are at higher risk of fetal macrosomia, blood sugar instability, and future T2DM. This article concludes there is not a specific exercise program that lowers GDM risk, however high adherence to regular exercise decreases instances of GDM and fetal macrosomia.
Practical implications you can try:
● Aim for 150 minutes of moderate intensity exercise weekly broken into shorter intervals to fit your schedule
● Set a daily step count to aim for and incorporate walks into daily routine.
● Include 2-3 30 minute strength or resistance training weekly
● Most importantly do exercise you enjoy that you will stick with. Consider walking, cycling, pilates, or dance. If you like the exercise you commit to, you are more likely to have greater adherence.
The studies in this review were on overweight and obese women. Results may vary based on personal health conditions and any change in activity should be discussed with your healthcare provider before implementation
Next Steps: Commit to one lifestyle change to increase physical activity this week. Like and share this post to encourage other mothers to be moving with you.
Created by: Allison Mathiason
Reference: Santa Cruz, T.E., Sarasqueta, C., Muruzábal, J.C. et al. A systematic review and meta-analysis of exercise-based intervention to prevent gestational diabetes in women with overweight or obesity. BMC Pregnancy Childbirth 25, 5 (2025). https://doi.org/10.1186/s12884-024-07021-w
https://link.springer.com/article/10.1186/s12884-024-07021-w