{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:11:40Z","timestamp":1769062300409,"version":"3.49.0"},"reference-count":42,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background During pregnancy, gestational diabetes mellitus (GDM)is a\n                    common complication. Although some exercise programs have been recommended\n                    clinically, many pregnant women have low exercise compliance, making it\n                    difficult to effectively control blood sugar. Therefore, this study constructed\n                    an exercise intervention plan based on self-efficacy theory and explored the\n                    effect of the program on blood glucose and pregnancy outcomes in patients with\n                    gestational diabetes mellitus.<\/jats:p>\n                  <jats:p>Methods A randomized controlled trial was conducted. A usual exercise\n                    program was implemented for the participants in the control group, and the\n                    participants in the intervention group received an exercise program on the basis\n                    of the control group and combined with the self-efficacy theory. Participants\n                    were assessed based on exercise self-efficacy, blood glucose, weight gain,\n                    exercise compliance, and pregnancy outcomes at week 4, week 8 and week 12.<\/jats:p>\n                  <jats:p>Results One hundred three gestational diabetes mellitus patients were\n                    recruited at baseline, 53 in the intervention group and 50 in the control group.\n                    After the intervention, the exercise self-efficacy score and exercise compliance\n                    of the intervention group were higher than those of the control group\n                    (P&lt;0.05). Fasting blood glucose, 2-h post-prandial plasma glucose,\n                    weight gain during the intervention period, incidence of neonatal hypoglycemia,\n                    and incidence of gestational hypertension were lower than those in the control\n                    group (P&lt;0.05).<\/jats:p>\n                  <jats:p>Conclusion Implementing an exercise intervention based on self-efficacy\n                    theory for gestational diabetes mellitus patients can improve exercise\n                    self-efficacy and exercise compliance, effectively control blood glucose and\n                    weight gain, improve pregnancy outcomes, and promote maternal and infant\n                    safety.<\/jats:p>","DOI":"10.1055\/a-2004-0740","type":"journal-article","created":{"date-parts":[[2023,1,24]],"date-time":"2023-01-24T18:46:10Z","timestamp":1674585970000},"page":"186-196","source":"Crossref","is-referenced-by-count":7,"title":["Effects of Exercise Intervention Based on Self-efficacy Theory on\n                    Pregnant Women with Gestational Diabetes Mellitus"],"prefix":"10.1055","volume":"227","author":[{"given":"Yingyao","family":"Tan","sequence":"additional","affiliation":[{"name":"Nursing school, Guangdong Pharmaceutical University, Guangzhou,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fangying","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Third Affiliated Hospital of Guangzhou\n                    Medical University, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"Nursing school, Macao Polytechnic University, Macau,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutao","family":"Lan","sequence":"additional","affiliation":[{"name":"Nursing school, Guangdong Pharmaceutical University, Guangzhou,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu","family":"Cai","sequence":"additional","affiliation":[{"name":"Nursing school, Guangdong Pharmaceutical University, Guangzhou,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,1,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"899","DOI":"10.1007\/s40618-016-0607-5","article-title":"Gestational diabetes mellitus: an updated overview","volume":"40","author":"E Chiefari","year":"2017","journal-title":"J Endocrinol Invest"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1097\/AOG.0000000000002152","article-title":"Practice Bulletin No. 180 Summary: Gestational Diabetes Mellitus","volume":"130","year":"2017","journal-title":"Obstet Gynecol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e232","DOI":"10.1016\/j.wombi.2017.10.004","article-title":"Combination of a structured aerobic and resistance exercise improves glycaemic\n                    control in pregnant women diagnosed with gestational diabetes mellitus. A\n                    randomised controlled trial","volume":"31","author":"I Sklempe Kokic","year":"2018","journal-title":"Women Birth"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1111\/aogs.13271","article-title":"Gestational diabetes in primiparous women-impact of age and adiposity: a\n                    register-based cohort study","volume":"97","author":"M K Laine","year":"2018","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"S137","DOI":"10.2337\/dc18-S013","article-title":"Management of diabetes in pregnancy: standards of medical care in\n                    diabetes-2018","volume":"41","year":"2018","journal-title":"Diabetes Care"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1016\/j.tem.2018.09.004","article-title":"Gestational diabetes mellitus: mechanisms, treatment, and complications","volume":"29","author":"E C Johns","year":"2018","journal-title":"Trends Endocrinol Metab"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1007\/s00125-017-4206-6","article-title":"Gestational diabetes and adverse perinatal outcomes from 716,152 births in\n                    France in 2012","volume":"60","author":"C Billionnet","year":"2017","journal-title":"Diabetologia"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"1396","DOI":"10.1007\/s00125-016-3985-5","article-title":"Gestational diabetes mellitus and long-term consequences for mother and\n                    offspring: a view from Denmark","volume":"59","author":"P Damm","year":"2016","journal-title":"Diabetologia"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s12902-019-0349-4","article-title":"Frequency and risk factors for recurrent gestational diabetes mellitus in\n                    primiparous women: a case control study","volume":"19","author":"Y Y Wang","year":"2019","journal-title":"BMC Endocr Disord"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"24","DOI":"10.2337\/dc15-0511","article-title":"Gestational diabetes mellitus can be prevented by lifestyle intervention: the\n                    Finnish Gestational Diabetes Prevention Study (RADIEL): a randomized controlled\n                    trial","volume":"39","author":"S B Koivusalo","year":"2016","journal-title":"Diabetes Care"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"e163","DOI":"10.2337\/dc16-1320","article-title":"Effect of regular exercise commenced in early pregnancy on the incidence of\n                    gestational diabetes mellitus in overweight and obese pregnant women: a\n                    randomized controlled trial","volume":"39","author":"C Wang","year":"2016","journal-title":"Diabetes Care"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1177\/1559827613498204","article-title":"Guidelines for physical activity during pregnancy: comparisons from around the\n                    world","volume":"8","author":"K R Evenson","year":"2014","journal-title":"Am J Lifestyle Med"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"S62","DOI":"10.2337\/dc11-S062","article-title":"Diagnosis and classification of diabetes mellitus","volume":"34","year":"2011","journal-title":"Diabetes Care"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"S4","DOI":"10.1016\/j.jcjd.2013.01.010","article-title":"Canadian Diabetes Association 2013 clinical practice guidelines for the\n                    prevention and management of diabetes in Canada. Introduction","volume":"37","author":"A Cheng","year":"2013","journal-title":"Can J Diabetes"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1016\/j.cdtm.2016.11.006","article-title":"Exercise and its role in gestational diabetes mellitus","volume":"2","author":"C Wang","year":"2016","journal-title":"Chronic Dis Transl Med"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1186\/s12884-021-03627-6","article-title":"Physical activity and sedentary time during pregnancy and associations with\n                    maternal and fetal health outcomes: an epidemiological study","volume":"21","author":"L Meander","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1037\/\/0033-295x.84.2.191","article-title":"Self-efficacy: toward a unifying theory of behavioral change","volume":"84","author":"A Bandura","year":"1977","journal-title":"Psychol 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Chinese","volume":"36","author":"H Dou","year":"2022","journal-title":"Nursing Research"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.7666\/d.D01026231","article-title":"A case-control study of risk factors for gestational diabetes mellitus","author":"H Yan","year":"2016","journal-title":"Anhui Medical University"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"4149","DOI":"10.7620\/zgfybj.j.issn.1001-4411.2016.20.19","article-title":"Correlation analysis of body mass index, weight gain and serum\n                    thyroid-stimulating hormone level with metabolic syndrome during pregnancy","volume":"31","author":"D Miao","year":"2016","journal-title":"Maternal and Child Health Care of China"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"1385","DOI":"10.2337\/dc18-0048","article-title":"Neonatal hypoglycemia following diet-controlled and insulin-treated gestational\n                    diabetes mellitus","volume":"41","author":"D N Voormolen","year":"2018","journal-title":"Diabetes Care"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"137","DOI":"10.19582\/j.cnki.11-3785\/g8.2007.s1.070","article-title":"Self-efficacy theory and its application in sports","volume":"1","author":"Y Yang","year":"2007","journal-title":"Journal of Beijing Sport University"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2004-0740.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T12:59:15Z","timestamp":1764161955000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2004-0740"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,24]]},"references-count":42,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,6,6]]},"published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2004-0740","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"value":"0948-2393","type":"print"},{"value":"1439-1651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,24]]}}}