{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T22:42:34Z","timestamp":1780353754251,"version":"3.54.1"},"reference-count":51,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T00:00:00Z","timestamp":1611705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Gestational diabetes mellitus (GDM) is a major complication in pregnancy. GDM is associated with a higher risk for adverse maternal\u2013fetal outcomes. Associations between movement behavior, including physical activity (PA) and sedentary behavior (SB), and maternal\u2013fetal outcomes are still unclear. The objective of this study was to investigate associations between movement behavior and adverse maternal\u2013fetal outcomes in women with GDM. A total of 68 women with GDM (20\u201335 weeks, 32.1 \u00b1 5.8 years) were included in this pilot case-control study. The cases were defined by the presence of an adverse composite maternal\u2013fetal outcome (preterm birth, newborn large for gestational age, and neonatal hypoglycemia). Controls were defined as no adverse maternal\u2013fetal outcome. PA intensities and domains, steps\/day (pedometer), and SB were analyzed. A total of 35.3% of participants showed adverse maternal\u2013fetal outcomes (n = 24). The controls showed a higher moderate-intensity PA level than the cases (7.5, 95%CI 3.6\u201322.9 vs. 3.1, 95%CI 0.4\u201310.3 MET-h\/week; p = 0.04). The moderate-intensity PA level was associated with a lower risk for adverse maternal\u2013fetal outcomes (OR 0.21, 95%CI 0.05\u20130.91). No significant associations were observed for other PA and SB measures (p &gt; 0.05). In conclusion, moderate-intensity PA during pregnancy seems to have a protective role against adverse maternal\u2013fetal outcomes in women with GDM.<\/jats:p>","DOI":"10.3390\/ijerph18031114","type":"journal-article","created":{"date-parts":[[2021,1,27]],"date-time":"2021-01-27T12:20:26Z","timestamp":1611750026000},"page":"1114","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Movement Behavior during Pregnancy and Adverse Maternal\u2013Fetal Outcomes in Women with Gestational Diabetes: A Pilot Case-Control Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5165-1976","authenticated-orcid":false,"given":"S\u00e1vio F.","family":"Camargo","sequence":"first","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil"},{"name":"Maternity Hospital-School Janu\u00e1rio Cicco, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8692-5706","authenticated-orcid":false,"given":"Juliana D.","family":"Camargo","sequence":"additional","affiliation":[{"name":"Maternity Hospital-School Janu\u00e1rio Cicco, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Schwade","sequence":"additional","affiliation":[{"name":"Faculty of Kinesiology and Recreation Management, Health, Leisure, and Human Performance Research Institute, University of Manitoba, Winnipeg, MB R3B 2E9, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ra\u00edssa M.","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria da Concei\u00e7\u00e3o M.","family":"Cornetta","sequence":"additional","affiliation":[{"name":"Maternity Hospital-School Janu\u00e1rio Cicco, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0184-2061","authenticated-orcid":false,"given":"Ricardo N.","family":"Cobucci","sequence":"additional","affiliation":[{"name":"Maternity Hospital-School Janu\u00e1rio Cicco, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil"},{"name":"Graduate Program in Biotechnology, Potiguar University, Natal 59010-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2807-7109","authenticated-orcid":false,"given":"Eduardo C.","family":"Costa","sequence":"additional","affiliation":[{"name":"Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil"},{"name":"Department of Physical Education, Federal University of Rio Grande do Norte, Natal 59010-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1038\/s41572-019-0098-8","article-title":"Gestational diabetes mellitus","volume":"5","author":"McIntyre","year":"2019","journal-title":"Nat. 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