Guidelines for physical activity and exercise for women with hyperglycemia in pregnancy

Introduction: Lifestyle modification is the most important intervention for control of hyperglycemia in pregnancy (HIP). It includes medical nutrition therapy and exercise. Various guidelines have been published to assist physicians and obstetricians in prescribing physical activity and exercise as a part of management of HIP. Pregnancy provides a unique opportunity to motivate women for exercise. Modifications in recommendations regarding physical exercises are needed particularly for those on bed rest for obstetric indications, orthopedic disability, or competitive athletes. Objective: The objective of this article is to provide guidelines regarding exercise for women with HIP. Materials and Methods: These recommendations are made after reviewing various existing guidelines including American College of Obstetricians and Gynecologists, Royal College of Obstetricians and Gynecologists, and American College of Sports Medicine. A literature search was done using PubMed, Cochrane Database, Google Scholar, EMBASE, various systematic reviews, and original articles. Search was done using key words “Physical Activity,” “Exercise during Pregnancy,” “Life Style in Pregnancy.” The aim was to identify correct and safe physical activity during pregnancy. Results: Exercise and physical activity is completely safe and recommended in pregnancy. Conclusion: Exercise is safe in pregnancy and should be encouraged in women to control hyperglycemia. They should be educated to continue lifestyle changes in postpartum period and later in life.