strainashley
Could I have summarized the following article any better and the…
Could I have summarized the following article any better and the following questions?
https://doi.org/10.1186/s13098-019-0470-6
Description of the purpose
Explanation of research design
Discussion of sample
Description of data collection methods
Summary of findings
Strengths of the study (minimum of 1)
Limitations of the study (minimum of 1)
Recommendations regarding potential application for future practice that are insightful and appropriate.
The aim of my PICOT topic was to find a cost effective and efficient intervention to help curb the incidence of gestational diabetes amongst pregnant women. The purpose of this study was to determine the effect exercise had on gestational diabetes in pregnant women that are obese and or overweight (Nasiri-Amiri et. al., 2019). The study was done systematically comparing multiple studies qualifying this as a qualitative study. The samples stemmed from six evidence-based research engines that included eight papers and 1,441 participants. The study’s inclusion criteria were articles that included RCTs of obese and pregnant women while excluding trials that had a mix of diet and exercise. The study also excluded duplicate and unrelated titles. The study concluded that there was no significant difference in exercise alone in obese and overweight pregnant women, but there was a twenty-four percent reduction of gestational diabetes between the intervention and control groups (Nasiri-Amiri et. al., 2019). The study did find a statistically significant outcome in the intervention group that trained three or less times per week. The concept was that too much stress on the muscle increased cortisol production which led increased blood glucose levels. Although there was no significant reduction of gestational diabetes with exercise alone, overall, this study showed a statistical difference in prevalence of gestational diabetes between the intervention and control groups. A strength of this study was the HOMA index was utilized in all articles to assess how insulin levels responded to the effects of exercise. The homeostatic model assessment (HOMA) index is a method for assessing beta-cell function and insulin resistance. A limitation of this study is there was no opportunity to analyze they type and duration of exercise. I believe it would be interesting and beneficial to conduct a similar study in areas of high prevalence of obese and overweight pregnant women while addressing the limitation of type and duration of exercise. This study provides insight that not only women who those perceive having an ideal body type get pregnant and that all body’s respond differently to an intervention no matter if it is pharmaceutical or nonpharmaceutical. As healthcare professionals and future providers, it is important for us to understand each patient are their own entity and we must understand how an intervention or disease process affects them individually. Our goal with this PICOT project was to provide one intervention to a proposed NP relatable healthcare issue. While I am a big proponent of physical fitness, I know it is not the end-all-be-all. This study further cemented to me that exercise alone may be one method in reducing gestational diabetes but not the only method. I believe to truly affect and reduce rates of gestational diabetes, it will take efforts of physical fitness, diet, environment, and genetics to all be integrated into the intervention.
References
Nasiri-Amiri, F., Sepidarkish, M., Shirvani, M. A., Habibipour, P., & Tabari, N. S. M. (2019). The effect of exercise on the prevention of gestational diabetes in obese and overweight pregnant women: a systematic review and meta-analysis. Diabetology & metabolic syndrome, 11, 72. https://doi.org/10.1186/s13098-019-0470-6
