Effects of Axivity 3.0-based management model on pregnant women with gestational diabetes mellitus

After the 4-week intervention, the test group showed a significantly higher total Pregnancy Exercise Self-Efficacy Scale (P-ESES) score (median 39 vs. 36 in controls, p < 0.001) and achieved greater weekly moderate-to-vigorous physical activity (MVPA) time (75.95 vs. 56.24 minutes, p=0.001). At delivery, fasting blood glucose (FBG: 4.47 vs. 4.82 mmol/L, p=0.001) and 2-hour postprandial glucose (2hPG: 5.40 vs. 6.02 mmol/L, p<0.001) levels were significantly lower in the test group compared to the control group. Total gestational weight gain was better controlled in the test group (11.95 kg) than in the control group (14.32 kg, p=0.030). Among vaginally-delivering patients, the median duration of the first stage (389.5 vs. 510.0 minutes, p=0.015) and the second stage (44.5 vs. 51.0 minutes, p=0.033) of labor was significantly shorter in the test group. The Axivity 3.0-based management model helps improve pregnancy exercise self-efficacy, elevate exercise time, and control blood glucose levels and weight gain in patients with GDM.