Background: Although physical activity is recommended as a measure for treatment and management of gestational diabetes mellitus (GDM), little is known about the status of sedentary behavior, barriers and enablers to exercise, and the needs for exercise guidance in pregnant women with GDM.

Aim: The objectives of this study were to investigate the status of physical activity, sedentary behaviors and needs for exercise guidance in pregnant women with GDM, and explore its barriers, enablers and determinants.

Method: A cross-sectional study was conducted. A self-designed questionnaire was used to collect the data of exercise, sedentary behavior and barriers/enablers to exercise. Pregnancy Physical Activity Questionnaire was used to evaluate the physical activity. A stepwise multivariate logistic regression was conducted to analyze the determinants of exercise among pregnant women with GDM.

Findings: A total of 371 questionnaires were collected. The exercise compliance rate was only 27.42%. 41% of pregnant women with GDM had sedentary time more than 6h per day. 50.9% of participants had sedentary lifestyle. The most common barriers and enablers to physical activity were pregnancy symptoms or discomfort (32.1%) and easier glycemic control (88.9%), respectively. Advanced age (≥35 years old), low capita monthly family income, and the number of sedentary-lifestyle days (OR=1.227, 95%CI 1.090-1.382, P=0.001) were the independent risk factors for failing to meet exercise standard among pregnant women.

Discussion/conclusion: Health care providers should provide interventions based on reducing sedentary behavior and increasing moderate physical activity to minimize the potential health problems in pregnant women with GDM.

Keywords: Actividad física; Comportamiento sedentario; Diabetes gestacional; Factor de riesgo; Gestational diabetes mellitus; Physical activity; Risk factor; Sedentary behavior.

Copyright © 2025 The Authors. Publicado por Elsevier España S.L.U. All rights reserved.

背景: 尽管体育活动被推荐作为治疗和管理妊娠期糖尿病（GDM）的措施，但对于患有GDM的孕妇久坐行为的状态、锻炼障碍与促进因素以及对运动指导需求的情况却了解不多。

目的: 本研究旨在调查患有GDM的孕妇的身体活动状态、久坐行为及运动指导的需求，并探讨其障碍、促进因素和决定因素。

方法: 采用横断面研究。使用自设计问卷收集锻炼、久坐行为以及锻炼障碍与促进因素的数据。使用妊娠期体育活动量表评估身体活动情况。对患有GDM的孕妇进行多变量逐步逻辑回归分析，以确定其运动决定因素。

发现: 共收集了371份问卷。锻炼遵守率仅为27.42%。41%的GDM孕妇每日久坐时间超过6小时。50.9%的参与者具有久坐的生活方式。最常见的身体活动障碍和促进因素分别是妊娠症状或不适（32.1%）和更易于血糖控制（88.9%）。年龄较大（≥35岁）、家庭月人均收入较低、以及久坐生活方式天数（OR=1.227, 95%CI 1.090-1.382, P=0.001）是孕妇达不到运动标准的独立危险因素。

讨论/结论: 卫生保健提供者应根据减少久坐行为和增加中等强度身体活动来制定干预措施，以最小化GDM孕妇潜在健康问题的可能性。

关键词: Physical activity; Sedentary behavior; Gestational diabetes mellitus; Risk factor.