Effect of lifestyle counselling on health-related quality of life in women at high risk for gestational diabetes

Abstract Background The incidence of gestational diabetes (GDM) is increasing and interventions to curb the detrimental effects of GDM are needed. We have previously reported that a combined diet and physical activity intervention has the potential to reduce GDM among high-risk women. It is also imp...

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Bibliographic Details
Published in:European journal of public health 2019-06, Vol.29 (3), p.408-412
Main Authors: Sahrakorpi, Niina, Rönö, Kristiina, Koivusalo, Saila B, Stach-Lempinen, Beata, Eriksson, Johan G, Roine, Risto P
Format: Article
Language:English
Subjects:
Diabetes
Diabetes mellitus
Diet
Exercise
Gestational diabetes
Health risks
Intervention
Lifestyles
Physical activity
Physical fitness
Population studies
Postpartum
Pregnancy
Public health
Quality of life
Risk
Women
Womens health
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Summary:Abstract Background The incidence of gestational diabetes (GDM) is increasing and interventions to curb the detrimental effects of GDM are needed. We have previously reported that a combined diet and physical activity intervention has the potential to reduce GDM among high-risk women. It is also important to know whether the intervention affects health-related quality of life (HRQoL). Methods A total of 378 women at high risk for GDM were randomized into an intervention (lifestyle counselling four times during pregnancy, n=192), or a control group (n=186) before 20 gestational weeks. HRQoL was assessed with the 15D-instrument six times: once during each trimester and at six weeks, six months and 12 months postpartum. Results In this study population, the cumulative incidence of GDM was similar in the intervention and the control group (45.7 vs. 44.5%). There was no difference between the 15D scores of the control and intervention groups at any of the time points. Conclusions Combined diet and physical activity intervention did not provide HRQoL benefits in the study. A high prevalence of GDM in both study groups may have confounded the effect of the intervention.
ISSN:1101-1262
1464-360X
DOI:10.1093/eurpub/cky248