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Adherence to a lifestyle programme in overweight/obese pregnant women and effect on gestational diabetes mellitus: a randomized controlled trial
Abstract
This study aims to determine whether the prescription of a detailed lifestyle programme in overweight/obese pregnant women influences the occurrence of gestational diabetes (GDM), and if this kind of prescription increases the adherence to a healthier lifestyle in comparison to standard care. The study was designed as a randomized controlled trial, with open allocation, enrolling women at 9–12 weeks of pregnancy with a BMI ≥ 25 kg/m 2. The women assigned to the Intervention group (I = 96) received a hypocaloric, low‐glycaemic, low‐saturated fat diet and physical activity recommendations. Those assigned to the Standard Care group (SC = 95) received lifestyle advices regarding healthy nutrition and exercise. Follow‐up was planned at the 16 th, 20 th, 28 th and 36 th weeks. A total of 131 women completed the study (I = 69, SC = 62). The diet adherence was higher in the I (57.9%) than in the SC (38.7%) group. GDM occurred less frequently in the I (18.8%) than in the SC (37.1%, P = 0.019) group. The adherent women from either groups showed a lower GDM rate (12.5% vs. 41.8%, P < 0.001). After correcting for confounders, the GDM rate was explained by allocation into the I group (P = 0.034) and a lower BMI category (P = 0.039). The rates of hypertension, preterm birth, induction of labour, large for gestational age babies and birthweight > 4000 g were significantly lower in I group. The incidence of small for gestational age babies was not different. These findings demonstrate that the adherence to a personalized, hypocaloric, low‐glycaemic, low‐saturated fat diet started early in pregnancy prevents GDM occurrence, in women with BMI ≥ 25 kg/m 2.
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“Some authors suggest that these physiological disruptions, such as cardiovascular conditions or obesity [128,129], are directly related to adverse pregnancy outcomes (this pathway is detailed further below).”
From A Comprehensive Review on Social Inequalities and Pregnancy Outcome—Identification of Relevant Pathways and Mechanisms (2022) · cites this paper as [128]
In the citing paper
“In the group that received both specific, personalized instructions and the diet and physical activity intervention, they found a decrease in the incidence of gestational diabetes in pregnant women with a BMI of ≥25 kg/m2, as well as decreases in the rate of PTB, induction, a number of babies too large for gestational age, and birthweight > 4000 g.”
From A Comprehensive Review on Social Inequalities and Pregnancy Outcome—Identification of Relevant Pathways and Mechanisms (2022) · cites this paper as [128]
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Thangaratinam, S., Rogozinska, E., Jolly, K., Glinkowski, S., Roseboom, T., Tomlinson, J. W., Kunz, R., Mol, B. W., Coomarasamy, A., & Khan, K. S. (2012) · BMJ · doi:10.1136/bmj.e2088 · Cited by 802
Diet and exercise interventions for preventing gestational diabetes mellitus
Bain, E., Crane, M., Tieu, J., Han, S., Crowther, C. A., & Middleton, P. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010443.pub2 · Cited by 188
Prevention of Gestational Diabetes
Callaway, L. K., Colditz, P. B., Byrne, N. M., Lingwood, B. E., Rowlands, I. J., Foxcroft, K., McIntyre, H. D., & for the BAMBINO Group (2010) · Diabetes Care · doi:10.2337/dc09-2336 · Cited by 141
Exercise for pregnant women for preventing gestational diabetes mellitus
Han, S., Middleton, P., & Crowther, C. A. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009021.pub2 · Cited by 139
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Cited by
The International Weight Management in Pregnancy (i-WIP) Collaborative Group (2017) · BMJ · doi:10.1136/bmj.j3119 · Cited by 529
US Preventive Services Task Force, Davidson, K. W., Barry, M. J., Mangione, C. M., Cabana, M., Caughey, A. B., Davis, E. M., Donahue, K. E., Doubeni, C. A., Krist, A. H., et al. (2021) · JAMA · doi:10.1001/jama.2021.6949 · Cited by 84
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Insights on medical nutrition therapy for type 2 diabetes mellitus: an Indian perspective
Viswanathan, V., Krishnan, D., Kalra, S., Chawla, R., Tiwaskar, M., Saboo, B., Baruah, M., Chowdhury, S., Makkar, B. M., & Jaggi, S. (2019) · Advances in Therapy · doi:10.1007/s12325-019-0872-8 · Cited by 45
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Martínez-Borba, V., Suso-Ribera, C., & Osma, J. (2019) · Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering · doi:10.1007/978-3-030-25872-6_14 · Cited by 6
Metadata
- Authors
- Bruno, R., Petrella, E., Bertarini, V., Pedrielli, G., Neri, I., & Facchinetti, F.
- Affiliations
- Mother–Infant Department University of Modena and Reggio Emilia Italy
- Venue
- Maternal & Child Nutrition
- Publisher
- Wiley
- Published
- 2016-09-19
- Volume
- 13
- Issue
- 3
- ISSN
- 1740-8695
- 1740-8709
- Cited by
- 81
- References
- 4
- Language
- en
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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