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Eur J Public Health. 2018 Nov 29. doi: 10.1093/eurpub/cky248. [Epub ahead of print]

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

Author information

1
Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Women's Hospital, Helsinki, Finland.
2
City of Vantaa, Preventive Medical Services, Communal Maternity Clinic, Vantaa, Finland.
3
Department of Obstetrics and Gynecology, South Karelia Central Hospital, Lappeenranta, Finland.
4
Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
5
Folkhälsan Research Center, University of Helsinki, Helsinki, Finland.
6
Department of Health and Social Management, Research Centre for Comparative Effectiveness and Patient Safety, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland.
7
Group Administration, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

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.

PMID:
30500903
DOI:
10.1093/eurpub/cky248

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