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

Autor: Risto P. Roine, Kristiina Rönö, Saila B. Koivusalo, Niina Sahrakorpi, Johan G. Eriksson, Beata Stach-Lempinen
Přispěvatelé: Department of Obstetrics and Gynecology, University of Helsinki, Clinicum, HUS Gynecology and Obstetrics, Johan Eriksson / Principal Investigator, Department of General Practice and Primary Health Care, Helsinki University Hospital Area, Faculty of Medicine
Rok vydání: 2018
Předmět:
Counseling
endocrine system diseases
Psychological intervention
Overweight
law.invention
MELLITUS
0302 clinical medicine
Randomized controlled trial
Quality of life
Pregnancy
law
Cumulative incidence
030212 general & internal medicine
Finland
OUTCOMES
Obstetrics
Incidence
030503 health policy & services
DEPRESSION
3142 Public health care science
environmental and occupational health
humanities
EXERCISE PROGRAM
3. Good health
Gestational diabetes
Female
medicine.symptom
0305 other medical science
Adult
medicine.medical_specialty
03 medical and health sciences
medicine
Humans
Exercise
Life Style
OVERWEIGHT
business.industry
OBESE PREGNANT-WOMEN
Public Health
Environmental and Occupational Health
nutritional and metabolic diseases
POSTPARTUM
medicine.disease
PREVENTION
Diet
Diabetes
Gestational
PHYSICAL-ACTIVITY
15D INSTRUMENT
3121 General medicine
internal medicine and other clinical medicine
Quality of Life
business
Postpartum period
Zdroj: European Journal of Public Health. 29:408-412
ISSN: 1464-360X
1101-1262
DOI: 10.1093/eurpub/cky248
Popis: 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.
Databáze: OpenAIRE
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