title: Lifestyle interventions to reduce risk of diabetes among women with prior gestational diabetes mellitus.
abstract: While lifestyle interventions involving exercise and a healthy diet in high-risk adults have been found to reduce progression to type 2 diabetes by >50%, little attention has been given to the potential benefits of such strategies in women with a history of gestational diabetes mellitus (GDM). We conducted a literature search of PubMed for English language studies of randomized controlled trials of lifestyle interventions among women with a history of GDM. In total, nine studies were identified which fulfilled the eligibility criteria. The majority of randomized trials of lifestyle interventions in women with GDM have been limited to pilot or feasibility studies. However, preliminary findings suggest that such interventions can improve diabetes risk factors in women with a history of GDM. Larger, well-designed controlled randomized trials are needed to assess the effects of lifestyle interventions on preventing subsequent progression to type 2 diabetes among women with GDM.
authors.affiliation: Division of Biostatistics & Epidemiology, Department of Public Health, School of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, USA. Electronic address: LCT@schoolph.umass.edu.
authors.forename: Lisa
authors.initials: L
authors.lastname: Chasan-Taber
mesh_terms: D003131:Combined Modality Therapy; D003924:Diabetes Mellitus, Type 2 / Q000209:etiology / Q000517:prevention & control*; D016640:Diabetes, Gestational / Q000209:etiology / Q000517:prevention & control*; D004035:Diet Therapy; D005081:Exercise Therapy; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007333:Insulin Resistance; D008019:Life Style; D008427:Maternal Health Services / Q000379:methods*; D011247:Pregnancy; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D016896:Treatment Outcome
keywords: gestational diabetes mellitus; lifestyle intervention; physical activity; pregnancy; prevention; type 2 diabetes