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Review
. 2015 Jan;29(1):110-22.
doi: 10.1016/j.bpobgyn.2014.04.019. Epub 2014 Aug 19.

Lifestyle interventions to reduce risk of diabetes among women with prior gestational diabetes mellitus

Lisa Chasan-Taber  1
Affiliations
Review

Lifestyle interventions to reduce risk of diabetes among women with prior gestational diabetes mellitus

Lisa Chasan-Taber. Best Pract Res Clin Obstet Gynaecol. 2015 Jan.

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.

Keywords: gestational diabetes mellitus; lifestyle intervention; physical activity; pregnancy; prevention; type 2 diabetes.

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