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. 2022 Mar;51(2):115-125.
doi: 10.1016/j.jogn.2021.10.007. Epub 2021 Nov 27.

Systematic Review of Lifestyle Interventions for Gestational Diabetes Mellitus in Pregnancy and the Postpartum Period

Shuyuan Huang, Cherlie Magny-Normilus, Erin McMahon, Robin Whittemore

Systematic Review of Lifestyle Interventions for Gestational Diabetes Mellitus in Pregnancy and the Postpartum Period

Shuyuan Huang et al. J Obstet Gynecol Neonatal Nurs. 2022 Mar.

Abstract

Objective: To examine the characteristics and effectiveness of lifestyle interventions for gestational diabetes mellitus (GDM) in pregnancy and the postpartum period to prevent Type 2 diabetes.

Data sources: We conducted searches in seven databases, including Ovid MEDLINE, CINAHL, Ovid Embase, Cochrane Central, Web of Science, Ovid PsycInfo, and ProQuest Dissertations and Theses for articles published from inception to January 2021.

Study selection: We included articles on controlled intervention studies in which researchers evaluated a lifestyle intervention provided during pregnancy and the postpartum period for women with or at risk for GDM that were published in English.

Data extraction: Twelve articles that were reports of seven studies met the inclusion criteria. In some cases, more than one article was selected from the same study. For example, articles reported different outcomes from the same study. We extracted data with the use of a data collection form and compared and synthesized data on study design, purpose, sample, intervention characteristics, recruitment and retention, and outcomes.

Data synthesis: All seven studies focused on weight management and/or healthy lifestyle behaviors (diet and physical activity). Outcomes included glucose regulation, weight, lifestyle behaviors, and knowledge. The interventions varied in duration/dosage, strategies, and modes of delivery. In four studies, researchers reported interventions that had significant effects on improving glucose regulation and/or weight change. Some characteristics from the four effective interventions included goal setting, individualized care, and good retention rates. In the other three studies, limitations included low rates of participant retention, lack of personalized interventions, and limited population diversity or lack of culturally sensitive care.

Conclusion: Lifestyle interventions provided during and after pregnancy to reduce the risk associated with GDM have the potential to improve outcomes. Health care counseling to promote healthy lifestyle behaviors related to the prevention of Type 2 diabetes is needed at different stages of maternity care for women with GDM. Additional high-quality studies are needed to address the limitations of current studies.

Keywords: diabetes prevention; gestational diabetes; lifestyle; postpartum period; pregnancy; systematic review.

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Conflict of interest statement

Conflict of Interest The authors report no conflicts of interest or relevant financial relationships.

Figures

Figure 1.
Figure 1.
Search strategy for the identification of publications included in this systematic review.
See this image and copyright information in PMC

References

    1. Amason JS, Lee S-Y, Aduddell K, Hewell SW, & Van Brackle L (2016). Pilot feasibility study of an educational intervention in women with gestational diabetes. Journal of Obstetric. Gynecologic, & Neonatal Nursing, 45(4), 515–527. 10.1016/j.jogn.2016.04.003 - DOI - PubMed
    1. American College of Obstetricians and Gynecologists. (2018). ACOG practice bulletin no. 190: Gestational diabetes mellitus. Obstetrics & Gynecology, 131(2), e49–e64. 10.1097/aog.0000000000002501 - DOI - PubMed
    1. Aroda VR, Christophi CA, Edelstein SL, Zhang P, Zhuo X, Herman WH, … Diabetes Prevention Program Research Group. (2015). The effect of lifestyle intervention and metformin on preventing or delaying diabetes among women with and without gestational diabetes: The Diabetes Prevention Program Outcomes study 10-year follow-up. Journal of Clinical Endocrinology & Metabolism, 100(4), 1646–1653. 10.1210/jc.2014-3761 - DOI - PMC - PubMed
    1. Beck C, McSweeney JC, Richards KC, Roberson PK, Tsai PF, & Souder E (2010). Challenges in tailored intervention research. Nursing Outlook, 58(2), 104–110. 10.1016/j.outlook.2009.10.004 - DOI - PMC - PubMed
    1. Berry DC, Hall E, Neal MN, Adatorwovor R, Schwartz TA, & Stuebe A (2016). Results of the optimizing outcomes in women with gestational diabetes mellitus and their infants. a cluster randomized, controlled pilot study: Lessons learned. Journal of the National Black Nurses Association. 27(2). 1–10. - PubMed

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