Postpartum Lifestyle Program Cuts Weight Retention in GDM

Diabetes prevention program-derived lifestyle intervention benefits women with GDM

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WEDNESDAY, Dec. 16, 2015 (HealthDay News) -- A diabetes prevention program (DPP)-derived lifestyle intervention is beneficial for addressing postpartum weight retention for women with gestational diabetes mellitus, according to a study published online Dec. 9 in Diabetes Care.

Assiamira Ferrara, M.D., Ph.D., from Kaiser Permanente Northern California in Oakland, and colleagues compared the effectiveness of diabetes prevention strategies addressing postpartum weight retention for women with gestational diabetes mellitus. A total of 2,280 women from 44 medical facilities were randomized to mailed recommendations (usual care) or usual care plus a DPP-derived lifestyle intervention, which involved 13 telephone sessions between six weeks and six months postpartum.

The researchers found that over the 12-month postpartum period, the odds of meeting weight goals were significantly higher for women in the intervention versus usual care group (odds ratio [OR], 1.28; 95 percent confidence interval [CI], 1.10 to 1.47). The proportion meeting weight goals at six weeks (OR, 1.17; 95 percent CI, 1.01 to 1.36) and six months (OR, 1.45; 95 percent CI, 1.14 to 1.83) was higher in the intervention versus the usual care group; condition differences decreased at 12 months (OR, 1.25; 95 percent CI, 0.96 to 1.62). Compared with women in the usual care group, women in the intervention retained significantly less weight (mean, 0.39 kg versus 0.95 kg) and had greater increases in vigorous-intensity physical activity (mean condition difference, 15.4 minutes/week).

"A DPP-derived lifestyle intervention modestly reduced postpartum weight retention and increased vigorous-intensity physical activity," the authors write.

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