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Prevention of gestational diabetes: The role of dietary intake, physical activity, and weight before, during, and between pregnancies

Prevention of gestational diabetes: The role of dietary intake, physical activity, and weight before, during, and between pregnancies
Prevention of gestational diabetes: The role of dietary intake, physical activity, and weight before, during, and between pregnancies

Gestational diabetes mellitus (GDM) is the most common complication of pregnancy and a significant clinical and public health problem with lifelong and intergenerational adverse health consequences for mothers and their offspring. The preconception, early pregnancy, and interconception periods represent opportune windows to engage women in preventive and health promotion interventions. This review provides an overview of findings from observational and intervention studies on the role of diet, physical activity, and weight (change) during these periods in the primary prevention of GDM. Current evidence suggests that supporting women to increase physical activity and achieve appropriate weight gain during early pregnancy and enabling women to optimize their weight and health behaviors prior to and between pregnancies have the potential to reduce rates of GDM. Translation of current evidence into practice requires further development and evaluation of co-designed interventions across community, health service, and policy levels to determine how women can be reached and supported to optimize their health behaviors before, during, and between pregnancies to reduce GDM risk.

diet, gestational diabetes, physical activity, prevention, review, weight
352-365
Schoenaker, Danielle A J M
84b96b87-4070-45a5-9777-5a1e4e45e818
de Jersey, Susan
a6c24157-60b9-433a-b54f-6b1d4c219e3b
Willcox, Jane
a1550eaa-fa3c-447c-82ae-b4e16848db5b
Francois, Monique E
01e10eb9-e92a-4f1a-826b-082bfd6049fb
Wilkinson, Shelley
7319e156-204f-4f09-8ead-8631c69ac2ad
Schoenaker, Danielle A J M
84b96b87-4070-45a5-9777-5a1e4e45e818
de Jersey, Susan
a6c24157-60b9-433a-b54f-6b1d4c219e3b
Willcox, Jane
a1550eaa-fa3c-447c-82ae-b4e16848db5b
Francois, Monique E
01e10eb9-e92a-4f1a-826b-082bfd6049fb
Wilkinson, Shelley
7319e156-204f-4f09-8ead-8631c69ac2ad

Schoenaker, Danielle A J M, de Jersey, Susan, Willcox, Jane, Francois, Monique E and Wilkinson, Shelley (2021) Prevention of gestational diabetes: The role of dietary intake, physical activity, and weight before, during, and between pregnancies. Seminars in Reproductive Medicine, 38 (6), 352-365. (doi:10.1055/s-0041-1723779).

Record type: Article

Abstract

Gestational diabetes mellitus (GDM) is the most common complication of pregnancy and a significant clinical and public health problem with lifelong and intergenerational adverse health consequences for mothers and their offspring. The preconception, early pregnancy, and interconception periods represent opportune windows to engage women in preventive and health promotion interventions. This review provides an overview of findings from observational and intervention studies on the role of diet, physical activity, and weight (change) during these periods in the primary prevention of GDM. Current evidence suggests that supporting women to increase physical activity and achieve appropriate weight gain during early pregnancy and enabling women to optimize their weight and health behaviors prior to and between pregnancies have the potential to reduce rates of GDM. Translation of current evidence into practice requires further development and evaluation of co-designed interventions across community, health service, and policy levels to determine how women can be reached and supported to optimize their health behaviors before, during, and between pregnancies to reduce GDM risk.

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Accepted/In Press date: 9 December 2020
e-pub ahead of print date: 2 February 2021
Published date: 2 February 2021
Additional Information: Funding Information: D.A.J.M.S. is supported by the NIHR Southampton Biomedical Research Centre. S.de.J. is supported by a Metro North Hospital and Health Service Clinician Research Fellowship. M.E.F. is supported by an NHMRC Emerging Leadership Investigator Grant. Publisher Copyright: © 2021. Thieme. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
Keywords: diet, gestational diabetes, physical activity, prevention, review, weight

Identifiers

Local EPrints ID: 447072
URI: http://eprints.soton.ac.uk/id/eprint/447072
PURE UUID: 1e20f6b2-3dae-4a5b-99dc-d81085ce9c39
ORCID for Danielle A J M Schoenaker: ORCID iD orcid.org/0000-0002-7652-990X

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Date deposited: 02 Mar 2021 17:33
Last modified: 28 Apr 2022 06:35

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Contributors

Author: Susan de Jersey
Author: Jane Willcox
Author: Monique E Francois
Author: Shelley Wilkinson

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