(HealthDay News) — A diabetes prevention program (DPP)-derived lifestyle intervention is beneficial for addressing postpartum weight retention for women with gestational diabetes, according to a study published in Diabetes Care.
Assiamira Ferrara, MD, PhD, 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.
A total of 2280 women from 44 medical facilities were randomly assigned to mailed recommendations (usual care) or usual care plus a DPP-derived lifestyle intervention, which involved 13 telephone sessions between 6 weeks and 6 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 vs usual care group (odds ratio [OR]=1.28; 95% CI, 1.10-1.47).
The proportion meeting weight goals at 6 weeks (OR=1.17; 95% CI, 1.01-.36) and 6 months (OR=1.45; 95% CI, 1.14-1.83) was higher in the intervention vs the usual care group; condition differences decreased at 12 months (OR=1.25; 95% CI, 0.96-1.62).
Compared with women in the usual care group, women in the intervention retained significantly less weight (mean, 0.39 kg vs 0.95 kg) and had greater increases in vigorous-intensity physical activity (mean condition difference, 15.4 minutes per week).
“A DPP-derived lifestyle intervention modestly reduced postpartum weight retention and increased vigorous-intensity physical activity,” the researchers wrote.
- Ferrara A, Hedderson MM, Brown SD, et al. The Comparative Effectiveness of Diabetes Prevention Strategies to Reduce Postpartum Weight Retention in Women With Gestational Diabetes Mellitus: The Gestational Diabetes’ Effects on Moms (GEM) Cluster Randomized Controlled Trial. Diabetes Care. 2015;doi:10.2337/dc15-1254.