Effect of lifestyle counselling on health-related quality of life in women at high risk for gestational diabetes

Eur J Public Health. 2019 Jun 1;29(3):408-412. doi: 10.1093/eurpub/cky248.


Background: The incidence of gestational diabetes (GDM) is increasing and interventions to curb the detrimental effects of GDM are needed. We have previously reported that a combined diet and physical activity intervention has the potential to reduce GDM among high-risk women. It is also important to know whether the intervention affects health-related quality of life (HRQoL).

Methods: A total of 378 women at high risk for GDM were randomized into an intervention (lifestyle counselling four times during pregnancy, n=192), or a control group (n=186) before 20 gestational weeks. HRQoL was assessed with the 15D-instrument six times: once during each trimester and at six weeks, six months and 12 months postpartum.

Results: In this study population, the cumulative incidence of GDM was similar in the intervention and the control group (45.7 vs. 44.5%). There was no difference between the 15D scores of the control and intervention groups at any of the time points.

Conclusions: Combined diet and physical activity intervention did not provide HRQoL benefits in the study. A high prevalence of GDM in both study groups may have confounded the effect of the intervention.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Counseling*
  • Diabetes, Gestational / epidemiology
  • Diabetes, Gestational / prevention & control*
  • Diet
  • Exercise
  • Female
  • Finland / epidemiology
  • Humans
  • Incidence
  • Life Style*
  • Pregnancy
  • Quality of Life*