Can lifestyle counselling prevent adverse outcomes in pregnant women at high risk?

In this week's PLoS Medicine, Riitta Luoto and colleagues from the UKK Institute for Health Promotion Research, and University of Tampere, Finland, evaluate whether lifestyle interventions can reduce the risk of high birthweight babies and gestational diabetes amongst pregnant women at high risk for these outcomes.

They report the results of a cluster randomized trial in which groups of maternity clinics in 14 municipalities in Finland were randomized to an intervention.

The intervention comprised physical activity and dietary counselling, and was compared with a control arm in which usual care was offered.

The researchers find that babies born to women in the intervention arm had a roughly 44% reduced risk of being large for gestational age. However, they failed to show that the resulted in a reduced risk of gestational diabetes in women participating in the trial.

This video is not supported by your browser at this time.

The authors comment that "The findings of our study emphasize counseling on the topics of physical activity, diet, and weight gain in especially for women at risk for in order to prevent large for gestational age newborns possibly causing problems in delivery, and both the mother's and the child's later weight development".

More information: Luoto R, Kinnunen TI, Aittasalo M, Kolu P, Raitanen J, et al. (2011) Primary Prevention of Gestational Diabetes Mellitus and Large-for-Gestational-Age Newborns by Lifestyle Counseling: A Cluster-Randomized Controlled Trial. PLoS Med 8(5): e1001036. doi:10.1371/journal.pmed.1001036

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Study reveals state of crisis in Canadian foster care system

3 hours ago

A new study of foster care in Canada led by a researcher at Western University reveals a shrinking number of foster care providers are available across the country to care for a growing number of children with increasingly ...

Researchers prove the benefits of persimmons for diet

4 hours ago

Alba Mir and Ana Domingo, researchers from the Department of Analytical Chemistry of the University of Valencia, under the supervision of professors Miguel de la Guardia and Maria Luisa Cervera, from the same department, ...

User comments