Evidence map›Paper›PMID 32712801›Full record

Trial reportActa diabetologica2020

Lifestyle and glycemic health 5 years postpartum in obese and non-obese high diabetes risk women.

Emilia Huvinen, Elina Engberg, Jelena Meinilä, Tuija Tammelin, Janne Kulmala, Kati Heinonen, Paula Bergman, Beata Stach-Lempinen, Saila Koivusalo

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta diabetologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01698385 (Prevention of Gestational Diabetes Through Lifestyle Modification), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01698385 nacompletednot on this map

Prevention of Gestational Diabetes Through Lifestyle Modification (RADIEL) - a Randomized Controlled Multi-centre Intervention Study

TypeinterventionalSponsorHelsinki University Central HospitalRan2008 to 2014Enrolled750ConditionsGestational DiabetesArmsDiet and exercise counseling
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Position Statement on Cardiometabolic Health Across the Woman's Life Course - 2025.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Article
  5. Metabolomic Profiles of Nonobese and Obese Women With Gestational Diabetes.The Journal of clinical endocrinology and metabolism · 2023
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Emilia HuvinenDepartment of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Haartmaninkatu 2, PL 140, 00029 HUS, Helsinki, Finland. emilia.huvinen@helsinki.fi.ORCID http://orcid.org/0000-0003-2788-1947
Elina EngbergFolkhälsan Research Center, Helsinki, Finland.
Jelena MeiniläDepartment of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Haartmaninkatu 2, PL 140, 00029 HUS, Helsinki, Finland.
Tuija TammelinLIKES Research Centre for Physical Activity and Health, Jyväskylä, Finland.
Janne KulmalaLIKES Research Centre for Physical Activity and Health, Jyväskylä, Finland.
Kati HeinonenDepartment of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.
Paula BergmanBiostatistics Consulting, Department of Public Health, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Beata Stach-LempinenDepartment of Obstetrics and Gynecology, South-Karelia Central Hospital, Lappeenranta, Finland.
Saila KoivusaloDepartment of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Haartmaninkatu 2, PL 140, 00029 HUS, Helsinki, Finland.

Funding

Sosiaali- ja Terveysministeriö EU H2020-PHC-2014-DynaHealth grant no. 633595
6 · The paper itself

Abstract

aimWomen with prior gestational diabetes (GDM) are at increased diabetes risk. This study aimed to assess whether lifestyle is associated with glycemic health of high-risk women 5 years postpartum, taking into account the pre-pregnancy BMI.

methodsThe RADIEL study enrolled before or in early pregnancy 720 women with pre-pregnancy BMI ≥ 30 kg/m

resultsAltogether 348 women attended the follow-up. The obese and non-obese women showed similar prevalence of glycemic abnormalities, 13% and 19% (p = 0.139). PA levels were higher among the non-obese women (p < 0.05), except for step count, and their HFII was higher compared to the obese women (p = 0.033). After adjusting for age, education, and GDM history, PA and HFII were associated with glycemic health only among obese women. When both lifestyle factors were in the same model, only PA remained significant. PA associated with other markers of metabolic health also among the non-obese women, excluding HbA1c.

conclusionLifestyle 5 years postpartum was associated with better glycemic health only among the obese high-risk women. PA, however, is essential for the metabolic health of all high-risk women. CLINICAL

trial registrationClinicalTrials.gov, http://www.clinicaltrials.com , NCT01698385.

Indexed as

Life StyleAdultBlood GlucoseBody Mass IndexCase-Control StudiesCross-Sectional StudiesDiabetes, GestationalDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansObesityPostpartum PeriodPregnancyPregnancy ComplicationsRisk FactorsBlood GlucoseDietGestational diabetesHeterogeneityPhysical activityType 2 diabetes

Identifiers

PMID32712801
PMCPMC7591422

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.