The effects of lifestyle and/or vitamin D supplementation interventions on pregnancy outcomes: what have we learned from the DALI studies?

Jurgen Harreiter, Gernot Desoye, Mireille N. M. van Poppel, Alexandra Kautzky-Willer, Fidelma Dunne, Rosa Corcoy, Roland Devlieger, DALI Consortium, David Simmons, Juan M. Adelantado, Peter Damm, Elizabeth Reinhardt Mathiesen, Dorte Moeller Jensen, Lise Lotte T. Anderson, Annunziata Lapolla, Maria G. Dalfra, Alessandra Bertolotto, Ewa Wender-Ozegowska, Agnieszka Zawiejska, David J. HillFrank J. Snoek

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

Purpose of Review: The DALI (vitamin D and lifestyle intervention in the prevention of gestational diabetes mellitus (GDM)) study aimed to prevent GDM with lifestyle interventions or Vitamin D supplementation (1600 IU/day). This review summarizes the learnings from the DALI studies among pregnant women with a BMI"‰â‰¥"‰29 kg/m2. Recent Findings: Women diagnosed with GDM earlier in pregnancy had a worse metabolic profile than those diagnosed later. A combined physical activity (PA) and healthy eating (HE) lifestyle intervention improved both behaviours, limited gestational weight gain (GWG) and was cost-effective. Although GDM risk was unchanged, neonatal adiposity was reduced due to less sedentary time. Neither PA nor HE alone limited GWG or GDM risk. Fasting glucose was higher with HE only intervention, and lower with Vitamin D supplementation. Summary: Our combined intervention did not prevent GDM, but was cost-effective, limited GWG and reduced neonatal adiposity.Correction: The original version of this review article unfortunately contained a mistake. The ISRCTN number reflected in "DALI Study Design" and "Compliance with Ethical Standards" sections was incorrect. It should be "ISRCTN70595832" instead of "ISRCTN7059583". There is an Author Correction to the Article - https://doi.org/10.1007/s11892-020-01322-y
Original languageEnglish
Article number162
Number of pages10
JournalCurrent Diabetes Reports
Volume19
Issue number12
DOIs
Publication statusPublished - 2019

Keywords

  • diabetes in pregnancy
  • health aspects
  • lifestyles
  • obesity
  • vitamin D

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