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ORCID ID

Yaren Nur Tayyar: 0000-0002-6880-3913

Hatice Kahyaoğlu Süt: 0000-0001-8840-6846

Abstract

Background: This study aimed to examine and compare the age, body mass index (BMI), physical activity (PA), and quality of life (QOL) of third-trimester Turkish pregnant women with and without a diagnosis of gestational diabetes mellitus (GDM).

Methods: A comparative study was conducted in the obstetrics clinic of a university hospital in Turkey, and it included 210 women (GDM women = 105 and non-GDM women = 105). Personal Information Form, International Physical Activity Questionnaire-Short Form (IPAQ), and World Health Organization Quality of Life-Short Form-Turkish (WHOQOL-Bref-TR) were used.

Results: The age and BMI of GDM women were higher than those of non-GDM (p < 0.05). The results show that non-GDM women in their third trimester had higher scores on the WHOQOL-Bref-TR domains compared with those with GDM (p < 0.05). Among GDM women, a significant positive correlation was observed among WHOQOL-Bref-TR psychological (r = 0.77, p < 0.05) and environmental (r = 0.85, p < 0.05) domains and moderate IPAQ scores. A moderate positive correlation was detected among physical, psychological, social relations, environmental domains of WHOQOL-Bref-TR, and walking and total score in IPAQ (r = 0.39–0.54, p < 0.05).

Conclusions: Local health policies should focus on community education programs, such as regular PA based on BMI and age, for the positive QOL of GDM women.

References

  1. Balaji B, Ram U, Mohan V. Screening, diagnosis and management of gestational diabetes mellitus. J Indian Inst Sci. 2023;103:371–9.
  2. International Diabetes Federation. Diabetes Atlas. Brussels: International Diabetes Federation, 2021.
  3. Wang H, Li N, Chivese T, Werfalli M, Sun H, Yuen L, et al. IDF diabetes atlas: Estimation of global and regional gestational diabetes mellitus prevalence for 2021 by international association of diabetes in pregnancy study group's criteria. Diabetes Res Clin Pract. 2022;183:109050.
  4. Committee on Practice Bulletins—Obstetrics. ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstet Gynecol. 2018;131:e49–64.
  5. McIntyre HD, Catalano P, Zhang C, Desoye G, Mathiesen ER, Damm P. Gestational diabetes mellitus. Nat Rev Dis Primers. 2019;5:47.
  6. Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association 2008 clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes. 2008;32:S1–201.
  7. Herring SJ, Oken E, Rifas-Shiman SL, Rich-Edwards JW, Stuebe AM, Kleinman KP, et al. Weight gain in pregnancy and risk of maternal hyperglycemia. Am J Obstet Gynecol. 2009;201:61.e1–7.
  8. Bennett CJ, Walker RE, Blumfield ML, Gwini SM, Ma J, Wang F, et al. Interventions designed to reduce excessive gestational weight gain can reduce the incidence of gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials. Diabetes Res Clin Pract. 2018;141:69–79.
  9. Lloyd M, Morton J, Teede H, Marquina C, Abushanab D, Magliano DJ, et al. Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to reduce the incidence of gestational diabetes and type 2 diabetes. Diabetologia. 2023;66:1223–34.
  10. Hopkins SA, Artal R. The role of exercise in reducing the risks of gestational diabetes mellitus. Womens Health (Lond). 2013;9:569–81.
  11. Madievsky R, Vu A, Cheng F, Chon J, Turk N, Krueger A, et al. A randomized controlled trial of a shared decision making intervention for diabetes prevention for women with a history of gestational diabetes mellitus: The Gestational diabetes Risk Attenuation for New Diabetes (GRAND study). Contemp Clin Trials. 2023;124:107007.
  12. Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: A systematic review. Diabetes Care. 2002;25:1862–8.
  13. Mayo K, Melamed N, Vandenberghe H, Berger H. The impact of adoption of the international association of diabetes in pregnancy study group criteria for the screening and diagnosis of gestational diabetes. Am J Obstet Gynecol. 2015;212:224.e1–9.
  14. Martis R, Crowther CA, Shepherd E, Alsweiler J, Downie MR, Brown J. Treatments for women with gestational diabetes mellitus: An overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2018;8:CD012327.
  15. Shlomo I. Physical activity during pregnancy – Effects on fetal and newborn health and future maternal well being. Med Res Arch. 2023;11:3574.
  16. ACOG Committee Obstetric Practice. ACOG Committee opinion. Number 267, January 2002: Exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002;99:171–3.
  17. Marchetti D, Carrozzino D, Fraticelli F, Fulcheri M, Vitacolonna E. Quality of life in women with gestational diabetes mellitus: A systematic review. J Diabetes Res. 2017;2017:7058082.
  18. Shama EES, Ibrahiem NM, Ahmed AR, El-Berdan A, El-Sherbeny E. Clinical association between gestational diabetes mellitus and quality of life among women. Malays J Nurs. 2020;12:10–21.
  19. Davenport MH, Meah VL, Ruchat SM, Davies GA, Skow RJ, Barrowman N, et al. Impact of prenatal exercise on neonatal and childhood outcomes: A systematic review and meta-analysis. Br J Sports Med. 2018;52:1386–96.
  20. Whitaker KM, Jones MA, Wallace MK, Catov J, Barone Gibbs B. Associations of objectively measured physical activity and sedentary time with pregnancy-specific health-related quality of life. Midwifery. 2022;104:103202.
  21. 2018 Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. Washington, DC: U.S. Department of Health and Human Services, 2018.
  22. The Whoqol Group. The World Health Organization Quality of Life Assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med. 1998;46:1569–85.
  23. Fidaner H, Elbi H, Fidaner C, Eser SY, Eser E, Göker E. WHOQOL-100 ve WHOQOL-BREF’in psikometrik özellikleri [Psychometric properties of WHOQOL-100 and WHOQOL-BREF]. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi. 1999;7:23–41. Turkish.
  24. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–95.
  25. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Mot Skills. 2010;111:278–84.
  26. Yılmaz E, Tokgöz B, Soysal C, Aker SŞ, Küçüközkan T. Nausea and vomiting in pregnant adolescents: Impact on health-related quality of life. Eur Res J. 2018;4:390–8.
  27. Muhli E, Koivuniemi E, Laitinen K. Living with overweight, rather than a history of gestational diabetes, influences dietary quality and physical activity during pregnancy. Nutrients. 2022;14:651.
  28. Abolfathi M, Ashtarian H, Eskandari S, Irandoost SF, NeJhaddadgar N, Mirzaei N. Evaluation of quality of life in diabetic pregnant women. Prim Care Diabetes. 2022;16:84–8.
  29. Ede G. Sağlıklı ve gestasyonel diyabetli gebe kadınların serum D vitamini düzeyleri ile beslenme durumlarının karşılaştırılması [Comparison of serum vitamin D levels and nutritional status of healthy and pregnant women with gestational diabetes] [Master’s thesis]. Ankara, Turkey: Hacettepe University; 2015. Turkish.
  30. Keskin A, Dorman E. Gestasyonel Diyabetik ve Nondiyabetik Gebelerin Glukoz, Lipid, Krom Seviyelerinin Sağlıklı Gruplara Göre Değişimlerinin İncelenmesi [Investigation of glucose, lipid, chromium level changes in gestational diabetic and nondiabetic pregnants compared with healthy groups]. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2020;7:489–94. Turkish.
  31. Pantzartzis KA, Manolopoulos PP, Paschou SA, Kazakos K, Kotsa K, Goulis DG. Gestational diabetes mellitus and quality of life during the third trimester of pregnancy. Qual Life Res. 2019;28:1349–54.
  32. Danyliv A, Gillespie P, O'Neill C, Noctor E, O'Dea A, Tierney M, et al. Health related quality of life two to five years after gestational diabetes mellitus: Cross-sectional comparative study in the ATLANTIC DIP cohort. BMC Pregnancy Childbirth. 2015;15:274.
  33. Dalfrà MG, Nicolucci A, Bisson T, Bonsembiante B, Lapolla A; QLISG (Quality of Life Italian Study Group). Quality of life in pregnancy and post-partum: A study in diabetic patients. Qual Life Res. 2012;21:291–8.
  34. Trutnovsky G, Panzitt T, Magnet E, Stern C, Lang U, Dorfer M. Gestational diabetes: Women's concerns, mood state, quality of life and treatment satisfaction. J Matern Fetal Neonatal Med. 2012;25:2464–6.
  35. Kim C, Brawarsky P, Jackson RA, Fuentes-Afflick E, Haas JS. Changes in health status experienced by women with gestational diabetes and pregnancy-induced hypertensive disorders. J Womens Health (Larchmt). 2005;14:729–36.
  36. Bień A, Rzońca E, Kańczugowska A, Iwanowicz-Palus G. Factors affecting the quality of life and the illness acceptance of pregnant women with diabetes. Int J Environ Res Public Health. 2015;13:ijerph13010068.
  37. Kopec JA, Ogonowski J, Rahman MM, Miazgowski T. Patient-reported outcomes in women with gestational diabetes: A longitudinal study. Int J Behav Med. 2015;22:206–13.
  38. Heybet F. Gebelerde fiziksel aktivitenin gestasyonel diyabet üzerine etkisi [The effect of physical activity on gestational diabetes in the pregnancy] [Master’s thesis]. Istanbul, Turkey: Istanbul Medipol University; 2019. Turkish.
  39. Doi SAR, Furuya-Kanamori L, Toft E, Musa OAH, Mohamed AM, Clark J, et al. Physical activity in pregnancy prevents gestational diabetes: A meta-analysis. Diabetes Res Clin Pract. 2020;168:108371.
  40. Dipla K, Zafeiridis A, Mintziori G, Boutou AK, Goulis DG, Hackney AC. Exercise as a therapeutic intervention in gestational diabetes mellitus. Endocrines. 2021;2:65–78.
  41. Pagel KA, Chu H, Ramola R, Guerrero RF, Chung JH, Parry S, et al. Association of genetic predisposition and physical activity with risk of gestational diabetes in nulliparous women. JAMA Netw Open. 2022;5:e2229158.
  42. Davenport MH, Ruchat SM, Poitras VJ, Jaramillo Garcia A, Gray CE, Barrowman N, et al. Prenatal exercise for the prevention of gestational diabetes mellitus and hypertensive disorders of pregnancy: A systematic review and meta-analysis. Br J Sports Med. 2018;52:1367–75.
  43. Uria-Minguito A, Silva-José C, Sánchez-Polán M, Díaz-Blanco Á, García-Benasach F, Carrero Martínez V, et al. The effect of online supervised exercise throughout pregnancy on the prevention of gestational diabetes in healthy pregnant women during COVID-19 pandemic: A randomized clinical trial. Int J Environ Res Public Health. 2022;19:14104.
  44. Ghasemi F, Vakilian K, Khalajinia Z. Comparing the effect of individual counseling with counseling on social application on self-care and quality of life of women with gestational diabetes. Prim Care Diabetes. 2021;15:842–7.
  45. Andersen MB, Fuglsang J, Ostenfeld EB, Poulsen CW, Daugaard M, Ovesen PG. Postprandial interval walking-effect on blood glucose in pregnant women with gestational diabetes. Am J Obstet Gynecol MFM. 2021;3:100440.
  46. Soylu Y. Gestasyonel diyabetli kadınlarda beslenme durumları ve yaşam kalitesi arasındaki ilişkinin değerlendirilmesi [The evaluation of relationship between nutritional situations and quality of life in women with gestational diabetes (Master’s thesis)]. Istanbul, Turkey: Istanbul Medipol University; 2019. Turkish.
  47. Engberg E, Tikkanen HO, Koponen A, Hägglund H, Kukkonen-Harjula K, Tiitinen A, et al. Cardiorespiratory fitness and health-related quality of life in women at risk for gestational diabetes. Scand J Med Sci Sports. 2018;28:203–11.
  48. Woodside A, Bradford H. Exercise and the prevention of gestational diabetes mellitus. Nurs Womens Health. 2021;25:304–11.
  49. Walker RE, Choi TST, Quong S, Hodges R, Truby H, Kumar A. It's not easy - A qualitative study of lifestyle change during pregnancy. Women Birth. 2020;33:e363–70.
  50. Fajriyah N, Andriani D. Effect of non-pharmacological interventions on glycemic control for gestational diabetes mellitus: A systematic review. J Sci Health. 2022;1:251–60.
  51. Souza Leite Vieira A, Nascimento SL, Souza Silva L, Mendes Pedroso Chainça T, Costa Machado H, Surita FG. Self-reported exercise or physical activity level: What matters to a better quality of life in the third trimester of pregnancy? Women Health. 2022;62:799–808.
  52. Mourady D, Richa S, Karam R, Papazian T, Hajj Moussa F, El Osta N, et al. Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women. PLoS One. 2017;12:e0178181.
  53. Göker A, Yanıkkerem E, Topsakal Ö. Gebelerin fiziksel aktivite düzeyleri ve yaşam kalitelerinin incelenmesi [Determination of the physical activity and quality of life in pregnant women]. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2021;8:315–22. Turkish.
  54. Krzepota J, Sadowska D, Biernat E. Relationships between physical activity and quality of life in pregnant women in the second and third trimester. Int J Environ Res Public Health. 2018;15:2745.

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