Gestational diabetes & diabetes in pregnancy

Genetic risk of type 2 diabetes modifies the association between lifestyle and glycemic health at 5 years postpartum among high-risk women

BMJ Open Diabetes Res CarePublished Secondary analysis of the RADIEL randomised trial

Authors' conclusion

These results extend our previous findings from pregnancy and first postpartum year demonstrating that still at 5 years postpartum, healthy lifestyle is associated with a lower risk of prediabetes/diabetes only among women at the highest genetic risk of type 2 diabetes.

Study context

Population
High-risk women (BMI ≥30 kg/m² and/or prior GDM) from the Finnish RADIEL GDM prevention trial, 5 years postpartumgenetic and glycemic data
Participants
314 women
Comparison
Healthy Lifestyle Score (HLS) and its interaction with type 2 diabetes polygenic risk score (PRS) on glycemic abnormalities
Primary endpoint
Glycemic abnormalities (prediabetes/diabetes); modification of the HLS association by T2D PRS
Follow-up
5 years postpartum
Methodological details5-year postpartum follow-up
  • 5-year postpartum follow-up

Primary result

As reported in the abstract

Glycemic abnormalities
Interaction between HLS and T2D PRS on glycemic abnormalities
p=0.03
HLS associated with reduced risk of glycemic abnormalities only among women at highest genetic risk (PRS tertiles)
p=0.008

Further findings

Glycemic abnormalities in total sample · 5 years postpartum

T2D PRS not associated with glycemic abnormalities
HLS not associated with glycemic abnormalities in total sample

Original publication

Genetic risk of type 2 diabetes modifies the association between lifestyle and glycemic health at 5 years postpartum among high-risk women. BMJ Open Diabetes Res Care. Published 17 April 2024. doi:10.1136/bmjdrc-2023-003942

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