PMID- 34444802 OWN - NLM STAT- MEDLINE DCOM- 20211004 LR - 20211004 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 13 IP - 8 DP - 2021 Jul 30 TI - The Impact of Lifestyle Intervention on Dietary Quality among Rural Women with Previous Gestational Diabetes Mellitus-A Randomized Controlled Study. LID - 10.3390/nu13082642 [doi] LID - 2642 AB - Healthy diet is essential to type 2 diabetes mellitus (T2DM) prevention for women with previous gestational diabetes mellitus (GDM). To evaluate the effect of a lifestyle intervention program on diet quality for rural women who were previously diagnosed with GDM, we conducted a randomized controlled study in two counties located in south-central China. A total of 404 eligible women were allocated into an intervention group and control group. Participants in the intervention group received 6-month lifestyle intervention including six group seminars and eight telephone consultations. Dietary data were collected at baseline and 18 months via a 24 h dietary recall, and dietary quality was measured by two indicators, Chinese Healthy Eating Score (CHEI) and Minimum Dietary Diversity for Women (MDD-W). Baseline CHEI scores (54.4 vs. 53.5, p = 0.305) and the proportions of participants who met MDD-W (73.8% vs. 74.5%, p = 0.904) were comparable between the two groups. The intervention group achieved a higher CHEI score (62.2 vs. 58.9, p = 0.001) and higher MDD-W proportion (90.6% vs. 81.2%, p = 0.023) at 18 months. Lifestyle intervention was associated with the change of CHEI (p = 0.049) but not with MDD-W (p = 0.212). In conclusion, compared with usual care, lifestyle intervention resulted in greater improvement of dietary quality among rural women with previous GDM. FAU - Li, Mingshu AU - Li M AD - Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, Changsha 410078, China. FAU - Lin, Qian AU - Lin Q AUID- ORCID: 0000-0003-4287-1018 AD - Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, Changsha 410078, China. FAU - Shi, Jingcheng AU - Shi J AUID- ORCID: 0000-0001-8071-5927 AD - Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China. FAU - Xi, Yue AU - Xi Y AUID- ORCID: 0000-0001-9461-9303 AD - Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, Changsha 410078, China. FAU - Xiang, Caihong AU - Xiang C AD - Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, Changsha 410078, China. FAU - Yong, Cuiting AU - Yong C AD - Department of Nutrition Science and Food Hygiene, Xiangya School of Public Health, Central South University, Changsha 410078, China. FAU - Guo, Jia AU - Guo J AUID- ORCID: 0000-0002-8304-9947 AD - Xiangya School of Nursing, Central South University, Changsha 410013, China. LA - eng GR - 16-256/China Medical Board/ GR - 2018CX037/Innovation-Driven Project of Central South University/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20210730 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 SB - IM MH - Adult MH - China MH - Diabetes Mellitus, Type 2 MH - *Diabetes, Gestational MH - *Diet MH - Diet, Healthy MH - Female MH - Humans MH - *Life Style MH - Nutrition Surveys MH - Pregnancy MH - *Rural Population PMC - PMC8402030 OTO - NOTNLM OT - dietary quality OT - lifestyle intervention OT - randomized controlled study OT - rural areas OT - women with previous gestational diabetes mellitus (GDM) COIS- The authors declare no conflict of interest. EDAT- 2021/08/28 06:00 MHDA- 2021/10/05 06:00 PMCR- 2021/07/30 CRDT- 2021/08/27 01:21 PHST- 2021/07/11 00:00 [received] PHST- 2021/07/27 00:00 [revised] PHST- 2021/07/29 00:00 [accepted] PHST- 2021/08/27 01:21 [entrez] PHST- 2021/08/28 06:00 [pubmed] PHST- 2021/10/05 06:00 [medline] PHST- 2021/07/30 00:00 [pmc-release] AID - nu13082642 [pii] AID - nutrients-13-02642 [pii] AID - 10.3390/nu13082642 [doi] PST - epublish SO - Nutrients. 2021 Jul 30;13(8):2642. doi: 10.3390/nu13082642.