Women who have had gestational diabetes may be able to reduce or even eliminate their risk for cardiovascular disease by following a healthy lifestyle in the years after giving birth, according to a study by researchers at the National Institutes of Health. The researchers analyzed data from the Nurses' Health Study II, following health habits and medical history of more than 90,000 women from before pregnancy through middle age and the early senior years. The study confirms the links between gestational diabetes and cardiovascular disease found by other studies. It also provides some of the strongest evidence to date that cardiovascular disease after gestational diabetes isn't inevitable for women who adopt a healthy diet, maintain a healthy weight, exercise moderately and do not smoke.
The study was led by Cuilin Zhang, M.D., Ph.D., of the Division of Intramural Population Health Research at NIH's Eunice Kennedy Shriver National Institute of Child Health and Human Development, and colleagues. It appears in the latest issue of JAMA Internal Medicine.
Gestational diabetes is a type of diabetes, or high blood sugar, that occurs only during pregnancy. Although it often disappears after birth, many women who had the condition later develop type 2 diabetes, usually by middle age. Some studies have shown women who had gestational diabetes are also at risk for cardiovascular disease, such as high blood pressure, high blood cholesterol, hardening of the arteries, heart attack and stroke.
In the current study, the researchers found that women who failed to adopt a healthy lifestyle in the wake of gestational diabetes had a 43-percent-higher risk for cardiovascular disease, particularly heart attack and stroke.
Cuilin Zhang, M.D., Ph.D., senior author of the study, Division of Intramural Population Health Research, NIH's Eunice Kennedy Shriver National Institute of Child Health and Human Development.
Tobias, DK, et al. Association of history of gestational diabetes with long-term cardiovascular disease risk in a Large Prospective Cohort of US Women. JAMA Internal Medicine. doi:10.1001/jamainternmed.2017.2790
About the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): NICHD conducts and supports research in the United States and throughout the world on fetal, infant and child development; maternal, child and family health; reproductive biology and population issues; and medical rehabilitation. For more information, visit NICHD's website.
About the National Institutes of Health (NIH): NIH, the nation's medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.