Research Summary
Analyzed using Evidence Intelligence™

Lifestyle intervention shows little effect on weight loss in women with gestational diabetes

Last updated September 9, 2026

Key finding

A mean weight change of -2.0 (SD 7.1) kg was observed in the intervention group compared with -0.6 (SD 8.0) kg in the control group, difference -1.4 (95% CI -4.4, 1.5) kg from 6 weeks to 12 months postnatal, but this was not statistically significant (P = .34).

The PAIGE2 Study evaluated a multicomponent lifestyle intervention for women with gestational diabetes, finding a mean weight change of -2.0 kg in the intervention group compared to -0.6 kg in the control group.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

The PAIGE2 Study evaluated a multicomponent lifestyle intervention for women with gestational diabetes, finding a mean weight change of -2.0 kg in the intervention group compared to -0.6 kg in the control group.

Clinical relevance

Understanding the effectiveness of lifestyle interventions for women with gestational diabetes is crucial, as it may help in managing weight and preventing complications. While the intervention showed some promise in weight reduction, the lack of significant changes in other health markers suggests that further research is needed to determine its overall impact.

Keep in mind

The effectiveness of the intervention remains unclear due to non-significant results for secondary outcomes. The sample size and population characteristics may limit generalizability. No significant differences were found in key health markers beyond weight change.

Published in

Journal Reference

Publication details and source links for this paper.

Bridie JK, Bronagh K, Georgina C, et al. The PAIGE2 Study: A Multicomponent Lifestyle Intervention for Women with Gestational Diabetes. Journal of the Endocrine Society. 2024;8(10):bvae151. doi:10.1210/jendso/bvae151

Main Effects

The intervention group experienced a mean weight change of -2.0 kg compared to -0.6 kg in the control group (difference -1.4 kg, p=0.34).

No significant difference in BMI change was observed, with a reduction of -0.6 kg/m².

Waist circumference change showed no significant difference, with a reduction of -1.0 cm.

Fasting plasma glucose change was not significant, with a change of 0.07 mmol/L.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Lifestyle intervention for prediabetes and BMI, Fasting Plasma Glucose (FPG), Waist circumference, and 1 more.

Primary intervention

Lifestyle intervention for prediabetes

Primary outcomes

  • BMI
  • Fasting Plasma Glucose (FPG)
  • Waist circumference

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

4
Evidence pairs
4
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

4

Related topics

4

Evidence pairs

1251

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Weight Loss

matched_outcome

Related evidence

Evidence topic

Body Composition

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Lifestyle intervention for prediabetes → BMI

Lifestyle intervention for prediabetes → BMI

Evidence Intelligence™
EvidenceScore™
87
Strong
ImpactScore™
63
Slightly Positive
ConsistencyScore™
63
generally_consistent
Supporting studies: Based on 8 studies
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Lifestyle intervention for prediabetes → Fasting Plasma Glucose (FPG)

Lifestyle intervention for prediabetes → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
87
Strong
ImpactScore™
69
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 9 studies
Add to Evidence Tracker

Waist circumference

Lifestyle intervention for prediabetes → Waist circumference

Lifestyle intervention for prediabetes → Waist circumference

Evidence Intelligence™
EvidenceScore™
83
Strong
ImpactScore™
63
Slightly Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 8 studies
Add to Evidence Tracker

Weight change

Lifestyle intervention for prediabetes → Weight change

Lifestyle intervention for prediabetes → Weight change

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
63
Slightly Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Mean weight loss in the intervention group was -2.0 kg, compared to -0.6 kg in the control group.
  • BMI change was -0.6 kg/m², indicating no significant difference.
  • Waist circumference change was -1.0 cm, also showing no significant difference.
who this applies

Who this applies to

  • Women diagnosed with gestational diabetes.
  • Participants receiving routine maternity care.
keep in mind

Keep in Mind

  • The study's findings may not be applicable to all populations due to specific inclusion criteria.
  • The lack of significant changes in secondary outcomes suggests caution in interpreting the overall effectiveness.
  • Further research is needed to explore the long-term benefits of lifestyle interventions in this population.
between the lines

Between the Lines

  • The effectiveness of the intervention remains unclear due to non-significant results for secondary outcomes.
  • The sample size and population characteristics may limit generalizability.
  • No significant differences were found in key health markers beyond weight change.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Lifestyle intervention for prediabetes and Fasting Glucose, Lifestyle intervention for prediabetes and Body Mass Index.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Lifestyle intervention for prediabetes improve fasting plasma glucose (FPG)?

Strong Evidence

Lifestyle intervention for prediabetes may improve fasting plasma glucose (FPG).

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Strong | EvidenceScore™ 87.1 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes affect BMI?

Strong Evidence

Lifestyle intervention for prediabetes may affect BMI.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Strong | EvidenceScore™ 87.0 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes affect waist circumference?

Strong Evidence

Lifestyle intervention for prediabetes may affect waist circumference.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Waist circumference

    EvidenceScore™ Strong | EvidenceScore™ 82.6 | weak positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve weight change?

Strong Evidence

Lifestyle intervention for prediabetes may improve weight change.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Weight change

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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