{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:12:22Z","timestamp":1789729942114,"version":"4.0.1"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T00:00:00Z","timestamp":1658448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["SNF 32003B_176119"],"award-info":[{"award-number":["SNF 32003B_176119"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Endocrinol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The COVID-19 pandemic has been associated with worsened metabolic and mental health in the general and perinatal population. The postpartum is a critical moment regarding these outcomes particularly in women with gestational diabetes mellitus (GDM). We investigated the cardio-metabolic and mental health outcomes before and during the pandemic in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cohort study included 418 women with GDM, recruited during two distinct periods. This included 180 women exposed to the pandemic (E+) and recruited between May 2020-April 2021 and 238 women who were not exposed to the pandemic during their postpartum period (attended a year before=non-exposed (E-)) and recruited between January-December 2019. Among the E+, a nested-subcohort of 120 women were exposed both during pregnancy and postpartum. During the pandemic, we adopted a hybrid follow-up of women that consisted of in-person consultations, regular contact <jats:italic>via<\/jats:italic> phone calls (35%), sent recorded exercise guide to patients to follow at home and linked to our website. We specifically focused on maintaining motivation and keeping a strong focus on healthy lifestyle behaviors. Obstetric, neonatal, cardio-metabolic and mental health outcomes were assessed during pregnancy and postpartum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The pandemic was not associated with worsened weight, weight retention, glucose tolerance, metabolic syndrome, well-being or depression in the postpartum with the exception of a minimally increased HbA1c, diastolic blood pressure and lower emotional eating scores in E+ women (all p \u2264 0.046). In the nested subcohort, E+ women had a slightly increased HbA1c at the first GDM visit and a higher need for glucose-lowering medication (both p \u2264 0.014), but HbA1c at the end of pregnancy and other cardio-metabolic, mental health, obstetric and neonatal outcomes during pregnancy were similar.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The pandemic was not associated with any clinically relevant worsening of cardio-metabolic, mental health, obstetrical and neonatal outcomes in our GDM cohort. This was possibly due to a continued hybrid follow-up, and the partial lockdown in Switzerland.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fendo.2022.948716","type":"journal-article","created":{"date-parts":[[2022,7,26]],"date-time":"2022-07-26T09:13:10Z","timestamp":1658826790000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Cardio-Metabolic and Mental Health Outcomes Before and During the COVID-19 Pandemic in a Cohort of Women With Gestational Diabetes Mellitus in Switzerland"],"prefix":"10.3389","volume":"13","author":[{"given":"Dan Yedu","family":"Quansah","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Gilbert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Kosinski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Le Diz\u00e8s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"Horsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrien","family":"Benhalima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Cosson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jardena J.","family":"Puder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.23750\/abm.v91i1.9397","article-title":"WHO Declares COVID-19 a Pandemic","volume":"91","author":"Cucinotta","year":"2020","journal-title":"Acta Biomed"},{"key":"B2","volume-title":"WHO Director-General\u2019s Opening Remarks at the 2020, Briefing on COVID19 -March. 2020","year":""},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/ijerph18041876","article-title":"Global Impact of Covid-19 on Weight and Weight-Related Behaviors in the Adult Population: A Scoping Review","volume":"18","author":"Chew","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1177\/0022167820934229","article-title":"Work and Unemployment in the Time of COVID-19: The Existential Experience of Loss and Fear","volume":"60","author":"Blustein","year":"2020","journal-title":"J Humanist Psychol"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.31234\/osf.io\/4ar8z","article-title":"Mental Health and its Psychosocial Predictors During National Quarantine in Italy Against the Coronavirus Disease 2019 (COVID-19)","volume":"34","author":"Prati","year":"2021","journal-title":"Anxiety Stress Coping"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcaa201","article-title":"The Psychological Impact of COVID-19 on the Mental Health in the General Population","volume":"113","author":"Serafini","year":"2020","journal-title":"QJM"},{"key":"B7","article-title":"Pandemic, Swiss Gain Weight Rapidly During Covid-19","year":"2021","journal-title":"LE News"},{"key":"B8","doi-asserted-by":"publisher","first-page":"4668","DOI":"10.3390\/ijerph18094668","article-title":"Stress and Mental Health Among Children\/Adolescents, Their Parents, and Young Adults During the First COVID-19 Lockdown in Switzerland","volume":"18","author":"Mohler-kuo","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4414\/smw.2021.w30009","article-title":"Impact of the Covid-19 Pandemic on Swiss Pregnant and Breastfeeding Women - a Cross-Sectional Study Covering the First Pandemic Wave","volume":"151","author":"Lambelet","year":"2021","journal-title":"Swiss Med Wkly"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2021.01.003","article-title":"Impact of Lockdown COVID-19 on Metabolic Control in Type 2 Diabetes Mellitus and Healthy People","volume":"15","author":"Karatas","year":"2021","journal-title":"Prim Care Diabetes"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-020-0387-z","article-title":"Will the COVID-19 Pandemic Worsen the Obesity Epidemic","volume":"16","author":"Clemmensen","year":"2020","journal-title":"Nat Rev Endocrinol"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2021.07.008","article-title":"Influence of COVID-19 Pandemic and Related Quarantine Procedures on Metabolic Risk","volume":"15","author":"Lim","year":"2020","journal-title":"Prim Care Diabetes"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1080\/14616696.2020.1839671","article-title":"Who is Most Affected by the Corona Crisis? 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