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Changing psychosocial determinants of physical activity and diet in women with a history of gestational diabetes mellitus

Published on Jan 1, 2018in Diabetes-metabolism Research and Reviews4.758
· DOI :10.1002/dmrr.2942
Judith G. M. Jelsma10
Estimated H-index: 10
(VUmc: VU University Medical Center),
Mireille N. M. van Poppel39
Estimated H-index: 39
(University of Graz)
+ 5 AuthorsHidde P. van der Ploeg42
Estimated H-index: 42
(USYD: University of Sydney)
Sources
Abstract
Background: To investigate how a behavioural lifestyle intervention influences psychosocial determinants of physical activity and dietary behaviours in a population at risk of type 2 diabetes (T2DM). Methods: Fifty-nine women with a body mass index of ≥25 kg/m2 and a history of gestational diabetes mellitus (GDM) participated in a randomized controlled study. The intervention group (n = 29) received 2 face-to-face and 5 telephone lifestyle-counselling sessions with a health professional. The control group (n = 30) received care as usual. At baseline and 6 months, psychosocial determinants related to physical activity and diet were measured with a self-administrated questionnaire. Linear regression analyses were applied to test for intervention effects. Results: The intervention was effective in improving social support (β = 3.5, P < 0.001; β = 2.1, P = 0.02), modifying self-efficacy (β = -2.2, P = 0.02; β = -4.3, P < 0.001), and reducing barriers (β = -3.5, P = 0.01; β = -3.8, P = 0.01) for, respectively, physical activity and diet from baseline to 6-month follow-up in the intervention group compared with the control group. The intervention reduced the following barriers to a physically active lifestyle: lack of energy and lack of motivation. Physical activity barriers like lack of time and lack of childcare were unchanged. The intervention reduced the following barriers to a healthy diet: lack of time, costs, having unhealthy snacks at home, and having cravings for sweets. Conclusion: This lifestyle intervention influenced psychosocial determinants relevant for overweight women with a history of gestational diabetes mellitus (GDM) in prevention of T2DM.
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References31
Newest
#1Jia Guo (CSU: Central South University)H-Index: 7
#2Jyu-Lin Chen (UCSF: University of California, San Francisco)H-Index: 19
Last. Evans Whitaker (UCSF: University of California, San Francisco)H-Index: 5
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Abstract Women with a history of gestational diabetes mellitus (GDM) are at a higher risk of developing type 2 diabetes. Several postpartum lifestyle intervention studies have been conducted for this high-risk group; however, the randomized clinical trials have not been evaluated systematically. Thus, the aim of this article is to evaluate the outcomes of clinical trials that focus on diabetes prevention among women with DGM. This systematic review utilized Preferred Reporting Items for Systemat...
36 CitationsSource
While lifestyle interventions involving exercise and a healthy diet in high-risk adults have been found to reduce progression to type 2 diabetes by >50%, little attention has been given to the potential benefits of such strategies in women with a history of gestational diabetes mellitus (GDM). We conducted a literature search of PubMed for English language studies of randomized controlled trials of lifestyle interventions among women with a history of GDM. In total, nine studies were identified ...
26 CitationsSource
#1Ann Peacock (UQ: University of Queensland)H-Index: 4
#2Fiona E. Bogossian (UQ: University of Queensland)H-Index: 25
Last. Shelley A. Wilkinson (Mater Health Services)H-Index: 18
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Abstract Background Gestational Diabetes Mellitus (GDM) during pregnancy is a risk factor for the development of Type 2 Diabetes (T2DM) within 15 years, and prevention programmes have been problematic. Question The aim of the study is to identify effective strategies and programmes to decrease the risk of T2DM in women who experience GDM, the barriers to participation, and the opportunities for midwives to assist women in prevention. Methods English language, peer reviewed and professional liter...
17 CitationsSource
#1Ben J. Smith (Monash University)H-Index: 15
#2Nancy Cinnadaio (RMIT: RMIT University)H-Index: 4
Last. Hidde P. van der Ploeg (USYD: University of Sydney)H-Index: 42
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11 CitationsSource
The increasing global prevalence of type 2 diabetes mellitus (T2DM) requires the implementation of preventive strategies to halt this trend, tailored to the specific needs of individual regions. Risk factors for T2DM are among the main targets for improving health outcomes and curbing the development of diabetes; excessive weight and obesity are two of the most important risk factors that need to be addressed. A growing body of evidence suggests that subjects with pre-diabetes who lose body weig...
19 CitationsSource
#1Barbara Kaiser (University of Applied Sciences Western Switzerland)H-Index: 8
#2Chantal Razurel (University of Applied Sciences Western Switzerland)H-Index: 8
Aim To describe the most significant findings of the studies that examined the prevalence and determinants of postpartum health behaviours (physical activity, dietary habits and/or weight loss) in patients with gestational diabetes mellitus (GDM). Background Patients with gestational diabetes have a high risk of developing type 2 diabetes in the months after delivery. For this reason, GDM patients are encouraged to practice specific health behaviours during the postpartum period. It is important...
19 CitationsSource
#1Catherine Kim (UM: University of Michigan)H-Index: 40
#2M. Draska (UM: University of Michigan)H-Index: 2
Last. Caroline R. Richardson (UM: University of Michigan)H-Index: 37
view all 5 authors...
Diabet. Med. 29, 278–283 (2012) Abstract Aims Women with remote histories of gestational diabetes mellitus can reduce their diabetes risk through lifestyle changes, but the effectiveness of interventions in women with more recent histories of gestational diabetes has not been reported. Therefore, we conducted a pilot study of a low-intensity web-based pedometer programme targeting glucose intolerance among women with recent gestational diabetes. Methods Women with a gestational diabetes delivery...
41 CitationsSource
#1Ralf Schwarzer (FU: Free University of Berlin)H-Index: 69
#2Sonia Lippke (JU: Jacobs University Bremen)H-Index: 38
Last. Aleksandra Luszczynska (CU: University of Colorado Boulder)H-Index: 42
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Objective: The present article presents an overview of theoretical constructs and mechanisms of health behavior change that have been found useful in research on people with chronic illness and disability. A self-regulation framework (Health Action Process Approach) serves as a backdrop, making a distinction between goal setting and goal pursuit. Risk perception, outcome expectancies, and task self-efficacy are seen as predisposing factors in the goal-setting (motivational) phase, whereas planni...
233 CitationsSource
#1Frances Mary Doran (SCU: Southern Cross University)H-Index: 10
#2Kierrynn Davis (SCU: Southern Cross University)H-Index: 9
Many pregnant women and women of child-bearing age do not engage in the recommended levels of physical activity despite the well known benefits. Pregnancy and the postpartum period can be a time when inactivity actually increases. Women who experience gestational diabetes mellitus (GDM) during their pregnancy are often advised to become more active in order to ameliorate their increased risk of developing type 2 diabetes. Health professionals have an influential role in promoting physical activi...
24 CitationsSource
#1N.W. Cheung (USYD: University of Sydney)H-Index: 5
#2Ben J. Smith (Monash University)H-Index: 15
Last. Adrian Bauman (USYD: University of Sydney)H-Index: 105
view all 5 authors...
Abstract Forty-three women were recruited into a 1-year randomised controlled trial to test the feasibility of a structured behavioural intervention to increase physical activity after gestational diabetes. Increases in achievement of physical activity targets were not attained. Recruitment and subject retention were identified as major challenges.
32 CitationsSource
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#1Kristin Thomas (Linköping University)H-Index: 2
#1Kristin ThomasH-Index: 5
Last. Margareta Kristenson (Linköping University)H-Index: 25
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Background: The health behaviors smoking, risky alcohol consumption, insufficient physical activity, and poor diet constitute the main contributors to non-communicable diseases. Clustering of risk behaviors is common and increases the risk of these diseases. Despite health benefits, it is difficult to change health behaviors. Psychosocial factors could play a role in health behavior change, with research showing relationships between unfavorable psychosocial factors and health risk behaviors. Ho...
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#1Pâmella Goveia (UFRGS: Universidade Federal do Rio Grande do Sul)H-Index: 1
#2Wilson Cañon Montañez (UdeA: University of Antioquia)H-Index: 4
Last. Maria Inês Schmidt (UFRGS: Universidade Federal do Rio Grande do Sul)H-Index: 68
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Background: Type 2 diabetes is increasing among the young, and gestational diabetes (GDM) offers a unique opportunity for diabetes prevention. We systematically reviewed postpartum randomized trials to summarize the benefits of lifestyle interventions in the prevention of diabetes after GDM. Methods: We searched for all RCTs involving women with previous GDM that compared lifestyle interventions– diet, physical activity or breastfeeding– with usual care and without pharmacological treatment up t...
5 CitationsSource