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A Pregnancy and Postpartum Lifestyle Intervention in Women With Gestational Diabetes Mellitus Reduces Diabetes Risk Factors : A feasibility randomized control trial

OBJECTIVE: To pilot, among women with gestational diabetes mellitus (GDM), the feasibility of a prenatal/postpartum intervention to modify diet and physical activity similar to the Diabetes Prevention Program. The intervention was delivered by telephone, and support for breastfeeding was addressed....

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Autores principales: Ferrara, Assiamira, Hedderson, Monique M., Albright, Cheryl L., Ehrlich, Samantha F., Quesenberry, Charles P., Peng, Tiffany, Feng, Juanran, Ching, Jenny, Crites, Yvonne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120183/
https://www.ncbi.nlm.nih.gov/pubmed/21540430
http://dx.doi.org/10.2337/dc10-2221
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author Ferrara, Assiamira
Hedderson, Monique M.
Albright, Cheryl L.
Ehrlich, Samantha F.
Quesenberry, Charles P.
Peng, Tiffany
Feng, Juanran
Ching, Jenny
Crites, Yvonne
author_facet Ferrara, Assiamira
Hedderson, Monique M.
Albright, Cheryl L.
Ehrlich, Samantha F.
Quesenberry, Charles P.
Peng, Tiffany
Feng, Juanran
Ching, Jenny
Crites, Yvonne
author_sort Ferrara, Assiamira
collection PubMed
description OBJECTIVE: To pilot, among women with gestational diabetes mellitus (GDM), the feasibility of a prenatal/postpartum intervention to modify diet and physical activity similar to the Diabetes Prevention Program. The intervention was delivered by telephone, and support for breastfeeding was addressed. RESEARCH DESIGN AND METHODS: The goal was to help women return to their prepregnancy weight, if it was normal, or achieve a 5% reduction from prepregnancy weight if overweight. Eligible participants were identified shortly after a GDM diagnosis; 83.8% consented to be randomly assigned to intervention or usual medical care (96 and 101 women, respectively). The retention was 85.2% at 12 months postpartum. RESULTS: The proportion of women who reached the postpartum weight goal was higher, although not statistically significant, in the intervention condition than among usual care (37.5 vs. 21.4%, absolute difference 16.1%, P = 0.07). The intervention was more effective among women who did not exceed the recommended gestational weight gain (difference in the proportion of women meeting the weight goals: 22.5%, P = 0.04). The intervention condition decreased dietary fat intake more than the usual care (condition difference in the mean change in percent of calories from fat: −3.6%, P = 0.002) and increased breastfeeding, although not significantly (condition difference in proportion: 15.0%, P = 0.09). No differences in postpartum physical activity were observed between conditions. CONCLUSIONS: This study suggests that a lifestyle intervention that starts during pregnancy and continues postpartum is feasible and may prevent pregnancy weight retention and help overweight women lose weight. Strategies to help postpartum women overcome barriers to increasing physical activity are needed.
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spelling pubmed-31201832012-07-01 A Pregnancy and Postpartum Lifestyle Intervention in Women With Gestational Diabetes Mellitus Reduces Diabetes Risk Factors : A feasibility randomized control trial Ferrara, Assiamira Hedderson, Monique M. Albright, Cheryl L. Ehrlich, Samantha F. Quesenberry, Charles P. Peng, Tiffany Feng, Juanran Ching, Jenny Crites, Yvonne Diabetes Care Original Research OBJECTIVE: To pilot, among women with gestational diabetes mellitus (GDM), the feasibility of a prenatal/postpartum intervention to modify diet and physical activity similar to the Diabetes Prevention Program. The intervention was delivered by telephone, and support for breastfeeding was addressed. RESEARCH DESIGN AND METHODS: The goal was to help women return to their prepregnancy weight, if it was normal, or achieve a 5% reduction from prepregnancy weight if overweight. Eligible participants were identified shortly after a GDM diagnosis; 83.8% consented to be randomly assigned to intervention or usual medical care (96 and 101 women, respectively). The retention was 85.2% at 12 months postpartum. RESULTS: The proportion of women who reached the postpartum weight goal was higher, although not statistically significant, in the intervention condition than among usual care (37.5 vs. 21.4%, absolute difference 16.1%, P = 0.07). The intervention was more effective among women who did not exceed the recommended gestational weight gain (difference in the proportion of women meeting the weight goals: 22.5%, P = 0.04). The intervention condition decreased dietary fat intake more than the usual care (condition difference in the mean change in percent of calories from fat: −3.6%, P = 0.002) and increased breastfeeding, although not significantly (condition difference in proportion: 15.0%, P = 0.09). No differences in postpartum physical activity were observed between conditions. CONCLUSIONS: This study suggests that a lifestyle intervention that starts during pregnancy and continues postpartum is feasible and may prevent pregnancy weight retention and help overweight women lose weight. Strategies to help postpartum women overcome barriers to increasing physical activity are needed. American Diabetes Association 2011-07 2011-06-17 /pmc/articles/PMC3120183/ /pubmed/21540430 http://dx.doi.org/10.2337/dc10-2221 Text en © 2011 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
spellingShingle Original Research
Ferrara, Assiamira
Hedderson, Monique M.
Albright, Cheryl L.
Ehrlich, Samantha F.
Quesenberry, Charles P.
Peng, Tiffany
Feng, Juanran
Ching, Jenny
Crites, Yvonne
A Pregnancy and Postpartum Lifestyle Intervention in Women With Gestational Diabetes Mellitus Reduces Diabetes Risk Factors : A feasibility randomized control trial
title A Pregnancy and Postpartum Lifestyle Intervention in Women With Gestational Diabetes Mellitus Reduces Diabetes Risk Factors : A feasibility randomized control trial
title_full A Pregnancy and Postpartum Lifestyle Intervention in Women With Gestational Diabetes Mellitus Reduces Diabetes Risk Factors : A feasibility randomized control trial
title_fullStr A Pregnancy and Postpartum Lifestyle Intervention in Women With Gestational Diabetes Mellitus Reduces Diabetes Risk Factors : A feasibility randomized control trial
title_full_unstemmed A Pregnancy and Postpartum Lifestyle Intervention in Women With Gestational Diabetes Mellitus Reduces Diabetes Risk Factors : A feasibility randomized control trial
title_short A Pregnancy and Postpartum Lifestyle Intervention in Women With Gestational Diabetes Mellitus Reduces Diabetes Risk Factors : A feasibility randomized control trial
title_sort pregnancy and postpartum lifestyle intervention in women with gestational diabetes mellitus reduces diabetes risk factors : a feasibility randomized control trial
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3120183/
https://www.ncbi.nlm.nih.gov/pubmed/21540430
http://dx.doi.org/10.2337/dc10-2221
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