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The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes

BACKGROUND: Women with gestational diabetes have low diet quality. We evaluated the effectiveness of a group-based lifestyle modification program for improvement of dietary quality in women with previous gestational diabetes predominantly within their first postnatal year. METHODS: Women were random...

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Autores principales: O’Reilly, Sharleen, Versace, Vincent, Mohebbi, Mohammadreza, Lim, Siew, Janus, Edward, Dunbar, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6610772/
https://www.ncbi.nlm.nih.gov/pubmed/31269928
http://dx.doi.org/10.1186/s12905-019-0788-0
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author O’Reilly, Sharleen
Versace, Vincent
Mohebbi, Mohammadreza
Lim, Siew
Janus, Edward
Dunbar, James
author_facet O’Reilly, Sharleen
Versace, Vincent
Mohebbi, Mohammadreza
Lim, Siew
Janus, Edward
Dunbar, James
author_sort O’Reilly, Sharleen
collection PubMed
description BACKGROUND: Women with gestational diabetes have low diet quality. We evaluated the effectiveness of a group-based lifestyle modification program for improvement of dietary quality in women with previous gestational diabetes predominantly within their first postnatal year. METHODS: Women were randomised to intervention (n = 284) or usual care (n = 289). Dietary data was collected at baseline and twelve months using a food frequency questionnaire and recoded into the Australian Recommended Food Score (ARFS). Mixed model analyses investigated the intervention effect on ARFS (per-protocol-set (PPS) excluded women without the minimum intervention exposure). RESULTS: Baseline mean total ARFS was low (31.8 ± 8.9, maximum score = 74) and no significant changes were seen in total ARFS (Cohen’s D = − 0.06). 2% reduction in alcohol for intervention (0.05, 0.26) compared with − 1% for usual care (Odds ratio: 0.68; 95%CI 0.46, 0.99). Dairy ARFS sub-category significantly improved (low fat/saturated fat foods) in the intervention group over time compared with usual care for the PPS analysis (dairy + 0.28 in intervention (95%CI 0.08, 0.48) compared with + 0.02 in usual care (95%CI -0.14, 0.18) (group-by-treatment interaction p = 0.05, Cohen’s D = 0.14)). CONCLUSIONS: Engaging with the intervention improved aspects of diet quality that aligned with minimum intervention exposure, but the total diet quality remains low. Further research is needed to improve diabetes prevention program engagement. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ANZCTRN12610000338066, April 2010.
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spelling pubmed-66107722019-07-16 The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes O’Reilly, Sharleen Versace, Vincent Mohebbi, Mohammadreza Lim, Siew Janus, Edward Dunbar, James BMC Womens Health Research Article BACKGROUND: Women with gestational diabetes have low diet quality. We evaluated the effectiveness of a group-based lifestyle modification program for improvement of dietary quality in women with previous gestational diabetes predominantly within their first postnatal year. METHODS: Women were randomised to intervention (n = 284) or usual care (n = 289). Dietary data was collected at baseline and twelve months using a food frequency questionnaire and recoded into the Australian Recommended Food Score (ARFS). Mixed model analyses investigated the intervention effect on ARFS (per-protocol-set (PPS) excluded women without the minimum intervention exposure). RESULTS: Baseline mean total ARFS was low (31.8 ± 8.9, maximum score = 74) and no significant changes were seen in total ARFS (Cohen’s D = − 0.06). 2% reduction in alcohol for intervention (0.05, 0.26) compared with − 1% for usual care (Odds ratio: 0.68; 95%CI 0.46, 0.99). Dairy ARFS sub-category significantly improved (low fat/saturated fat foods) in the intervention group over time compared with usual care for the PPS analysis (dairy + 0.28 in intervention (95%CI 0.08, 0.48) compared with + 0.02 in usual care (95%CI -0.14, 0.18) (group-by-treatment interaction p = 0.05, Cohen’s D = 0.14)). CONCLUSIONS: Engaging with the intervention improved aspects of diet quality that aligned with minimum intervention exposure, but the total diet quality remains low. Further research is needed to improve diabetes prevention program engagement. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ANZCTRN12610000338066, April 2010. BioMed Central 2019-07-03 /pmc/articles/PMC6610772/ /pubmed/31269928 http://dx.doi.org/10.1186/s12905-019-0788-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
O’Reilly, Sharleen
Versace, Vincent
Mohebbi, Mohammadreza
Lim, Siew
Janus, Edward
Dunbar, James
The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes
title The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes
title_full The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes
title_fullStr The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes
title_full_unstemmed The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes
title_short The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes
title_sort effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6610772/
https://www.ncbi.nlm.nih.gov/pubmed/31269928
http://dx.doi.org/10.1186/s12905-019-0788-0
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