Cargando…

A self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial

BACKGROUND: Gestational diabetes mellitus (GDM) is one of the most common medical disorders in pregnancy. Evidence has demonstrated that moderate-intensity physical activity may reduce the risk of gestational diabetes. However, women at risk of GDM spend most of their time performing sedentary behav...

Descripción completa

Detalles Bibliográficos
Autores principales: Yang, Xiao, Zhang, Ji, Wang, Xiangzhi, Xu, Yi, Sun, Li, Song, Yingli, Bai, Ruijuan, Huang, Hui, Zhang, Jing, Zhang, Ruixing, Guo, Erfeng, Gao, Lingling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9169409/
https://www.ncbi.nlm.nih.gov/pubmed/35668430
http://dx.doi.org/10.1186/s13063-022-06379-6
_version_ 1784721202262048768
author Yang, Xiao
Zhang, Ji
Wang, Xiangzhi
Xu, Yi
Sun, Li
Song, Yingli
Bai, Ruijuan
Huang, Hui
Zhang, Jing
Zhang, Ruixing
Guo, Erfeng
Gao, Lingling
author_facet Yang, Xiao
Zhang, Ji
Wang, Xiangzhi
Xu, Yi
Sun, Li
Song, Yingli
Bai, Ruijuan
Huang, Hui
Zhang, Jing
Zhang, Ruixing
Guo, Erfeng
Gao, Lingling
author_sort Yang, Xiao
collection PubMed
description BACKGROUND: Gestational diabetes mellitus (GDM) is one of the most common medical disorders in pregnancy. Evidence has demonstrated that moderate-intensity physical activity may reduce the risk of gestational diabetes. However, women at risk of GDM spend most of their time performing sedentary behaviors. Although researchers identified self-efficacy as a mediator to overcome physical activity barriers, exercise intervention during pregnancy based on self-efficacy theory has not been discussed so far. Furthermore, there is conflicting evidence regarding the effects of a physical exercise intervention on the incidence of GDM and other maternal or neonatal outcomes in women at higher risk for GDM. METHODS/DESIGN: A single-center, parallel, randomized controlled trial will be conducted in a maternal–child health care center. A total of 244 pregnant women at high risk for GDM will be randomized into a study group receiving a self-efficacy-enhancing physical activity intervention or a control group receiving the usual care. The intervention will consist of four group sessions and everyday reminders by WeChat (Tencent, Shenzhen, China). The program will begin at approximately 13–14(+6) gestational weeks and end at 36(+6) gestational weeks. The primary outcomes will include the incidence of GDM, blood sugar values, and physical activity. The secondary outcomes will include physical activity self-efficacy, gestational weight gain, maternal outcomes, and neonatal outcomes. DISCUSSION: The findings of this research will contribute toward understanding the effects of a self-efficacy theory-oriented physical activity program on the incidence of GDM, blood sugar values, physical activity level, gestational weight gain, physical activity self-efficacy, maternal outcomes, and neonatal outcomes. TRIAL REGISTRATION: Chinese Clinical Trial Registry (CHiCTR) ChiCTR2200056355. Registered on February 4, 2022.
format Online
Article
Text
id pubmed-9169409
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-91694092022-06-07 A self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial Yang, Xiao Zhang, Ji Wang, Xiangzhi Xu, Yi Sun, Li Song, Yingli Bai, Ruijuan Huang, Hui Zhang, Jing Zhang, Ruixing Guo, Erfeng Gao, Lingling Trials Study Protocol BACKGROUND: Gestational diabetes mellitus (GDM) is one of the most common medical disorders in pregnancy. Evidence has demonstrated that moderate-intensity physical activity may reduce the risk of gestational diabetes. However, women at risk of GDM spend most of their time performing sedentary behaviors. Although researchers identified self-efficacy as a mediator to overcome physical activity barriers, exercise intervention during pregnancy based on self-efficacy theory has not been discussed so far. Furthermore, there is conflicting evidence regarding the effects of a physical exercise intervention on the incidence of GDM and other maternal or neonatal outcomes in women at higher risk for GDM. METHODS/DESIGN: A single-center, parallel, randomized controlled trial will be conducted in a maternal–child health care center. A total of 244 pregnant women at high risk for GDM will be randomized into a study group receiving a self-efficacy-enhancing physical activity intervention or a control group receiving the usual care. The intervention will consist of four group sessions and everyday reminders by WeChat (Tencent, Shenzhen, China). The program will begin at approximately 13–14(+6) gestational weeks and end at 36(+6) gestational weeks. The primary outcomes will include the incidence of GDM, blood sugar values, and physical activity. The secondary outcomes will include physical activity self-efficacy, gestational weight gain, maternal outcomes, and neonatal outcomes. DISCUSSION: The findings of this research will contribute toward understanding the effects of a self-efficacy theory-oriented physical activity program on the incidence of GDM, blood sugar values, physical activity level, gestational weight gain, physical activity self-efficacy, maternal outcomes, and neonatal outcomes. TRIAL REGISTRATION: Chinese Clinical Trial Registry (CHiCTR) ChiCTR2200056355. Registered on February 4, 2022. BioMed Central 2022-06-06 /pmc/articles/PMC9169409/ /pubmed/35668430 http://dx.doi.org/10.1186/s13063-022-06379-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Yang, Xiao
Zhang, Ji
Wang, Xiangzhi
Xu, Yi
Sun, Li
Song, Yingli
Bai, Ruijuan
Huang, Hui
Zhang, Jing
Zhang, Ruixing
Guo, Erfeng
Gao, Lingling
A self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial
title A self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial
title_full A self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial
title_fullStr A self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial
title_full_unstemmed A self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial
title_short A self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial
title_sort self-efficacy-enhancing physical activity intervention in women with high-risk factors for gestational diabetes mellitus: study protocol for a randomized clinical trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9169409/
https://www.ncbi.nlm.nih.gov/pubmed/35668430
http://dx.doi.org/10.1186/s13063-022-06379-6
work_keys_str_mv AT yangxiao aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT zhangji aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT wangxiangzhi aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT xuyi aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT sunli aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT songyingli aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT bairuijuan aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT huanghui aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT zhangjing aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT zhangruixing aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT guoerfeng aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT gaolingling aselfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT yangxiao selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT zhangji selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT wangxiangzhi selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT xuyi selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT sunli selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT songyingli selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT bairuijuan selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT huanghui selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT zhangjing selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT zhangruixing selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT guoerfeng selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial
AT gaolingling selfefficacyenhancingphysicalactivityinterventioninwomenwithhighriskfactorsforgestationaldiabetesmellitusstudyprotocolforarandomizedclinicaltrial