妊娠糖尿病后行为改变的准备情况：前瞻性队列研究

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-09-14 DOI:10.1111/dme.15433

Shohinee Sarma, Dominika Bhatia, Christina Yu, Wei Wu, Julia Lowe, Joel Ray, Denice S. Feig, Lorraine L. Lipscombe

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引用次数: 0

摘要

目的患有妊娠糖尿病（GDM）的妇女患 2 型糖尿病（T2D）的风险很高。怀孕后，为降低这种风险而改变行为的准备程度可能较低，如果没有适当的干预措施，随着时间的推移，这种准备程度可能会进一步降低。本研究旨在评估新近患上 GDM 的妇女在产后第一年和第二年改变行为的准备程度，以确定采取生活方式干预措施预防 T2D 的最佳时机。结果平均年龄为 34.3 ± 4.4 标准差 (SD)岁，平均孕前体重指数 (BMI) 为 26.7 ± 6.9 kg/m2。在产后第一年，86%的妇女报告了行动前阶段的变化，而在产后第二年，这一比例达到了 87%（p = 0.646）。非白种人在两个时间段内处于行为改变行动准备阶段和体育锻炼行动准备阶段的几率都较低。应继续优先考虑对患有 GDM 的产后妇女进行行为干预，以充分利用这一渺茫的机会窗口来预防 T2D。

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Readiness for behaviour change after gestational diabetes mellitus: A prospective cohort study

Aims

Women with gestational diabetes mellitus (GDM) have a high risk of developing type 2 diabetes (T2D). Readiness for behaviour change to mitigate this risk may be low after pregnancy and may further decrease over time without appropriate interventions. This study aimed to evaluate readiness for behaviour change in the first and second postpartum years in women with recent GDM to determine the best timing for lifestyle interventions to prevent T2D.

Methods

This study included a subset of women with GDM between 2009 and 2013 in Ontario, Canada from a larger prospective cohort study who completed a survey in the first and second postpartum years (N = 329). The primary outcome was stage of readiness for behaviour change for diet and physical activity, compared between the first and second postpartum years.

Results

The mean age was 34.3 ± 4.4 standard deviation (SD) years and mean pre-pregnancy body-mass index (BMI) was 26.7 ± 6.9 kg/m². In the first postpartum year, 86% of women reported a pre-action stage of change, which was 87% by the second postpartum year (p = 0.646). Non-Caucasian ethnicity was associated with lower odds of being in the action stage of readiness for behaviour change overall and for physical activity in both time periods.

Conclusions

Most postpartum women with recent GDM are in a pre-action stage of change after delivery, which does not increase by the second postpartum year. Behavioural interventions should continue to be prioritized in postpartum women with GDM to optimize this slim window of opportunity for T2D prevention.

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”