妊娠期糖尿病的步数和体重跟踪目标和指导干预：一项随机因子可行性试验

IF 6.1 3区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes research and clinical practice Pub Date : 2025-05-09 DOI:10.1016/j.diabres.2025.112241

Kaberi Dasgupta , Deborah Chan , Rachel Bond , Susan Joanne Wang , Natasha Garfield , Jillian Coolen , Ilana J. Halperin , Tricia M. Peters , Gary X. Shen , Jennifer Yamamoto , Sonia Butalia , John Dowling , Laura Rendon , Kate Haichin , Mona Sharafi , Christopher Shields , Ariane Godbout , Deborah Da Costa , Mohammed Kaouache , Baiju R. Shah , Sara Meltzer

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引用次数: 0

摘要

妊娠指南建议中度至剧烈的体力活动≥150分钟/周（7000步/天），并根据孕前体重类别增加体重。我们的目标是评估步数和体重的变化，通过跟踪来实现个性化目标，并在体育活动和饮食方面进行指导对话。总体目标是通过更大的试验评估围产期结果，确定干预措施的整合和评估。方法在这项可行性试验中，我们随机抽取227名受试者（来自加拿大5个城市的GDM诊所）进行“跟踪研究”。“瞄准”、“教练”、“两个”或“两个”手臂。的跟踪,目标参与者每天被监控步数（计数器）和体重（秤）。我们发布了每周目标，应用了结合步数和体重数据的算法，并推动了推荐。训练参与者每周与教练交谈，教练使用激励沟通方法。我们检查了试验开始至妊娠37周期间的步数/天和体重变化。研究结果：双臂体重变化与指南一致。日均步数为6385步（SD值为3406），在基线上保持稳定。目标臂（变化- 59,95% CI - 749至630）。其他组下降(辅导：- 915,95% CI - 1605至- 225；- 1183, 95% CI - 1979 ~ - 386；- 1456, 95% CI - 2193至- 718)。我们的算法驱动的步数目标策略防止步数下降，值得研究围产期的影响。

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Step and weight tracking with targets and coaching interventions in gestational diabetes: A randomized factorial feasibility trial

Background

Pregnancy guidelines recommend moderate to vigorous physical activity of ≥150 min/week (7000 steps/day) and weight gain specific to prepregnancy weight category. We aimed to assess step and weight changes, with tracking to achieve individualized targets and with coaching conversations on physical activity and eating. The overarching goal was to identify interventions warranting integration and evaluation through a larger trial assessing perinatal outcomes.

Methods

In this feasibility trial, we randomized 227 participants (GDM clinics, 5 Canadian cities) to ‘track & target,’ ‘coaching,’ ‘both,’ or ‘neither’ arms. ‘Track & target’ participants monitored steps/day (counter) and weight (scale). We delivered weekly targets, applying algorithms that incorporated step and weight data and nudged towards recommendations. Coaching participants conversed weekly with a coach, who applied motivational communication methods. We examined changes in steps/day and weight, between trial entry and 37 weeks’ gestation.

Findings

Weight change was guideline-concordant across arms. Steps/day averaged 6385 (SD 3406) at baselinue and were stable in the ‘track & target’ arm (change −59, 95 %CI −749 to 630). The other arms declined (coaching: −915, 95 %CI −1605 to −225; both −1183, 95 %CI −1979 to −386; neither −1456, 95 %CI −2193 to −718).

Interpretation

Our algorithm-driven step target strategy prevents step count decline, meriting study for perinatal impact.

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来源期刊

Diabetes research and clinical practice 医学-内分泌学与代谢

CiteScore

10.30

自引率

3.90%

发文量

862

审稿时长

32 days

期刊介绍： Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.