Pilot study of an individualised early postpartum intervention to increase physical activity in women with previous gestational diabetes

McIntyre, Harold David, Peacock, Ann, Miller, Yvette D., Koh, Denise and Marshall, Alison L. (2012) Pilot study of an individualised early postpartum intervention to increase physical activity in women with previous gestational diabetes. International Journal of Endocrinology, 2012 892019.1-892019.5. doi:10.1155/2012/892019

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Author McIntyre, Harold David
Peacock, Ann
Miller, Yvette D.
Koh, Denise
Marshall, Alison L.
Title Pilot study of an individualised early postpartum intervention to increase physical activity in women with previous gestational diabetes
Journal name International Journal of Endocrinology   Check publisher's open access policy
ISSN 1687-8337
1687-8345
Publication date 2012-01-01
Sub-type Article (original research)
DOI 10.1155/2012/892019
Open Access Status DOI
Volume 2012
Start page 892019.1
End page 892019.5
Total pages 5
Place of publication New York, NY, United States
Publisher Hindawi Publishing Corporation
Language eng
Formatted abstract
Optimal strategies to prevent progression towards overt diabetes in women with recent gestational diabetes remain ill defined. We report a pilot study of a convenient, home based exercise program with telephone support, suited to the early post-partum period. Twenty eight women with recent gestational diabetes were enrolled at six weeks post-partum into a 12 week randomised controlled trial of Usual Care (n = 13) versus Supported Care (individualised exercise program with regular telephone support; n = 15). Baseline characteristics (Mean ± SD) were: Age 33 ± 4 years; Weight 80 ± 20 kg and Body Mass Index (BMI) 30.0 ± 9.7 kg/m2. The primary outcome, planned physical activity {Median (Range)}, increased by 60 (0–540) mins/week in the SC group versus 0 (0–580) mins/week in the UC group (P = 0.234). Walking was the predominant physical activity. Body weight, BMI, waist circumference, % body fat, fasting glucose and insulin did not change significantly over time in either group. This intervention designed to increase physical activity in post-partum women with previous gestational diabetes proved feasible. However, no measurable improvement in metabolic or biometric parameters was observed over a three month period.
Keyword Beta Cell Function
Impaired Glucose Tolerance
Life Style
Insulin Resistance
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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