A randomised controlled trial to delay or prevent Type 2 Diabetes after gestational diabetes; Walking for Exercise and Nutrition to prevent Diabetes for You (WENDY)

Peacock, A. S., Bogossian, F. E., Wilkinson, S. A., Gibbons, K. S., Kim, C. and McIntyre, H. D. (2015) A randomised controlled trial to delay or prevent Type 2 Diabetes after gestational diabetes; Walking for Exercise and Nutrition to prevent Diabetes for You (WENDY). International Journal of Endocrinology, 2015 423717.1-423717.8. doi:10.1155/2015/423717

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Author Peacock, A. S.
Bogossian, F. E.
Wilkinson, S. A.
Gibbons, K. S.
Kim, C.
McIntyre, H. D.
Title A randomised controlled trial to delay or prevent Type 2 Diabetes after gestational diabetes; Walking for Exercise and Nutrition to prevent Diabetes for You (WENDY)
Journal name International Journal of Endocrinology   Check publisher's open access policy
ISSN 1687-8337
1687-8345
Publication date 2015-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1155/2015/423717
Open Access Status File (Publisher version)
Volume 2015
Start page 423717.1
End page 423717.8
Total pages 8
Place of publication New York, NY, United States
Publisher Hindawi Publishing Corporation
Language eng
Abstract Aims. To develop a program to support behaviour changes for women with a history of Gestational Diabetes Mellitus (GDM) and a Body Mass Index (BMI) > 25 kg/m(2) to delay or prevent Type 2 Diabetes Mellitus. Methods. Women diagnosed with GDM in the previous 6 to 24 months and BMI > 25 kg/m(2) were randomized to an intervention (I) (n = 16) or a control (C) (n = 15) group. The intervention was a pedometer program combined with nutrition coaching, with the primary outcome increased weight loss in the intervention group. Secondary outcomes included decreased waist and hip measurements, improved insulin sensitivity and body composition, increased physical activity, and improved self-efficacy in eating behaviours. Results. Median (IQR) results were as follows: weight: I -2.5 (2.3) kg versus C +0.2 (1.6) kg (P = 0.009), waist: I -3.6 (4.5) cm versus C -0.1 (3.6) cm (P = 0.07), and hip: I -5.0 (3.3) cm versus C -0.2 (2.6) cm (P = 0.002). There was clinical improvement in physical activity and eating behaviours and no significant changes in glucose metabolism or body composition. Conclusion. A pedometer program and nutrition coaching proved effective in supporting weight loss, waist circumference, physical activity, and eating behaviours in women with previous GDM.
Formatted abstract
Aims: To develop a program to support behaviour changes for women with a history of Gestational Diabetes Mellitus (GDM) and a Body Mass Index (BMI) > 25 kg/m2 to delay or prevent Type 2 Diabetes Mellitus.

Methods: Women diagnosed with GDM in the previous 6 to 24 months and BMI > 25 kg/m2 were randomized to an intervention (I) () or a control (C) () group. The intervention was a pedometer program combined with nutrition coaching, with the primary outcome increased weight loss in the intervention group. Secondary outcomes included decreased waist and hip measurements, improved insulin sensitivity and body composition, increased physical activity, and improved self-efficacy in eating behaviours.

Results: Median (IQR) results were as follows: weight: I −2.5 (2.3) kg versus C +0.2 (1.6) kg (), waist: I −3.6 (4.5) cm versus C −0.1 (3.6) cm (), and hip: I −5.0 (3.3) cm versus C −0.2 (2.6) cm (). There was clinical improvement in physical activity and eating behaviours and no significant changes in glucose metabolism or body composition.

Conclusion: A pedometer program and nutrition coaching proved effective in supporting weight loss, waist circumference, physical activity, and eating behaviours in women with previous GDM.
Keyword Endocrinology & Metabolism
Endocrinology & Metabolism
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Thu, 23 Oct 2014, 21:56:33 EST by Dr Fiona Bogossian on behalf of School of Nursing, Midwifery and Social Work