Judith G M Jelsma1, Mireille N M van Poppel1,2, Ben J Smith3, Nancy Cinnadaio4, Adrian Bauman5, Linda Tapsell4, N Wah Cheung6, Hidde P van der Ploeg1,5. 1. Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center Amsterdam, The Netherlands. 2. Institute of Sport Science, University of Graz, Graz, Austria. 3. School of Public Health and Preventive Medicine, Monash University, Victoria, Australia. 4. School of Medicine, IIlawarra Health and Medical Research Institute, University of Wollongong, New South Wales, Australia. 5. Sydney School of Public Health, University of Sydney, New South Wales, Australia. 6. Department of Diabetes and Endocrinology, Westmead Hospital, New South Wales, Australia.
Abstract
BACKGROUND: To investigate how a behavioural lifestyle intervention influences psychosocial determinants of physical activity and dietary behaviours in a population at risk of type 2 diabetes (T2DM). METHODS:Fifty-nine women with a body mass index of ≥25 kg/m2 and a history of gestational diabetes mellitus (GDM) participated in a randomized controlled study. The intervention group (n = 29) received 2 face-to-face and 5 telephone lifestyle-counselling sessions with a health professional. The control group (n = 30) received care as usual. At baseline and 6 months, psychosocial determinants related to physical activity and diet were measured with a self-administrated questionnaire. Linear regression analyses were applied to test for intervention effects. RESULTS: The intervention was effective in improving social support (β = 3.5, P < 0.001; β = 2.1, P = 0.02), modifying self-efficacy (β = -2.2, P = 0.02; β = -4.3, P < 0.001), and reducing barriers (β = -3.5, P = 0.01; β = -3.8, P = 0.01) for, respectively, physical activity and diet from baseline to 6-month follow-up in the intervention group compared with the control group. The intervention reduced the following barriers to a physically active lifestyle: lack of energy and lack of motivation. Physical activity barriers like lack of time and lack of childcare were unchanged. The intervention reduced the following barriers to a healthy diet: lack of time, costs, having unhealthy snacks at home, and having cravings for sweets. CONCLUSION: This lifestyle intervention influenced psychosocial determinants relevant for overweight women with a history of gestational diabetes mellitus (GDM) in prevention of T2DM.
RCT Entities:
BACKGROUND: To investigate how a behavioural lifestyle intervention influences psychosocial determinants of physical activity and dietary behaviours in a population at risk of type 2 diabetes (T2DM). METHODS: Fifty-nine women with a body mass index of ≥25 kg/m2 and a history of gestational diabetes mellitus (GDM) participated in a randomized controlled study. The intervention group (n = 29) received 2 face-to-face and 5 telephone lifestyle-counselling sessions with a health professional. The control group (n = 30) received care as usual. At baseline and 6 months, psychosocial determinants related to physical activity and diet were measured with a self-administrated questionnaire. Linear regression analyses were applied to test for intervention effects. RESULTS: The intervention was effective in improving social support (β = 3.5, P < 0.001; β = 2.1, P = 0.02), modifying self-efficacy (β = -2.2, P = 0.02; β = -4.3, P < 0.001), and reducing barriers (β = -3.5, P = 0.01; β = -3.8, P = 0.01) for, respectively, physical activity and diet from baseline to 6-month follow-up in the intervention group compared with the control group. The intervention reduced the following barriers to a physically active lifestyle: lack of energy and lack of motivation. Physical activity barriers like lack of time and lack of childcare were unchanged. The intervention reduced the following barriers to a healthy diet: lack of time, costs, having unhealthy snacks at home, and having cravings for sweets. CONCLUSION: This lifestyle intervention influenced psychosocial determinants relevant for overweight women with a history of gestational diabetes mellitus (GDM) in prevention of T2DM.
Authors: Pâmella Goveia; Wilson Cañon-Montañez; Danilo de Paula Santos; Gabriela W Lopes; Ronald C W Ma; Bruce B Duncan; Patricia K Ziegelman; Maria Inês Schmidt Journal: Front Endocrinol (Lausanne) Date: 2018-10-05 Impact factor: 5.555
Authors: Megan E Rollo; Jennifer N Baldwin; Melinda Hutchesson; Elroy J Aguiar; Katie Wynne; Ashley Young; Robin Callister; Rebecca Haslam; Clare E Collins Journal: Int J Environ Res Public Health Date: 2020-09-28 Impact factor: 3.390