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Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes.
Cheung, Ngai Wah; Simmons, David; Marschner, Simone; Thiagalingam, Aravinda; Pasupathy, Dharmintra; Smith, Ben J; Flood, Victoria; McLean, Mark; Melov, Sarah J; Hogan, Roslyn; Padmanabhan, Suja; Duke, Anna; Ching, Cellina; Min, Haeri; McNab, Justin; Chow, Clara K.
Afiliación
  • Cheung NW; Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
  • Simmons D; Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, NSW 2145, Australia.
  • Marschner S; Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
  • Thiagalingam A; Macarthur Diabetes Service, Campbelltown Hospital, Campbelltown, NSW 2560, Australia.
  • Pasupathy D; School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia.
  • Smith BJ; Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
  • Flood V; Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
  • McLean M; Department of Cardiology, Westmead Hospital, Sydney, NSW 2145, Australia.
  • Melov SJ; Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
  • Hogan R; Westmead Institute for Maternal & Fetal Medicine, Women's & Newborn Health, Westmead Hospital, Sydney, NSW 2145, Australia.
  • Padmanabhan S; Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
  • Duke A; Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia.
  • Ching C; Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
  • Min H; The University Centre for Rural Health, Northern Rivers, Faculty of Medicine and Health, The University of Sydney, Lismore, NSW 2480, Australia.
  • McNab J; Department of Diabetes and Endocrinology, Blacktown Hospital, Blacktown, NSW 2148, Australia.
  • Chow CK; Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
Nutrients ; 16(6)2024 Mar 13.
Article en En | MEDLINE | ID: mdl-38542731
ABSTRACT
Gestational diabetes (GDM) is associated with a long-term risk of diabetes. We aimed to determine whether a text-messaging-based lifestyle support program would improve diabetes risk factors following GDM. Women with GDM were randomised following delivery to receive four text messages per week supporting a healthy lifestyle and parenting for 6 months, with feedback from an activity monitor (intervention), or to receive the activity monitor only (control). The primary outcome was a composite of weight, physical activity and dietary goals. There were 177 women randomised, with 88 intervention and 89 control participants. All the participants experienced COVID-19 lockdowns during the study. Six-month primary outcome data were obtained for 57 intervention participants and 56 controls. There were 7/57 (12%) intervention and 6/56 (11%) control participants who met the primary outcome (relative risk, 1.08; 95%CI, 0.63-1.85; p = 0.79). Two intervention participants met the dietary goals compared to none of the control participants (p = NS). The intervention participants were more likely to record >1000 steps/day (on 102 ± 59 vs. 81 ± 59 days, p = 0.03). When analysed monthly, this was not initially different but became significant 3-6 months post-partum. Interviews and surveys indicated that with the Intervention, healthier choices were made, but these were negatively impacted by COVID-19 restrictions. Participants found the messages motivational (74%) and the activity monitor useful (71%). In conclusion, no improvement in the diabetes risk factors occurred among the women receiving the text messaging intervention when affected by COVID-19 restrictions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Gestacional / Envío de Mensajes de Texto / COVID-19 Límite: Female / Humans / Pregnancy Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diabetes Gestacional / Envío de Mensajes de Texto / COVID-19 Límite: Female / Humans / Pregnancy Idioma: En Revista: Nutrients Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Suiza