A web-based pedometer programme in women with a recent history of gestational diabetes.
A web-based pedometer programme in women with a recent history of gestational diabetes.
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DOI：
10.1111/j.1464-5491.2011.03415.x
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发表时间：
2012-02
期刊：
影响因子：
--
通讯作者：
Richardson CR
中科院分区：
文献类型：
--
作者：
Kim C;Draska M;Hess ML;Wilson EJ;Richardson CR
有远期妊娠期糖尿病(GDM)病史的妇女可以通过改变生活方式来降低患糖尿病的风险，但对有较近妊娠期糖尿病病史的妇女进行干预的有效性尚未见报道。因此，我们进行了一项针对新近患有妊娠期糖尿病的女性的低强度网络计步器计划的试点研究。过去3年内分娩过妊娠期糖尿病的妇女被随机分为13周的干预，干预包括结构化的基于网络的计步器计划，该计划提供个性化的每周步数目标、计步器和关于改变生活方式的教育，而不是关于降低糖尿病风险和分娩后GDM筛查的信件(对照条件)。主要观察指标为基线和13周随访期间空腹血糖(FPG)和75克口服葡萄糖耐量试验(OGTT)2小时血糖水平的变化。体重是次要结果，行为结构(自我效能、社会支持、风险感知)也被评估。49名女性参加了这项研究。在13周的随访中，与对照组相比，随机接受干预的女性在行为结构、体力活动或人体测量学方面没有显著变化。空腹血糖变化(−为0.046 mmoL/lvs.对照组和干预组的血糖值(−为0.038.48 mmo1/L，−为0.42 mmo1/L，p=0.91)和体重(−为0.14 kg，−为1.5 kg，p=0.13)与对照组相似。利用计量学的结构化网络教育是可行的，尽管使用率可能较低。这些计划可能需要补充额外的措施，才能有效地降低糖尿病风险。
Women with remote histories of gestational diabetes mellitus (GDM) can reduce their diabetes risk through lifestyle changes, but the effectiveness of interventions in women with more recent histories of GDM has not been reported. Therefore, we conducted a pilot study of a low-intensity web-based pedometer program targeting glucose intolerance among women with recent GDM. Women with a GDM delivery within the past 3 years were randomized to a 13-week intervention consisting of a structured web-based pedometer program which gave personalized steps-per-week goals, pedometers, and education regarding lifestyle modification vs. a letter about diabetes risk reduction and screening after delivery for GDM (control condition). The main outcome measures were change in fasting plasma glucose (FPG) and 2-hour glucose levels on a 75-gram oral glucose tolerance test (OGTT) between baseline and 13-week follow-up. Weight was a secondary outcome and behavioural constructs (self-efficacy, social support, risk perception) were also assessed. Forty-nine women were enrolled. At 13 week follow-up, women randomized to the intervention did not have significant changesin behavioural constructs, physical activity, or anthropometrics compared to women in the control group. Changes in FPG(−0.046 mmol/lvs. 0.038 mmol/l, p=0.65), 2-hour glucose values (−0.48 mmol/l vs. −0.42 mmol/l, p=0.91)and weight (−0.14 kg vs. −1.5 kg, p=0.13)were similar between the control and intervention groups, respectively. Structured web-based education utilizing pedometersis feasible although uptake may be low. Such programs may need to be supplemented with additional measures in order to be effective for reduction of diabetes risk.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
DOI：
10.1186/1479-5868-4-59
发表时间：
2007-11-16
影响因子：
8.7
作者：
Richardson, Caroline R.;Mehari, Kathleen S.;Piette, John D.
通讯作者：
Piette, John D.
影响因子：
3.5
作者：
Bennett, Wendy L.;Ennen, Christopher S.;Clark, Jeanne M.
通讯作者：
Clark, Jeanne M.
影响因子：
16.2
作者：
Kim, Catherine;McEwen, Laura N.;Walker, Elizabeth A.
通讯作者：
Walker, Elizabeth A.
影响因子：
16.2
作者：
Yates T;Davies M;Gorely T;Bull F;Khunti K
通讯作者：
Khunti K