"Post-GDM support would be really good for mothers": A qualitative interview study exploring how to support a healthy diet and physical activity after gestational diabetes.
"Post-GDM support would be really good for mothers": A qualitative interview study exploring how to support a healthy diet and physical activity after gestational diabetes.
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DOI：
10.1371/journal.pone.0262852
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Meek CL
中科院分区：
文献类型：
--
作者：
Dennison RA;Griffin SJ;Usher-Smith JA;Fox RA;Aiken CE;Meek CL
有妊娠期糖尿病（GDM）病史的女性患2型糖尿病（T2 DM）的风险很高。因此，建议他们遵循健康的饮食，并进行体育活动，以减少这种风险。然而，在产后期间实现和保持这些行为是具有挑战性的。本研究旨在探讨女性对实现和保持健康饮食和体育活动以降低T2 DM风险的实用方法的看法。在GDM后3 ~ 48个月，在英国剑桥郡对20名参与者进行了半结构化访谈。讨论了参与者目前的饮食和身体活动，任何改变的意图，以及通过这些行为帮助管理T2 DM风险的潜在干预措施的观点。框架分析被用来分析成绩单。访谈时间表，建议的干预措施，和主题框架的基础上，最近的系统审查。大多数参与者希望吃得更健康，更活跃。三分之一的参与者认为，产后对这些行为的支持将是变革性的，三分之一的人认为这将是有益的，三分之一的人不想要额外的支持。大多数人同意，更多关于饮食和体育活动对糖尿病风险的影响的信息，支持与他人一起锻炼，以及关于健康饮食的建议，在忙碌的时间表中锻炼，监测进展和持续变化将促进健康的饮食和体育活动。其他四项建议的干预措施得到了不同的反应。在整个怀孕期间和产后通过一系列形式提供这种支持是可以接受的。临床医生被认为在给予或指示支持方面发挥着重要作用。许多妇女希望得到更多的支持，以降低GDM后的T2 DM风险，并相信将各种干预措施融入日常生活将有助于她们维持更健康的生活方式。
Women with a history of gestational diabetes mellitus (GDM) are at high risk of developing type 2 diabetes mellitus (T2DM). They are therefore recommended to follow a healthy diet and be physically active in order to reduce that risk. However, achieving and maintaining these behaviours in the postpartum period is challenging. This study sought to explore women’s views on suggested practical approaches to achieve and maintain a healthy diet and physical activity to reduce T2DM risk. Semi-structured interviews with 20 participants in Cambridgeshire, UK were conducted at three to 48 months after GDM. The participants’ current diet and physical activity, intentions for any changes, and views on potential interventions to help manage T2DM risk through these behaviours were discussed. Framework analysis was used to analyse the transcripts. The interview schedule, suggested interventions, and thematic framework were based on a recent systematic review. Most of the participants wanted to eat more healthily and be more active. A third of the participants considered that postpartum support for these behaviours would be transformative, a third thought it would be beneficial, and a third did not want additional support. The majority agreed that more information about the impact of diet and physical activity on diabetes risk, support to exercise with others, and advice about eating healthily, exercising with a busy schedule, monitoring progress and sustaining changes would facilitate a healthy diet and physical activity. Four other suggested interventions received mixed responses. It would be acceptable for this support to be delivered throughout pregnancy and postpartum through a range of formats. Clinicians were seen to have important roles in giving or signposting to support. Many women would appreciate more support to reduce their T2DM risk after GDM and believe that a variety of interventions to integrate changes into their daily lives would help them to sustain healthier lifestyles.
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