Beliefs, barriers, social support, and environmental influences related to diabetes risk behaviours among women with a history of gestational diabetes

Razee, Husna; Ploeg, Hidde P. van der; Blignault, Ilse; Smith, Ben J.; Bauman, Adrian; McLean, Mark; Cheung, N. Wah

doi:10.1071/he10130

Cited by 77 publications

(109 citation statements)

References 22 publications

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“…This study, in agreement with others [11,14,10,18], found that the overseas-bornwomen experienced additional barriers; lack of partner, family and social support resulting in isolation and stress, and diverse cultural preferences and expectations.…”

Section: Discussionsupporting

confidence: 80%

“…These studies reported barriers such as lack of assistance with childcare, mental distress, low partner and social support, resulting in poor compliance with the healthy lifestyle following childbirth [10,11,14].…”

Section: Introductionmentioning

confidence: 99%

“…The healthy diet and physical activity (referred to as a healthy-lifestyle) is recommended for the duration of pregnancy, after childbirth [9] and for the rest of their lives due to their increased T2D risk. Evidence shows that many women follow a healthy lifestyle during pregnancy, but fail to continue after childbirth [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

et al. 2017

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms 1 Barriers to a healthy lifestyle post gestational-diabetes: an Australian qualitative study. 2 AbstractBackground: Overseas-born-women from certain ethnicities are at high risk of type-2 diabetes and related metabolic disorders. This study explored the barriers and facilitators to long-term healthy lifestyle recommendations among Australian-born and overseas-born-women who attended health promotion sessions at a tertiary Australian Hospital for gestational diabetes 3-4 years previously.Method; Face-to-face semi-structured interviews were conducted. Data were analyzed to identify major themes and the differing experiences of both groups of women. Conclusion.A better understanding of the barriers to healthy lifestyle by women in their everyday lives will assist in the development of culturally appropriate health promotion guidelines and strategies. Constant un-fragmented postnatal engagement by the specialised diabetes clinics and primary health care services is crucial to sustain the healthy lifestyle in the long-term for women with previous gestational-diabetes.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

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Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

et al. 2017

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“…The use of dietary modifications to support weight loss has been used extensively to treat obesity world-wide, and in high risk populations such as women previously diagnosed with GDM (15, 27, 87, 95). As previously described, women diagnosed with GDM adhere to suggested dietary modification during their pregnancy generally well, although it has also been suggested that this is due to concern for their baby and the wish for an uncomplicated pregnancy, rather than long term life changes (23,85). Overall, participants received the nutrition coaching sessions positively, with most attending at three out of four sessions.…”

Section: Summary Of Key Findingsmentioning

confidence: 83%

“…Moreover, the women in this study were predominately caucasian, and in their mid-thirties, and thus these results may not apply to women of other ages or racial/ethnic groups. Younger women may have lower perceptions of risk and less motivation to alter behaviour (54,84), and women of other races/ethnicities may have different perceptions and understanding of lifestyle changes required to decrease their risk of developing T2DM (85).…”

Section: Limitationsmentioning

confidence: 99%

A mixed methods study of interventions and experiences to prevent type 2 diabetes mellitus following gestational diabetes mellitus

Peacock¹

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Background: The prevalence of Gestational Diabetes Mellitus (GDM) is increasing globally and the link between GDM, obesity and the development of Type 2 Diabetes Mellitus (T2DM) in later life is increasingly recognised by international health authorities. Previous research suggests that strategies aimed at postpartum women and designed to promote weight loss through increased physical activity and dietary modifications may be feasible. However, recruitment and engagement of this cohort has met with differing success. Development of an evidence-based program that encourages behaviour modification resulting in weight loss may delay or prevent T2DM in this cohort. Method: Following a review of the literature, a mixed method approach was employed. A randomised controlled trial (RCT) of a behaviour modification intervention (which combined a pedometer web-based program with nutrition coaching) was conducted over a three month period. The primary outcome for the RCT was weight loss, and secondary outcomes included; improved insulin sensitivity, increased physical activity, improved diet quality and self-efficacy, decreased waist and hip measurements, and a decreased Free Fat Mass (FFM).Qualitative data collected through semi structured interviews conducted after the intervention, were thematically analysed to examine the women's experiences of the intervention, barriers and enablers to participation, and to identify T2DM risk perceptions.Sample: Women with a BMI >25kg/m 2 , previously diagnosed with GDM were invited to participate six months (up to two years) postpartum.

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Changing psychosocial determinants of physical activity and diet in women with a history of gestational diabetes mellitus

Jelsma¹,

Poppel

Smith

et al. 2017

Diabetes Metabolism Res

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Beliefs, barriers, social support, and environmental influences related to diabetes risk behaviours among women with a history of gestational diabetes

Abstract: Women's ability to follow a healthy lifestyle is embedded in their psychological wellbeing and the social and cultural context of their lives. The study highlights the need for a holistic approach that ensures personal support and access to services as well as lifestyle specific programs.

Cited by 77 publications

References 22 publications

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

A mixed methods study of interventions and experiences to prevent type 2 diabetes mellitus following gestational diabetes mellitus

Changing psychosocial determinants of physical activity and diet in women with a history of gestational diabetes mellitus

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