The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes

O’Reilly, Sharleen; Versace, Vincent L.; Mohebbi, Mohammadreza; Lim, Siew; Janus, Edward; Dunbar, James

doi:10.1186/s12905-019-0788-0

Cited by 7 publications

(7 citation statements)

References 47 publications

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“…Of the single-sex studies, three of the eight women-only studies 19–21 concerned conditions from which biological males do not suffer, such as gestational diabetes and endometrial cancer. One single-sex female study, however, was related to breast cancer, 22 which affects both females and males.…”

Section: Resultsmentioning

confidence: 99%

Mind the Gap: Reporting and Analysis of Sex and Gender in Health Research in Australia, a Cross-Sectional Study

Merone

Tsey

Russell

et al. 2022

Women's Health Reports

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Introduction: Historically, medical studies have underrepresented female participants and most research data have been collected from males and generalized to other genders. This article aims to determine if there is a sex and/or gender gap in recent Australian health research. Methods: This descriptive cross-sectional study of the published literature examines recent Australian-based clinical trials for inclusion of sex and gender. Medians and interquartile ranges (IQRs) were calculated for study sample sizes and female:male representation. Proportion of sex and/or gender was analyzed by the clinical specialty of the trials. t -Tests were used to ascertain significance of any difference in recruitment of female and males. Results: A total of 88 articles were included in the analysis. Most studies ( n = 63) were randomized clinical controlled trials. Overall women constituted 55% (IQR 30% of all participants). Of the 71 mixed-sex studies, only 8.9% ( n = 7) analyzed the data by sex. Women were significantly underrepresented in cardiology and nephrology studies and overrepresented in psychiatry, care of the elderly, and orthopedic studies. Conclusions: When analyzed by specialty, women are overrepresented in specialties considered to be female patient dominated, such as psychiatry and care of the elderly, and underrepresented in specialties such as cardiology and nephrology. The overrepresentation of women in some specialties can reinforce gender stereotypes, potentially harming women. In addition, exclusion of males from these areas of research may be of disservice to men's health.

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Section: Resultsmentioning

confidence: 99%

Mind the Gap: Reporting and Analysis of Sex and Gender in Health Research in Australia, a Cross-Sectional Study

Merone

Tsey

Russell

et al. 2022

Women's Health Reports

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“…Women in the lifestyle intervention condition in the cluster randomised study of the Tianjin Gestational Diabetes Prevention Programweighed approximately 1 kg less at 12 months postpartum than women in the control condition suggesting potential long-term beneficial effects of modest weight loss [21]. O'Reilly et al had similar 1kg weight difference which is potentially significant for diabetes prevention but the poor participation rate reflected how challenging it was to get mothers in this cohort to participate in the first year following the birth of their child [2]. Given that only a select group of motivated volunteers engage in the randomized controlled trialsit is noteworthy that intervention effects on postpartum weight retention among women with GDM are higher in trials randomised at the individual level than cluster randomised trials [5,21,23].…”

Section: Theme 1 Weight Managementmentioning

confidence: 86%

“…Gestational diabetes mellitus (GDM) is a condition in which glucose intolerance is first recognized during pregnancy [1]. Pregnancies complicated with GDM increase the risk of caesarean section pre-eclampsia and macrosomia [2]. According to Zhu and Zhang in the long term GDM also increases the woman's risk of developing type 2 diabetes (T2DM) [3].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review on Prevention of Type 2 Diabetes Mellitus after Gestational Diabetes Mellitus

G Adams,

Shaw

2024

J Diabet Res Rev Rep

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Background: Women with prior gestational diabetes mellitus (GDM) have a high risk of developing type 2 diabetes mellitus (T2DM) in later life. Lifestyle interventions aimed at postpartum weight loss to reduce T2DM risk have been reported but poor compliance remains a barrier. Objectives: To assess what preventative measures reduce type 2 diabetes prevalence among women with previous gestational diabetes. Method: Search Strategy: Electronic databases CINAHL Web of Science PubMed and EMBASE were searched via the e-library gateway of the University of Nottingham using key words combined in a formal search strategy. Selection Criteria: Randomized Controlled Trials and Cluster Randomized Controlled Trials examining what preventative measures reduce type 2 diabetes prevalence among women with previous gestational diabetes were selected. Results: 14 studies were identified for inclusion in the review after a stringent criterion and their data was extracted using JBI data extraction tool. Three themes were identified across the 14 studies mainly: weight management healthy eating and medication and physical activities. Most interventions had positive outcomes however a few had no significant impact in the prevention of T2DM. Conclusion: The likelihood of developing diabetes is higher for women with a history of GDM, increases with a high BMI, high fasting glucose, impaired glucose tolerance, and elevated fasting glucose. This risk can be greatly reduced by making lifestyle adjustments or taking medication. The main risk factors that increase the risk of T2DM after GDM identified in this review were obesity, poor quality of diet and a sedentary lifestyle.

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“…Previous randomized controlled studies which applied lifestyle intervention for women with previous GDM examined the dietary change mainly via individual nutrient/food (e.g., carbohydrate, fat, vegetable) [ 38 , 39 , 40 ]. In MAGDA study, the Australian Recommended Food Score (ARFS) was used to measure comprehensive dietary quality [ 41 ]. In that study, a 6-month lifestyle intervention did not achieve significant changes in total ARFS at month 12, while that study only enrolled women within 12 months postpartum.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Lifestyle Intervention on Dietary Quality among Rural Women with Previous Gestational Diabetes Mellitus—A Randomized Controlled Study

Lin

Shi

et al. 2021

Nutrients

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Healthy diet is essential to type 2 diabetes mellitus (T2DM) prevention for women with previous gestational diabetes mellitus (GDM). To evaluate the effect of a lifestyle intervention program on diet quality for rural women who were previously diagnosed with GDM, we conducted a randomized controlled study in two counties located in south-central China. A total of 404 eligible women were allocated into an intervention group and control group. Participants in the intervention group received 6-month lifestyle intervention including six group seminars and eight telephone consultations. Dietary data were collected at baseline and 18 months via a 24 h dietary recall, and dietary quality was measured by two indicators, Chinese Healthy Eating Score (CHEI) and Minimum Dietary Diversity for Women (MDD-W). Baseline CHEI scores (54.4 vs. 53.5, p = 0.305) and the proportions of participants who met MDD-W (73.8% vs. 74.5%, p = 0.904) were comparable between the two groups. The intervention group achieved a higher CHEI score (62.2 vs. 58.9, p = 0.001) and higher MDD-W proportion (90.6% vs. 81.2%, p = 0.023) at 18 months. Lifestyle intervention was associated with the change of CHEI (p = 0.049) but not with MDD-W (p = 0.212). In conclusion, compared with usual care, lifestyle intervention resulted in greater improvement of dietary quality among rural women with previous GDM.

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The effect of a diabetes prevention program on dietary quality in women with previous gestational diabetes

Cited by 7 publications

References 47 publications

Mind the Gap: Reporting and Analysis of Sex and Gender in Health Research in Australia, a Cross-Sectional Study

Mind the Gap: Reporting and Analysis of Sex and Gender in Health Research in Australia, a Cross-Sectional Study

A Systematic Review on Prevention of Type 2 Diabetes Mellitus after Gestational Diabetes Mellitus

The Impact of Lifestyle Intervention on Dietary Quality among Rural Women with Previous Gestational Diabetes Mellitus—A Randomized Controlled Study

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