Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes

Optimal strategies to prevent progression towards overt diabetes in women with recent gestational diabetes remain ill defined. We report a pilot study of a convenient, home based exercise program with telephone support, suited to the early post-partum period. Twenty eight women with recent gestation...

Full description

Saved in:
Bibliographic Details
Main Authors: Harold David McIntyre, Ann Peacock, Yvette D. Miller, Denise Koh, Alison L. Marshall
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/892019
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849387041053212672
author Harold David McIntyre
Ann Peacock
Yvette D. Miller
Denise Koh
Alison L. Marshall
author_facet Harold David McIntyre
Ann Peacock
Yvette D. Miller
Denise Koh
Alison L. Marshall
author_sort Harold David McIntyre
collection DOAJ
description Optimal strategies to prevent progression towards overt diabetes in women with recent gestational diabetes remain ill defined. We report a pilot study of a convenient, home based exercise program with telephone support, suited to the early post-partum period. Twenty eight women with recent gestational diabetes were enrolled at six weeks post-partum into a 12 week randomised controlled trial of Usual Care (n=13) versus Supported Care (individualised exercise program with regular telephone support; n=15). Baseline characteristics (Mean ± SD) were: Age  33±4  years; Weight 80 ± 20 kg and Body Mass Index (BMI) 30.0±9.7 kg/m2. The primary outcome, planned physical activity {Median (Range)}, increased by 60 (0–540) mins/week in the SC group versus 0 (0–580) mins/week in the UC group (P=0.234). Walking was the predominant physical activity. Body weight, BMI, waist circumference, % body fat, fasting glucose and insulin did not change significantly over time in either group. This intervention designed to increase physical activity in post-partum women with previous gestational diabetes proved feasible. However, no measurable improvement in metabolic or biometric parameters was observed over a three month period.
format Article
id doaj-art-06fc5de73ecb4cbcab8372464b403650
institution Kabale University
issn 1687-8337
1687-8345
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series International Journal of Endocrinology
spelling doaj-art-06fc5de73ecb4cbcab8372464b4036502025-08-20T03:55:23ZengWileyInternational Journal of Endocrinology1687-83371687-83452012-01-01201210.1155/2012/892019892019Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational DiabetesHarold David McIntyre0Ann Peacock1Yvette D. Miller2Denise Koh3Alison L. Marshall4The University of Queensland, St. Lucia, QLD 4072, AustraliaThe University of Queensland, St. Lucia, QLD 4072, AustraliaThe University of Queensland, St. Lucia, QLD 4072, AustraliaThe National University of Malaysia, Bangi, 43600 Selangor, MalaysiaQueensland University of Technology, Brisbane, QLD 4001, AustraliaOptimal strategies to prevent progression towards overt diabetes in women with recent gestational diabetes remain ill defined. We report a pilot study of a convenient, home based exercise program with telephone support, suited to the early post-partum period. Twenty eight women with recent gestational diabetes were enrolled at six weeks post-partum into a 12 week randomised controlled trial of Usual Care (n=13) versus Supported Care (individualised exercise program with regular telephone support; n=15). Baseline characteristics (Mean ± SD) were: Age  33±4  years; Weight 80 ± 20 kg and Body Mass Index (BMI) 30.0±9.7 kg/m2. The primary outcome, planned physical activity {Median (Range)}, increased by 60 (0–540) mins/week in the SC group versus 0 (0–580) mins/week in the UC group (P=0.234). Walking was the predominant physical activity. Body weight, BMI, waist circumference, % body fat, fasting glucose and insulin did not change significantly over time in either group. This intervention designed to increase physical activity in post-partum women with previous gestational diabetes proved feasible. However, no measurable improvement in metabolic or biometric parameters was observed over a three month period.http://dx.doi.org/10.1155/2012/892019
spellingShingle Harold David McIntyre
Ann Peacock
Yvette D. Miller
Denise Koh
Alison L. Marshall
Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes
International Journal of Endocrinology
title Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes
title_full Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes
title_fullStr Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes
title_full_unstemmed Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes
title_short Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes
title_sort pilot study of an individualised early postpartum intervention to increase physical activity in women with previous gestational diabetes
url http://dx.doi.org/10.1155/2012/892019
work_keys_str_mv AT harolddavidmcintyre pilotstudyofanindividualisedearlypostpartuminterventiontoincreasephysicalactivityinwomenwithpreviousgestationaldiabetes
AT annpeacock pilotstudyofanindividualisedearlypostpartuminterventiontoincreasephysicalactivityinwomenwithpreviousgestationaldiabetes
AT yvettedmiller pilotstudyofanindividualisedearlypostpartuminterventiontoincreasephysicalactivityinwomenwithpreviousgestationaldiabetes
AT denisekoh pilotstudyofanindividualisedearlypostpartuminterventiontoincreasephysicalactivityinwomenwithpreviousgestationaldiabetes
AT alisonlmarshall pilotstudyofanindividualisedearlypostpartuminterventiontoincreasephysicalactivityinwomenwithpreviousgestationaldiabetes