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Lifestyle intervention programme for Indian women with history of gestational diabetes mellitus

  • Deksha Kapoor (a1), Yashdeep Gupta (a1), Ankush Desai (a2), Devarsetty Praveen (a3), Rohina Joshi (a4), Roya Rozati (a5), Neerja Bhatla (a6), Dorairaj Prabhakaran (a7), Prasuna Reddy (a8), Anushka Patel (a4) and Nikhil Tandon (a1)...

Abstract

Aim

To evaluate the feasibility and potential effectiveness of a lifestyle intervention (diet and physical activity) among women with history of gestational diabetes mellitus (GDM), delivered by trained facilitators.

Methods

Fifty-six normoglycaemic or prediabetic women with prior GDM were recruited at mean of 17 months postpartum. Socio-demographic, medical and anthropometric data were collected. Six sessions on lifestyle modification were delivered in groups (total four groups, with 12–15 women in each group). Pre and post intervention (6 months) weight, body mass index (BMI), waist circumference, 75 g oral glucose tolerance test, blood pressure (BP) and lipid parameters were compared.

Results

The intervention was feasible, with 80% of women attending four or more sessions. Post-intervention analyses showed a significant mean reduction of 1.8 kg in weight, 0.6 kg/m2 in BMI and 2 cm in waist circumference. There was also a significant drop of 0.3 mmol/L in fasting plasma glucose, 0.9 mmol/L in 2 h post glucose load value of plasma glucose, 3.6 mmHg in systolic BP, and 0.15 mmol/L in triglyceride levels. Changes in total cholesterol, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol and diastolic BP were non-significant.

Conclusions

This study showed feasibility of the lifestyle intervention delivered in group sessions to women with prior gestational diabetes.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.

Corresponding author

Author for correspondence: Nikhil Tandon, E-mail: nikhil_tandon@hotmail.com

References

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Global Health, Epidemiology and Genomics
  • ISSN: -
  • EISSN: 2054-4200
  • URL: /core/journals/global-health-epidemiology-and-genomics
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