A Web-Based Lifestyle Intervention for Women With Recent Gestational Diabetes Mellitus: A Randomized Controlled Trial

Nicklas, Jacinda M.; Zera, Chloe A.; England, Lucinda J.; Rosner, Bernard A.; Horton, Edward; Levkoff, Sue E.; Seely, Ellen W.

doi:10.1097/AOG.0000000000000420

Back to Previous Page

- Add this to...
- Twitter
- Facebook
- Google Bookmarks
- LinkedIn

A Web-Based Lifestyle Intervention for Women With Recent Gestational Diabetes Mellitus: A Randomized Controlled Trial

Published Date:

Sep 2014

Publisher's site:

http://dx.doi.org/10.1097/AOG.0000000000000420 New Site Icon

Source:

Obstet Gynecol. 124(3):563-570.

[PDF-299.68 KB]

Details:

Personal Authors:

Nicklas, Jacinda M. ; Zera, Chloe A. ; England, Lucinda J. ; Rosner, Bernard A. ; Horton, Edward ; ... More ▼

Keywords:

[+]

Pubmed ID:

25162257

Pubmed Central ID:

PMC4401073

Description:

Objective

To test the feasibility and effectiveness of a web-based lifestyle intervention based on the Diabetes Prevention Program modified for women with recent gestational diabetes mellitus (GDM) to reduce postpartum weight retention.

Methods

We randomly allocated 75 women with recent GDM to either a web-based lifestyle program (Balance after Baby) delivered over the first postpartum year or to a control group. Primary outcomes were change in body weight at 12 months from 1) first postpartum measured weight, and 2) self-reported prepregnancy weight.

Results

There were no significant differences in baseline characteristics between groups including age, BMI, race and income status. Women assigned to the Balance after Baby program (n=36, 3 lost to follow-up) lost a mean of 2.8 kgs (95% CI −4.8 to −0.7) from 6 weeks to 12 months postpartum while the control group (n=39, 1 lost to follow-up) gained a mean of 0.5 kgs (−1.4 to +2.4) (p=0.022). Women in the intervention were closer to prepregnancy weight at 12 months postpartum (mean change −0.7 kgs; −3.5 to +2.2), compared to women in the control arm (+4.0 kgs; +1.3 to +6.8) (p=0.035).

Conclusion

A web-based lifestyle modification program for women with recent GDM decreased postpartum weight retention.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

1000746693/Intramural CDC HHS/United States
9K24HL096141/HL/NHLBI NIH HHS/United States
K12 HD057022/HD/NICHD NIH HHS/United States
K24 HL096141/HL/NHLBI NIH HHS/United States
MM-1094-09/09/PHS HHS/United States
T32 AT000051/AT/NCCIH NIH HHS/United States
T32AT000051/AT/NCCIH NIH HHS/United States

Main Document Checksum:

[+]

Supporting Files:

	nihms610521.nxml	text/plain
	nihms610521f1.gif	image/gif
	nihms610521f1.jpg	image/jpeg
	nihms610521f2.gif	image/gif
	nihms610521f2.jpg	image/jpeg

No Related Documents.

You May Also Like:

Association Between Changes in Postpartum Weight and Waist Circumference and Changes in Cardiometabolic Risk Factors Among Women With Recent Gestational Diabetes

Personal Author:

Nicklas, Jacinda M.; Rosner, Bernard A.; Zera, Chloe A.; Seely, Ellen W.;

Published:

April 18 2019

Source:

Prev Chronic Dis. 16

Description:

Introduction : Women with gestational diabetes mellitus (GDM) have a 30% to 70% risk for developing type 2 diabetes and are at increased risk for cardiovascular disease. Little is known about how anthropometric changes in the first postpartum year mo...

File Type:

[PDF - 428.99 KB]
Diabetes During Pregnancy: Surveillance, Preconception Care, and Postpartum Care

Personal Author:

Kim, Shin Y.; Deputy, Nicholas P.; Robbins, Cheryl L.;

Published:

May 01 2018

Source:

J Womens Health (Larchmt). 27(5):536-541

Description:

Diabetes during pregnancy can adversely affect the health of women and infants. In this report, we provide an overview of the state of the science, and highlight Centers for Disease Control and Prevention (CDC) activities related to (1) surveillance ...

File Type:

[PDF - 61.26 KB]
Health-Plan and Employer-Based Wellness Programs to Reduce Diabetes Risk: The Kaiser Permanente Northern California NEXT-D Study

Personal Author:

Schmittdiel, Julie A.; Brown, Susan D.; Neugebauer, Romain; Adams, Sara R.; Adams, Alyce S.; Wiley, Deanne; Ferrara, Assiamira;

Published:

2013

Source:

Prev Chronic Dis. 10.

Description:

Primary prevention of diabetes is increasingly recognized by both health plans and employers as an important strategy to improve the health of insured populations. As a part of the Natural Experiments in Translation for Diabetes (NEXT-D) network, the...

File Type:

[PDF - 151.38 KB]
Postpartum Screening for Diabetes Among Women With a History of Gestational Diabetes Mellitus

Personal Author:

Tovar, Alison; Chasan-Taber, Lisa; Eggleston, Emma; Oken, Emily;

Published:

Oct 17 2011

Source:

Prev Chronic Dis. 2011; 8(6).

Description:

Introduction : To make recommendations for future clinical, public health, and research practices for women with abnormal glucose tolerance during pregnancy, we reviewed the latest evidence regarding rates of postpartum diabetes screening and types o...

File Type:

[PDF - 582.03 KB]
Using a RE-AIM framework to identify promising practices in National Diabetes Prevention Program implementation

Personal Author:

Nhim, Kunthea; Gruss, Stephanie M.; Porterfield, Deborah S.; Jacobs, Sara; Elkins, Wendi; Luman, Elizabeth T.; Van Aacken, Susan; Schumacher, Patricia; Albright, Ann;

Published:

August 14 2019

Source:

Implement Sci. 14

Description:

Background : The National Diabetes Prevention Program (National DPP) is rapidly expanding in an effort to help those at high risk of type 2 diabetes prevent or delay the disease. In 2012, the Centers for Disease Control and Prevention funded six nati...

File Type:

[PDF - 792.87 KB]