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

Details

• Alternative Title:
  Obstet Gynecol
• Personal Author:
  Nicklas, Jacinda M. ; Zera, Chloe A. ; England, Lucinda J. ; Rosner, Bernard A. ; Horton, Edward ; Levkoff, Sue E. ; Seely, Ellen W.
• 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.
  
  
• Subjects:
  Adult Article Behavior Therapy Body Mass Index Diabetes, Gestational Female Humans Life Style Obesity Postpartum Period Pregnancy Preventive Health Services Program Evaluation Risk Reduction Behavior Treatment Outcome Weight Gain

  More +
• Source:
  Obstet Gynecol. 124(3):563-570.
• Pubmed ID:
  25162257
• Pubmed Central ID:
  PMC4401073
• Document Type:
  Journal Article
• 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
• Volume:
  124
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:20c0c6419a859f3b2b66670c36a7b9eebdb0a4b8ecc01d0f730b12918f203a2022f06e518dc01eb63afc15c7e95715feaf2b47af83fb5d8e436823c50bee1f06
• Download URL:
  https://stacks.cdc.gov/view/cdc/34564/cdc_34564_DS1.pdf
• File Type:
  [PDF - 299.68 KB ]