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Title: | Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes |
Authors: | Cheung, Ngai Wah;Simmons, D.;Marschner, S.;Thiagalingam, Aravinda;Pasupathy, Dharmintra;Smith, B. J.;Flood, V.;McLean, Mark;Melov, Sarah J.;Hogan, Roslyn;Padmanabhan, Suja;Duke, Anna;Ching, Cellina;Min, Haeri;McNab, J.;Chow, Clara K. |
WSLHD Author: | Cheung, Ngai Wah;Thiagalingam, Aravinda;Pasupathy, Dharmintra;McLean, Mark;Melov, Sarah J.;Hogan, Roslyn;Padmanabhan, Suja;Duke, Anna;Ching, Cellina;Min, Haeri;Chow, Clara K. |
Subjects: | Pregnancy;Diabetes, Gestational;Text Messaging;Life Style;Risk Factors;COVID-19 |
Issue Date: | 2024 |
Citation: | Nutrients 16(6):13, 2024 |
Abstract: | Gestational diabetes (GDM) is associated with a long-term risk of diabetes. We aimed to determine whether a text-messaging-based lifestyle support program would improve diabetes risk factors following GDM. Women with GDM were randomised following delivery to receive four text messages per week supporting a healthy lifestyle and parenting for 6 months, with feedback from an activity monitor (intervention), or to receive the activity monitor only (control). The primary outcome was a composite of weight, physical activity and dietary goals. There were 177 women randomised, with 88 intervention and 89 control participants. All the participants experienced COVID-19 lockdowns during the study. Six-month primary outcome data were obtained for 57 intervention participants and 56 controls. There were 7/57 (12%) intervention and 6/56 (11%) control participants who met the primary outcome (relative risk, 1.08; 95%CI, 0.63-1.85; p = 0.79). Two intervention participants met the dietary goals compared to none of the control participants (p = NS). The intervention participants were more likely to record >1000 steps/day (on 102 +/- 59 vs. 81 +/- 59 days, p = 0.03). When analysed monthly, this was not initially different but became significant 3-6 months post-partum. Interviews and surveys indicated that with the Intervention, healthier choices were made, but these were negatively impacted by COVID-19 restrictions. Participants found the messages motivational (74%) and the activity monitor useful (71%). In conclusion, no improvement in the diabetes risk factors occurred among the women receiving the text messaging intervention when affected by COVID-19 restrictions. |
URI: | https://wslhd.intersearch.com.au/wslhdjspui/handle/1/9565 |
DOI: | https://dx.doi.org/10.3390/nu16060820 |
Journal: | Nutrients |
Type: | Journal Article |
Study or Trial: | Randomized Controlled Trial |
Department: | Diabetes and Endocrinology Cardiology Women's & Newborn Health |
Facility: | Blacktown Westmead |
Keywords: | Women's & Newborn Health Diabetes and Endocrinology Cardiology |
Appears in Collections: | Blacktown Mount Druitt Hospital |
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