Abstract
Objectives To evaluate lifestyle change outcomes among women with and without a history of gestational diabetes mellitus (GDM) enrolled in the Montana Diabetes Prevention Program (DPP). Methods Participation, self-monitoring behavior, weight loss, and cardiometabolic risk reduction were compared among 5091 women at high-risk for type 2 diabetes, with and without a history of GDM, enrolled in the Montana DPP between 2008 and 2015. Results Women with a history of GDM (6% of enrolled women, n = 283) were significantly younger than women without GDM. No significant differences in participation, self-monitoring fat intake, achievement of the physical activity goal, or weight loss were found among women with and without a history of GDM. Overall, women lost an average of 5.0 kg (± 6.5), and 45 and 29% of women achieved 5 and 7% weight loss, respectively. Both groups lost significant and comparable amounts of weight. After adjusting for age and other factors, no differences were found in achievement of ≥ 5% weight loss (AOR 0.84; 95% CI 0.61–1.16) or the ≥ 7% weight loss goal (AOR 1.04; 95% CI 0.73–1.47) among women with and without a history of GDM. Conclusions for Practice Our findings suggest that women with and without a history of GDM successfully participate in and achieve significant weight loss in the DPP. Health care providers should identify and refer women with risk factors for type 2 diabetes, including a history of GDM, to a DPP within their community.
Original language | English |
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Pages (from-to) | 529-537 |
Number of pages | 9 |
Journal | Maternal and Child Health Journal |
Volume | 22 |
Issue number | 4 |
DOIs | |
State | Published - Apr 1 2018 |
Funding
Acknowledgements The authors would like to thank current and former staff from the Montana Diabetes Program (Helena, Montana) who supported this project, especially: Helen Amundson, RN, BSN, CDE; Diane Arave, BS; Susan Day, AS; Taryn Hall, PhD, MPH; Jessie Fer-nandes, MPH, CPH; Sonja Tysk, MS; Karl Vanderwood, PhD, MPH; and Shea Vogl, BAHS. This publication was supported by the State of Montana and Cooperative Agreement Number, NU58DP004818, funded by the Centers for Disease Control and Prevention. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or the Department of Health and Human Services. The following persons were members of the Montana Cardiovascular Disease and Diabetes Prevention Program Workgroup. Barrett Hospital and HealthCare, Dillon, Montana: Deanna Nelson, RN, Jill Pulaski, RD, CDE, Sandra McIntyre, MD. Benefis Health System, Great Falls, Montana: Deb K. Bjorsness, MPH, RD, BC-ADM, Susan A. Garnic, RN,
Funders | Funder number |
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Centers for Disease Control and Prevention |
Keywords
- Gestational diabetes mellitus
- Lifestyle intervention
- Montana
- Prediabetes
- Prevention
- Type 2 diabetes mellitus