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Changing psychosocial determinants of physical activity and diet in women with a history of gestational diabetes mellitus
Author(s) -
Jelsma Judith G.M.,
Poppel Mireille N.M.,
Smith Ben J.,
Cinnadaio Nancy,
Bauman Adrian,
Tapsell Linda,
Cheung N. Wah,
Ploeg Hidde P.
Publication year - 2018
Publication title -
diabetes/metabolism research and reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.307
H-Index - 110
eISSN - 1520-7560
pISSN - 1520-7552
DOI - 10.1002/dmrr.2942
Subject(s) - psychosocial , medicine , overweight , gestational diabetes , body mass index , intervention (counseling) , population , social support , diabetes mellitus , physical therapy , gerontology , pregnancy , psychology , endocrinology , gestation , environmental health , psychiatry , biology , psychotherapist , genetics
Background To investigate how a behavioural lifestyle intervention influences psychosocial determinants of physical activity and dietary behaviours in a population at risk of type 2 diabetes (T2DM). Methods Fifty‐nine women with a body mass index of ≥25 kg/m 2 and a history of gestational diabetes mellitus (GDM) participated in a randomized controlled study. The intervention group ( n = 29) received 2 face‐to‐face and 5 telephone lifestyle‐counselling sessions with a health professional. The control group ( n = 30) received care as usual. At baseline and 6 months, psychosocial determinants related to physical activity and diet were measured with a self‐administrated questionnaire. Linear regression analyses were applied to test for intervention effects. Results The intervention was effective in improving social support (β = 3.5, P < 0.001; β = 2.1, P = 0.02), modifying self‐efficacy (β = ‐2.2, P = 0.02; β = ‐4.3, P < 0.001), and reducing barriers (β = ‐3.5, P = 0.01; β = ‐3.8, P = 0.01) for, respectively, physical activity and diet from baseline to 6‐month follow‐up in the intervention group compared with the control group. The intervention reduced the following barriers to a physically active lifestyle: lack of energy and lack of motivation. Physical activity barriers like lack of time and lack of childcare were unchanged. The intervention reduced the following barriers to a healthy diet: lack of time, costs, having unhealthy snacks at home, and having cravings for sweets. Conclusion This lifestyle intervention influenced psychosocial determinants relevant for overweight women with a history of gestational diabetes mellitus (GDM) in prevention of T2DM.