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International Journal of Endocrinology
Volume 2012, Article ID 892019, 5 pages
http://dx.doi.org/10.1155/2012/892019
Clinical Study

Pilot Study of an Individualised Early Postpartum Intervention to Increase Physical Activity in Women with Previous Gestational Diabetes

1The University of Queensland, St. Lucia, QLD 4072, Australia
2Mater Medical Research Institute, Raymond Terrace, South Brisbane, QLD 4101, Australia
3The National University of Malaysia, Bangi, 43600 Selangor, Malaysia
4Queensland University of Technology, Brisbane, QLD 4001, Australia

Received 19 October 2011; Revised 22 December 2011; Accepted 11 January 2012

Academic Editor: Andrea Tura

Copyright © 2012 Harold David McIntyre et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Optimal strategies to prevent progression towards overt diabetes in women with recent gestational diabetes remain ill defined. We report a pilot study of a convenient, home based exercise program with telephone support, suited to the early post-partum period. Twenty eight women with recent gestational diabetes were enrolled at six weeks post-partum into a 12 week randomised controlled trial of Usual Care ( ) versus Supported Care (individualised exercise program with regular telephone support; ). Baseline characteristics (Mean ± SD) were: Age years; Weight 80 ± 20 kg and Body Mass Index (BMI)  kg/m2. The primary outcome, planned physical activity {Median (Range)}, increased by 60 (0–540) mins/week in the SC group versus 0 (0–580) mins/week in the UC group ( ). Walking was the predominant physical activity. Body weight, BMI, waist circumference, % body fat, fasting glucose and insulin did not change significantly over time in either group. This intervention designed to increase physical activity in post-partum women with previous gestational diabetes proved feasible. However, no measurable improvement in metabolic or biometric parameters was observed over a three month period.