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International Journal of Endocrinology
Volume 2015 (2015), Article ID 423717, 8 pages
http://dx.doi.org/10.1155/2015/423717
Clinical Study

A Randomised Controlled Trial to Delay or Prevent Type 2 Diabetes after Gestational Diabetes: Walking for Exercise and Nutrition to Prevent Diabetes for You

1School of Nursing and Midwifery, The University of Queensland, Brisbane, QLD 4067, Australia
2Mater Research Institute, The University of Queensland, Brisbane, QLD 4101, Australia
3Mater Health Services, Brisbane, QLD 4101, Australia
4University of Michigan, Ann Arbor, MI 48109, USA
5School of Medicine, The University of Queensland, Brisbane, QLD 4067, Australia

Received 5 August 2014; Accepted 22 October 2014

Academic Editor: Anastasia Mavrogiannaki

Copyright © 2015 A. S. Peacock 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

Aims. To develop a program to support behaviour changes for women with a history of Gestational Diabetes Mellitus (GDM) and a Body Mass Index (BMI) > 25 kg/m2 to delay or prevent Type 2 Diabetes Mellitus. Methods. Women diagnosed with GDM in the previous 6 to 24 months and BMI > 25 kg/m2 were randomized to an intervention (I) () or a control (C) () group. The intervention was a pedometer program combined with nutrition coaching, with the primary outcome increased weight loss in the intervention group. Secondary outcomes included decreased waist and hip measurements, improved insulin sensitivity and body composition, increased physical activity, and improved self-efficacy in eating behaviours. Results. Median (IQR) results were as follows: weight: I −2.5 (2.3) kg versus C +0.2 (1.6) kg (), waist: I −3.6 (4.5) cm versus C −0.1 (3.6) cm (), and hip: I −5.0 (3.3) cm versus C −0.2 (2.6) cm (). There was clinical improvement in physical activity and eating behaviours and no significant changes in glucose metabolism or body composition. Conclusion. A pedometer program and nutrition coaching proved effective in supporting weight loss, waist circumference, physical activity, and eating behaviours in women with previous GDM.