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Diabetes risk reduction behaviours of rural postpartum women with a recent history of gestational diabetes

Swan, W.E, Liaw, S.T, Dunning, T, Pallant, J.F and Kilmartin, G 2010, Diabetes risk reduction behaviours of rural postpartum women with a recent history of gestational diabetes, Rural and remote health, vol. 10, no. 4, pp. 1-9.

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Title Diabetes risk reduction behaviours of rural postpartum women with a recent history of gestational diabetes
Author(s) Swan, W.E
Liaw, S.T
Dunning, TORCID iD for Dunning, T orcid.org/0000-0002-0284-1706
Pallant, J.F
Kilmartin, G
Journal name Rural and remote health
Volume number 10
Issue number 4
Start page 1
End page 9
Total pages 9
Publisher Australian Rural Health Education Network
Place of publication Deakin West, A.C.T.
Publication date 2010-11-09
ISSN 1445-6354
Keyword(s) diabetes prevention
obesity
physical activity
post partum
stage of change
Summary Introduction: For most women, gestational diabetes is temporary; however, an episode of gestational diabetes mellitus (GDM) confers an approximately seven-fold increased risk of developing type 2 diabetes mellitus. Objective: To examine readiness to adopt diabetes risk reduction behaviours and the prevalence of these behaviours among rural women with GDM during their last pregnancy.
Methods: The study design was a self-administered mailed questionnaire seeking information about demographics, stage of change, physical activity level and dietary fat intake. Setting: Regional outpatient context. Participants: Women with a single episode of GDM between 1 July 2001 and 31 December 2005 (n = 210). Main outcome measures: Stage of change for physical activity, weight loss and reducing dietary fat behaviour; meeting activity targets, body mass index (BMI) and dietary fat score.
Results: Eighty-four women returned completed questionnaires (40% response rate). Of the 77 women eligible (mean age 35 ± 3.8 years), 58% met recommended activity targets. Sixty-three percent of women were overweight or obese: mean BMI 29.6 kg/m2 (± 7.30). Women reported a high level of preparedness to engage in physical activity, weight loss and reduction of fat intake. Thirty-nine percent of women had not had any postpartum follow-up glucose screening. Women who remembered receiving diabetes prevention information were significantly more likely to meet physical activity targets (p<0.05).
Conclusions: Readiness to engage in behaviour change was high among this group of rural women for all three diabetes risk reduction behaviours measured. However, despite a high proportion of women meeting activity targets and reducing fat intake, the majority of women remained overweight or obese. Postpartum follow-up glucose testing needs to be improved and the impact of diabetes prevention information provided during pregnancy warrants further study.
Language eng
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920104 Diabetes
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, Australian Rural Health Education Network
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30032064

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Created: Wed, 22 Dec 2010, 11:55:21 EST by Jane Moschetti

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.