一个定制的短信和活动监控程序的随机对照试验,用于改善妊娠糖尿病后的生活方式
Ngai Wah Cheung1,2,3, David Simmons4,5, Simone Marschner1
1Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
Nutrients
|March 28, 2024
概括
短信生活方式计划并没有改善孕期糖尿病 (GDM) 产后妇女的糖尿病风险因素. 由于COVID-19的限制影响了结果,尽管参与者发现信息具有激励性.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 孕期糖尿病 (GDM) 增加了女性的长期糖尿病风险.
- 生活方式干预对于管理GDM后健康至关重要.
- 在全球卫生危机期间数字卫生干预措施的影响需要调查.
研究的目的:
- 评估短信生活方式支持计划在改善GDM后糖尿病风险因素方面的有效性.
- 评估COVID-19限制对干预结果的影响.
主要方法:
- 随机对照试验涉及177名女性后GDM.
- 干预组每周收到短信和活动监控器反;对照组只接受了6个月的活动监控器.
- 主要结果:体重,体力活动和饮食目标的组合.
主要成果:
- 在组间的初级复合结果中没有显著差异 (12%的干预比11%的对照).
- 干预组在分娩后3-6个月期间,每日步数增加 (p=0.03).
- 定性数据表明,人们做出了更健康的选择,但受到COVID-19限制的阻碍.
结论:
- 在COVID-19封锁期间,短信干预并没有显著改善GDM妇女的糖尿病风险因素.
- 虽然参与者发现干预具有激励性,但外部因素限制了其整体有效性.
- 需要进一步的研究来优化在具有挑战性的环境下数字健康干预措施.
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