怀孕期糖尿病后为行为改变做好准备:一项前性队列研究
Shohinee Sarma1, Dominika Bhatia1, Christina Yu1
1Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
Diabetic medicine : a journal of the British Diabetic Association
|September 14, 2024
概括
大多数孕期糖尿病患者对产后的生活方式变化没有做好准备. 干预措施在前两年至关重要,以防止2型糖尿病 (T2D) 的发展.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 代谢健康 代谢健康
- 行为科学 行为科学
背景情况:
- 患有妊娠糖尿病 (GDM) 的女性面临患2型糖尿病 (T2D) 的风险显著增加.
- 产后准备改变行为以减轻T2D风险可能很低,并且在没有干预的情况下随着时间的推移而下降.
- 及时干预对于在这种高风险人群中预防T2D至关重要.
研究的目的:
- 评估产后妇女在GDM诊断后的第一年和第二年对行为改变的准备程度.
- 为了确定生活方式干预措施的最佳时间,旨在预防T2D,在女性有史以来的GDM.
主要方法:
- 一项前性队列研究,涉及加拿大安大略省329名患有GDM的女性.
- 在分娩后的第一年和第二年收集的调查数据评估了人们对饮食和体育活动的行为改变的准备.
- 两个产后时间点之间的准备阶段的比较.
主要成果:
- 大多数女性 (86%在1年,87%在2年) 处于变革的行动前阶段.
- 在分娩后的第一年和第二年之间,没有观察到准备改变行为的显著增加 (p=0.646).
- 非高加索族裔与更低的准备改变行为,特别是对身体活动的可能性有关.
结论:
- 最近患有GDM的产后妇女通常在至少两年内保持在变化的行动前阶段.
- 应优先考虑生活方式干预计划,并持续产后,以利用T2D预防的有限窗口.
- 针对特定种族群体可能需要有针对性的干预措施,以提高对行为改变的参与度.
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