Swan W E, Liaw S-T, Dunning T, Pallant J F, Kilmartin G
Diabetes Centre, Goulburn Valley Health, Shepparton, Victoria, Australia.
Rural Remote Health. 2010 Oct-Dec;10(4):1461. Epub 2010 Nov 9.
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.
To examine readiness to adopt diabetes risk reduction behaviours and the prevalence of these behaviours among rural women with GDM during their last pregnancy.
The study design was a self-administered mailed questionnaire seeking information about demographics, stage of change, physical activity level and dietary fat intake.
Regional outpatient context.
Women with a single episode of GDM between 1 July 2001 and 31 December 2005 (n = 210).
Stage of change for physical activity, weight loss and reducing dietary fat behaviour; meeting activity targets, body mass index (BMI) and dietary fat score.
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).
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.
对大多数女性而言，妊娠期糖尿病是暂时的；然而，妊娠期糖尿病（GDM）发作会使患2型糖尿病的风险增加约7倍。
研究农村妊娠期糖尿病女性在末次妊娠期间采取降低糖尿病风险行为的意愿以及这些行为的流行情况。
本研究采用自行填写邮寄问卷的方式，收集有关人口统计学、行为改变阶段、身体活动水平和膳食脂肪摄入量的信息。
地区门诊环境。
2001年7月1日至2005年12月31日期间患单次妊娠期糖尿病的女性（n = 210）。
身体活动、体重减轻和减少膳食脂肪行为的行为改变阶段；达到活动目标情况、体重指数（BMI）和膳食脂肪得分。
84名女性返回了完整问卷（回复率40%）。在77名符合条件的女性（平均年龄35±3.8岁）中，58%达到了推荐的活动目标。63%的女性超重或肥胖：平均BMI为29.6 kg/m²（±7.30）。女性报告称有很高的意愿参与身体活动、减轻体重和减少脂肪摄入。39%的女性未进行任何产后血糖筛查随访。记得收到糖尿病预防信息的女性更有可能达到身体活动目标（p<0.05）。
在这组农村女性中，对于所测量的所有三种降低糖尿病风险行为，参与行为改变的意愿都很高。然而，尽管有很大比例的女性达到了活动目标并减少了脂肪摄入，但大多数女性仍超重或肥胖。产后血糖检测随访需要改进，孕期提供的糖尿病预防信息的影响值得进一步研究。
