Bahador Esmat, Saber Maryam, FadakarDavarani Mohammad Mehdi, Khanjani Narges, Gohari Batol Hosseini, Safinejad Hadise
Department of Health Education and Health Promotion, Kerman University of Medical Sciences, Kerman, Iran.
Assistant Professor, Department of Health Education and Promotion, School of Health, Kerman University of Medical Sciences, Kerman, Iran.
J Educ Health Promot. 2021 Oct 29;10:403. doi: 10.4103/jehp.jehp_12_21. eCollection 2021.
Gestational diabetes is one of the most common metabolic diseases during pregnancy. The risk of a lifestyle role in the prevention of metabolic syndrome in women with a history of gestational diabetes has now been identified. The present study was performed to investigate the relationship between lifestyle and metabolic syndrome in women with a history of gestational diabetes.
The present study was a retrospective case-control study that was performed on 90 women (45 women with a history of gestational diabetes and 45 women without a history of gestational diabetes) in Kerman health centers 5 years after delivery in 2020. Data were collected using a demographic questionnaire and a standardized Walker lifestyle Health promoting Lifestyle profile II questionnaire. The reference laboratory was also used to perform the experiments. SPSS21 software and Spearman's and Chi-square tests were used to analyze the data.
The mean age was 35.67 in the case group and 34.27 in the control group ( = 0.230). Lifestyle did not show any difference between the two groups ( = 0.058). However, metabolic evaluation was different in the two groups ( = 0.030). Furthermore, the results of Spearman's test to examine the relationship between lifestyle and other variables studied showed that in the case group ( = 0.075) and in the control group ( = 0.819) there was no relationship between lifestyle and metabolic assessments 5 years after delivery.
In case group women, it is possible to prevent the progression to type 2 diabetes and disturb the metabolic assessment by teaching a healthy lifestyle and timely follow-up after delivery. A history of gestational diabetes can be one of the causes of type 2 diabetes and metabolic syndrome. Getting training to change your lifestyle during pregnancy and postpartum can reduce the incidence of gestational diabetes and type 2 diabetes. Screening pregnant women during childbirth is a good opportunity to diagnose diabetes early and predict it in the coming years.
妊娠期糖尿病是孕期最常见的代谢性疾病之一。目前已明确生活方式在预防有妊娠期糖尿病病史女性发生代谢综合征方面的作用。本研究旨在探讨有妊娠期糖尿病病史女性的生活方式与代谢综合征之间的关系。
本研究为回顾性病例对照研究，于2020年分娩5年后，在克尔曼健康中心对90名女性（45名有妊娠期糖尿病病史的女性和45名无妊娠期糖尿病病史的女性）进行。通过人口统计学问卷和标准化的沃克生活方式促进健康生活方式概况II问卷收集数据。还使用参考实验室进行实验。采用SPSS21软件以及Spearman检验和卡方检验分析数据。
病例组平均年龄为35.67岁，对照组为34.27岁（P = 0.230）。两组生活方式无差异（P = 0.058）。然而，两组的代谢评估不同（P = 0.030）。此外，Spearman检验结果用于检验生活方式与其他研究变量之间的关系，结果显示病例组（P = 0.075）和对照组（P = 0.819）在分娩5年后生活方式与代谢评估之间均无关联。
对于病例组女性，通过传授健康生活方式并在产后及时随访，有可能预防进展为2型糖尿病并改善代谢评估。妊娠期糖尿病病史可能是2型糖尿病和代谢综合征的原因之一。在孕期和产后接受改变生活方式的培训可降低妊娠期糖尿病和2型糖尿病的发病率。分娩时对孕妇进行筛查是早期诊断糖尿病并预测未来几年糖尿病发病情况的好机会。
