Vanlaer Yana, Minschart Caro, Snauwaert Ine, Myngheer Nele, Maes Toon, De Block Christophe, Van Pottelbergh Inge, Abrams Pascale, Vinck Wouter, Leuridan Liesbeth, Driessens Sabien, Billen Jaak, Matthys Christophe, Bogaerts Annick, Laenen Annouschka, Mathieu Chantal, Benhalima Katrien
Department of Chronic Diseases and Metabolism, Clinical and Experimental Endocrinology, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
Faculty of Medicine, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.
J Clin Med. 2025 Jul 15;14(14):4998. doi: 10.3390/jcm14144998.
To evaluate diabetes risk perception in women with prior gestational diabetes mellitus (GDM) and prediabetes in early postpartum. : Secondary analysis of a multi-center randomized controlled trial assessing the effectiveness of a mobile-based postpartum lifestyle intervention in women with prediabetes after GDM. Data were collected from the Risk Perception Survey for Developing Diabetes at baseline (6-16 weeks postpartum) and one year post-randomization. Logistic regression was used to analyze the difference between the intervention and control groups on diabetes risk estimation. : Among 165 women with prediabetes in early postpartum (mean age: 32.1 years, mean BMI: 27.3 kg/m), 58.9% (96) adequately estimated their diabetes risk (moderate or high chance) at baseline. These women smoked less often [2.06% (2) vs. 10.3% (7), = 0.034], reported less anxiety (11.6 ± 3.0 vs. 12.6 ± 3.5, = 0.040), and reported fewer symptoms of depression [30.9% (21) vs. 15.6% (15), = 0.023] compared to women who underestimated their risk. At one year, 58.3% (95) of all women adequately estimated their diabetes risk. In the intervention group, 50.6% (41) adequately estimated their risk at baseline, increasing to 56.8% (46) by the end of the intervention after one year ( = 0.638). In the control group, a higher proportion of women adequately estimated their risk at baseline [67.1% (55), ( = 0.039)], which decreased to 59.8% (49) at one year ( = 0.376), with no significant difference in risk perception between the groups at one year ( = 0.638). : Almost 60% of this high-risk population adequately estimated their diabetes risk, with no significant impact of the lifestyle intervention on risk perception.
评估既往患有妊娠期糖尿病（GDM）和产后早期糖尿病前期的女性对糖尿病风险的认知。：对一项多中心随机对照试验的二次分析，该试验评估了基于移动设备的产后生活方式干预对GDM后糖尿病前期女性的有效性。在基线期（产后6 - 16周）和随机分组后一年，通过糖尿病风险感知调查问卷收集数据。采用逻辑回归分析干预组和对照组在糖尿病风险估计方面的差异。：在165名产后早期患有糖尿病前期的女性中（平均年龄：32.1岁，平均体重指数：27.3kg/m），58.9%（96名）在基线期能够充分估计其糖尿病风险（中度或高度可能性）。与低估风险的女性相比，这些女性吸烟频率更低[2.06%（2名）对10.3%（7名），P = 0.034]，焦虑程度更低（11.6±3.0对12.6±3.5，P = 0.040），抑郁症状更少[30.9%（21名）对15.6%（15名），P = 0.023]。一年时，所有女性中有58.3%（95名）能够充分估计其糖尿病风险。在干预组中，50.6%（41名）在基线期能够充分估计其风险，一年干预结束时增至56.8%（46名）（P = 0.638）。在对照组中，更高比例的女性在基线期能够充分估计其风险[67.1%（55名），P = 0.039]，一年时降至59.8%（49名）（P = 0.376），两组在一年时的风险认知无显著差异（P = 0.638）。：几乎60%的这一高危人群能够充分估计其糖尿病风险，生活方式干预对风险认知无显著影响。
