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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Intensive Lifestyle Counselling Intervention: Preventing Maternal Risk for Gestational Diabetes Mellitus
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Intensive Lifestyle Counselling Intervention: Preventing Maternal Risk for Gestational Diabetes Mellitus

机译：强化生活方式咨询干预：预防孕产妇患妊娠糖尿病的风险

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This study is aimed to evaluate the effectiveness of an intensive lifestyle counselling (ILC) designed to prevent gestational diabetes mellitus (GDM) among high risk mothers. A quasi-experimental trial was conducted in four selected health clinics (two clinics for intervention and two clinics for control) in Negeri Sembilan, Malaysia. Of the 320 subjects recruited, 148 respondents in the intervention group and 150 respondents in the control group had completed the study (response rate 93.1%). The intervention group was given a routine antenatal care (RC) and a package of structured ILC sessions on diet, physical activity (PA) and information on appropriate gestational weight gain (GWG) in five routine antenatal care visits until 39 weeks’ gestation. The controls received only the RC. Both groups are comparable for sociodemographic characteristics (p < 0.05). GDM incidence is higher in control group (16.7%) compared to intervention group (6.1%), p = 0.046. After controlling the covariates, the intervention group consistently showed protective for developing GDM, (aOR: 0.25, CI: 0.18 - 0.23, p = 0.003). The intervention group had significantly increased in PA (moderate intensity) mean score (660.3 ± 289.4 Met/min) compared to control group (571.36 ± 230.38 Met/min), F(1, 296) = 10.418, p < 0.001 and comply to dietary recommendation (50.7% in intervention versus 16.7% in control), p < 0.001. Total GWG significantly lesser in intervention (11.4 ± 2.5 Kg) than the control group (12.7 ± 2.9 Kg), p < 001. An ILC can reduce GDM incidence, by increasing PA, increase compliance to the dietary intake recommendation and lesser total GWG among high risk mothers.
机译：这项研究旨在评估专为预防高危母亲中的妊娠糖尿病（GDM）而设计的强化生活方式咨询（ILC）的有效性。在马来西亚森美兰州的四个选定的卫生诊所（两个干预诊所和两个控制诊所）进行了准实验试验。在招募的320名受试者中，干预组的148名受访者和对照组的150名受访者完成了研究（答复率为93.1％）。干预组经过五次常规的产前检查，直到妊娠39周为止，均接受了常规的产前保健（RC）和一整套结构化的ILC会议，涉及饮食，身体活动（PA）和适当的妊娠体重增加（GWG）信息。控件仅接收RC。两组的社会人口统计学特征均相当（p <0.05）。对照组（16.7％）的GDM发生率高于干预组（6.1％），p = 0.046。控制协变量后，干预组始终显示出对发展GDM的保护作用（aOR：0.25，CI：0.18-0.23，p = 0.003）。与对照组（571.36±230.38 Met / min）相比，干预组的PA（中度强度）平均评分（660.3±289.4 Met / min）显着提高，F（1，296）= 10.418，p <0.001，并符合饮食建议（干预组为50.7％，对照组为16.7％），p <0.001。总GWG干预组（11.4±2.5 Kg）显着低于对照组（12.7±2.9 Kg），p <001。ILC可通过增加PA，增加对饮食摄入量的推荐依从性和降低总GWG来降低GDM发生率高危母亲。

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