Short Report: Care Delivery
A web-based pedometer programme in women with a recent history of gestational diabetes
Article first published online: 11 JAN 2012
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK
Volume 29, Issue 2, pages 278–283, February 2012
How to Cite
Kim, C., Draska, M., Hess, M. L., Wilson, E. J. and Richardson, C. R. (2012), A web-based pedometer programme in women with a recent history of gestational diabetes. Diabetic Medicine, 29: 278–283. doi: 10.1111/j.1464-5491.2011.03415.x
- Issue published online: 11 JAN 2012
- Article first published online: 11 JAN 2012
- Accepted manuscript online: 12 AUG 2011 02:50PM EST
- Accepted 8 August 2011
- gestational diabetes;
- physical activity
Diabet. Med. 29, 278–283 (2012)
Aims Women with remote histories of gestational diabetes mellitus can reduce their diabetes risk through lifestyle changes, but the effectiveness of interventions in women with more recent histories of gestational diabetes has not been reported. Therefore, we conducted a pilot study of a low-intensity web-based pedometer programme targeting glucose intolerance among women with recent gestational diabetes.
Methods Women with a gestational diabetes delivery within the past 3 years were randomized to a 13-week intervention consisting of a structured web-based pedometer programme which gave personalized steps-per-week goals, pedometers and education regarding lifestyle modification, or to a letter about diabetes risk reduction and screening after delivery for gestational diabetes (control condition). The main outcome measures were change in fasting plasma glucose and 2-h glucose levels on a 75-g oral glucose tolerance test between baseline and 13-week follow-up. Weight was a secondary outcome and behavioural constructs (self-efficacy, social support, risk perception) were also assessed.
Results Forty-nine women were enrolled. At 13-week follow-up, women randomized to the intervention did not have significant changes in behavioural constructs, physical activity or anthropometrics compared with women in the control group. Changes in fasting plasma glucose (–0.046 mmol/l vs. 0.038 mmol/l, P = 0.65), 2-h glucose values (–0.48 mmol/l vs. –0.42 mmol/l, P = 0.91) and weight (–0.14 kg vs. –1.5 kg, P = 0.13) were similar between the control and intervention groups, respectively.
Conclusions Structured web-based education utilizing pedometers is feasible although uptake may be low. Such programmes may need to be supplemented with additional measures in order to be effective for reduction of diabetes risk.