{"id":32748,"date":"2014-06-01T00:00:00","date_gmt":"2018-12-03T23:03:09","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/group-based-activities-with-on-site-childcare-and-online\/"},"modified":"2018-12-04T00:03:09","modified_gmt":"2018-12-03T23:03:09","slug":"group-based-activities-with-on-site-childcare-and-online","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/group-based-activities-with-on-site-childcare-and-online\/","title":{"rendered":"Group-based activities with on-site childcare and online support improve glucose tolerance in women within 5?years of gestational diabetes pregnancy."},"content":{"rendered":"<p><strong>BACKGROUND:<\/strong><\/p>\n<p>Women with gestational diabetes history are at increased risk for type 2 diabetes. They face specific challenges for behavioural changes, including childcare responsibilities. The aim of this study is to test a tailored type 2 diabetes prevention intervention in women within 5&nbsp;years of a pregnancy with gestational diabetes, in terms of effects on weight and cardiometabolic risk factors.<\/p>\n<p><strong>METHODS:<\/strong><\/p>\n<p>The 13-week intervention, designed based on focus group discussions, included four group sessions, two with spousal participation and all with on-site childcare. Web\/telephone-based support was provided between sessions. We computed mean percentage change from baseline (95% confidence intervals, CI) for anthropometric measures, glucose tolerance (75&nbsp;g Oral glucose tolerance test), insulin resistance\/sensitivity, blood pressure, physical activity, dietary intake, and other cardiometabolic risk factors.<\/p>\n<p><strong>RESULTS:<\/strong><\/p>\n<p>Among the 36 enrolled, 27 completed final evaluations. Most attended&thinsp;&ge;&thinsp;3 sessions (74%), used on-site childcare (88%), and logged onto the website (85%). Steps\/day (733 steps, 95% CI 85, 1391) and fruit\/vegetable intake (1.5 servings\/day, 95% CI 0.3, 2.8) increased. Proportions decreased for convenience meal consumption (-30%, 95% CI -50, -9) and eating out (-22%, 95% CI -44, -0)&thinsp;&ge;&thinsp;3 times\/month. Body mass index and body composition were unchanged. Fasting (-4.9%, 95% CI -9.5, -0.3) and 2-hour postchallenge (-8.0%, 95% CI -15.6, -0.5) glucose declined. Insulin sensitivity increased (ISI 0,120 23.7%, 95% CI 9.1, 38.4; Matsuda index 37.5%, 95% CI 3.5, 72.4). Insulin resistance (HOMA-IR -9.4%, 95% CI -18.6, -0.1) and systolic blood pressure (-3.3%, 95% CI -5.8, -0.8) decreased.<\/p>\n<p><strong>CONCLUSIONS:<\/strong><\/p>\n<p>A tailored group intervention appears to lead to improvements in health behaviours and cardiometabolic risk factors despite unchanged body mass index and body composition. This approach merits further study.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-32748","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Division of Clinical Epidemiology, Department of Medicine, McGill University Health Centre, 687 Pine Avenue West, H3A 1A1, Montreal, Quebec, Canada. Kaberi.dasgupta@mcgill.ca","annee":"2014","mois":"6","numero":"13:","page":"104","auteurs":[{"ID":32740,"post_author":"0","post_date":"2018-12-04 00:03:04","post_date_gmt":"2018-12-03 23:03:04","post_content":"","post_title":"Anne-Sophie Brazeau","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"anne-sophie-brazeau","to_ping":"","pinged":"","post_modified":"2018-12-04 00:03:04","post_modified_gmt":"2018-12-03 23:03:04","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/anne-sophie-brazeau\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":32741,"post_author":"0","post_date":"2018-12-04 00:03:05","post_date_gmt":"2018-12-03 23:03:05","post_content":"","post_title":"Aaron 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DaCosta","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"deborah-dacosta","to_ping":"","pinged":"","post_modified":"2018-12-04 00:03:06","post_modified_gmt":"2018-12-03 23:03:06","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/deborah-dacosta\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":32745,"post_author":"0","post_date":"2018-12-04 00:03:07","post_date_gmt":"2018-12-03 23:03:07","post_content":"","post_title":"Mary Hendrickson-Nelson","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mary-hendrickson-nelson","to_ping":"","pinged":"","post_modified":"2018-12-04 00:03:07","post_modified_gmt":"2018-12-03 23:03:07","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/mary-hendrickson-nelson\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":32746,"post_author":"0","post_date":"2018-12-04 00:03:08","post_date_gmt":"2018-12-03 23:03:08","post_content":"","post_title":"Lawrence Joseph","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"lawrence-joseph","to_ping":"","pinged":"","post_modified":"2018-12-04 00:03:08","post_modified_gmt":"2018-12-03 23:03:08","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/lawrence-joseph\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":32747,"post_author":"0","post_date":"2018-12-04 00:03:08","post_date_gmt":"2018-12-03 23:03:08","post_content":"","post_title":"Kaberi 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