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Cited by 59Gestational Diabetes Research and ManagementPhysical Activity and HealthDiabetes, Cardiovascular Risks, and Lipoproteins

A Randomised Controlled Trial to Delay or Prevent Type 2 Diabetes after Gestational Diabetes: Walking for Exercise and Nutrition to Prevent Diabetes for You

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Peacock, A. S., Bogossian, F. E., Wilkinson, S. A., Gibbons, K. S., Kim, C., McIntyre, H. D.·2015·International Journal of Endocrinology
DOI 10.1155/2015/423717PMC PMC4452189
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Abstract

Aims. To develop a program to support behaviour changes for women with a history of Gestational Diabetes Mellitus (GDM) and a Body Mass Index (BMI) > 25 kg/m 2 to delay or prevent Type 2 Diabetes Mellitus.Methods. Women diagnosed with GDM in the previous 6 to 24 months and BMI > 25 kg/m 2 were randomized to an intervention (I) (n=16) or a control (C) (n=15) group. The intervention was a pedometer program combined with nutrition coaching, with the primary outcome increased weight loss in the intervention group. Secondary outcomes included decreased waist and hip measurements, improved insulin sensitivity and body composition, increased physical activity, and improved self-efficacy in eating behaviours.Results. Median (IQR) results were as follows: weight: I −2.5 (2.3) kg versus C +0.2 (1.6) kg (P=0.009), waist: I −3.6 (4.5) cm versus C −0.1 (3.6) cm (P=0.07), and hip: I −5.0 (3.3) cm versus C −0.2 (2.6) cm (P=0.002). There was clinical improvement in physical activity and eating behaviours and no significant changes in glucose metabolism or body composition.Conclusion. A pedometer program and nutrition coaching proved effective in supporting weight loss, waist circumference, physical activity, and eating behaviours in women with previous GDM.

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  • Peacock et al showed that participants using wearables/trackers feel empowered in their choice of appropriate foods (P=.04).

    “For example, Peacock et al [43] showed that participants using wearables/trackers feel empowered in their choice of appropriate foods (P=.04).”

    From Digital Health Interventions to Prevent Type 2 Diabetes Mellitus: Systematic Review (2025) · cites this paper as [43]

    Secondary Outcomes reports that the intervention group felt more empowered when faced with opportunities for poor food choices (P = 0.036, approximately .04). Randomisation shows that these women received both a pedometer-linked program and nutrition coaching, so the result cannot be attributed to tracker use alone. (LLM, conf=0.85)

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Authors
Peacock, A. S., Bogossian, F. E., Wilkinson, S. A., Gibbons, K. S., Kim, C., & McIntyre, H. D.
Affiliations
  • The University of Queensland (AU)
  • Mater Health Services (AU)
  • University of Michigan (US)
  • Mater Health Services, Brisbane, QLD 4101, Australia
Corresponding author
Peacock, A. S.
ORCID
Venue
International Journal of Endocrinology
Publisher
Hindawi Limited
Published
2015
Volume
2015
Pages
1-8
ISSN
  • 1687-8337 (ISSN-L)
  • 1687-8345
DOI
10.1155/2015/423717
PMC
PMC4452189
OpenAlex
W1604855567
Cited by
59
References
5
Citations by year
2026: 2 · 2025: 5 · 2024: 9 · 2023: 7 · 2022: 5 · 2021: 6 · 2020: 6 · 2019: 7 · 2018: 6 · 2017: 3 · 2016: 2 · 2015: 1
FWCI
4.55
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Endocrinology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • University of Michigan
  • Mater Foundation
  • University of Queensland
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
gestational diabetes mellitus, type 2 diabetes prevention, nutrition coaching, weight loss, waist circumference, physical activity, eating behaviour, self-efficacy, insulin sensitivity, body composition, overweight women

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