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Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study

Aim: The objective of this study was to determine the effectiveness of system-based intervention in reducing the incidence of diabetes and to improve the postnatal metabolic profiles among women with gestational diabetes mellitus (GDM). Materials and methods: For women in the intervention arm (n = 1...

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Main Authors: Lee, Kai Wei, Tan, Siow Foon, Omar, Azahadi, Nasir, Nazrila Hairizan, Ching, Siew Mooi, Mohd Noor, Mohd Khairi, Masdor, Noor Azreen, Yeow, Siong Lee, Noordin, Salmah, Mohamed, Hazlin
Format: Article
Language:English
Published: Taylor and Francis 2021
Online Access:http://psasir.upm.edu.my/id/eprint/96854/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/96854/
https://www.tandfonline.com/doi/abs/10.1080/09513590.2021.1988561?journalCode=igye20
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spelling my.upm.eprints.968542022-12-01T04:31:59Z http://psasir.upm.edu.my/id/eprint/96854/ Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study Lee, Kai Wei Tan, Siow Foon Omar, Azahadi Nasir, Nazrila Hairizan Ching, Siew Mooi Mohd Noor, Mohd Khairi Masdor, Noor Azreen Yeow, Siong Lee Noordin, Salmah Mohamed, Hazlin Aim: The objective of this study was to determine the effectiveness of system-based intervention in reducing the incidence of diabetes and to improve the postnatal metabolic profiles among women with gestational diabetes mellitus (GDM). Materials and methods: For women in the intervention arm (n = 130), they received one session of individualized health education at 36 gestational weeks, a booklet of diabetes prevention, five-session of postpartum booster educational program which were conducted including 1 session of dietary and exercise counseling by dietician and physiotherapist at 6 weeks postpartum. For women in the control group (n = 168), standard treatment whereby they had received group therapy on diet and physical activity modification by dietician and staff nurses during the antenatal period. Results: There were no significant differences in baseline characteristics between groups for most of the variables examined except for educational level which the control group had a higher education than the intervention group. The women assigned to system-based intervention have a significant difference to GDM women who were assigned to the control group for LDL and HDL but not in anthropometric measurements, blood pressure, glucose index, total cholesterol, and triglyceride. In addition, it was found that the incidence of Type 2 diabetes mellitus (T2DM) 2 years after delivery was 20% in the intervention arm compared to 17% in the control arm. Conclusion: The system-based intervention was not statistically superior to the control intervention as there is no difference in terms of incidence of T2DM between the intervention and control group. We, therefore, suggested that more intensive interventions are needed to prevent GDM from developing into T2DM. Taylor and Francis 2021 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/96854/1/ABSTRACT.pdf Lee, Kai Wei and Tan, Siow Foon and Omar, Azahadi and Nasir, Nazrila Hairizan and Ching, Siew Mooi and Mohd Noor, Mohd Khairi and Masdor, Noor Azreen and Yeow, Siong Lee and Noordin, Salmah and Mohamed, Hazlin (2021) Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study. Gynecological Endocrinology, 38 (1). pp. 1-8. ISSN 0951-3590; ESSN: 1473-0766 https://www.tandfonline.com/doi/abs/10.1080/09513590.2021.1988561?journalCode=igye20 10.1080/09513590.2021.1988561
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Aim: The objective of this study was to determine the effectiveness of system-based intervention in reducing the incidence of diabetes and to improve the postnatal metabolic profiles among women with gestational diabetes mellitus (GDM). Materials and methods: For women in the intervention arm (n = 130), they received one session of individualized health education at 36 gestational weeks, a booklet of diabetes prevention, five-session of postpartum booster educational program which were conducted including 1 session of dietary and exercise counseling by dietician and physiotherapist at 6 weeks postpartum. For women in the control group (n = 168), standard treatment whereby they had received group therapy on diet and physical activity modification by dietician and staff nurses during the antenatal period. Results: There were no significant differences in baseline characteristics between groups for most of the variables examined except for educational level which the control group had a higher education than the intervention group. The women assigned to system-based intervention have a significant difference to GDM women who were assigned to the control group for LDL and HDL but not in anthropometric measurements, blood pressure, glucose index, total cholesterol, and triglyceride. In addition, it was found that the incidence of Type 2 diabetes mellitus (T2DM) 2 years after delivery was 20% in the intervention arm compared to 17% in the control arm. Conclusion: The system-based intervention was not statistically superior to the control intervention as there is no difference in terms of incidence of T2DM between the intervention and control group. We, therefore, suggested that more intensive interventions are needed to prevent GDM from developing into T2DM.
format Article
author Lee, Kai Wei
Tan, Siow Foon
Omar, Azahadi
Nasir, Nazrila Hairizan
Ching, Siew Mooi
Mohd Noor, Mohd Khairi
Masdor, Noor Azreen
Yeow, Siong Lee
Noordin, Salmah
Mohamed, Hazlin
spellingShingle Lee, Kai Wei
Tan, Siow Foon
Omar, Azahadi
Nasir, Nazrila Hairizan
Ching, Siew Mooi
Mohd Noor, Mohd Khairi
Masdor, Noor Azreen
Yeow, Siong Lee
Noordin, Salmah
Mohamed, Hazlin
Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study
author_facet Lee, Kai Wei
Tan, Siow Foon
Omar, Azahadi
Nasir, Nazrila Hairizan
Ching, Siew Mooi
Mohd Noor, Mohd Khairi
Masdor, Noor Azreen
Yeow, Siong Lee
Noordin, Salmah
Mohamed, Hazlin
author_sort Lee, Kai Wei
title Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study
title_short Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study
title_full Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study
title_fullStr Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study
title_full_unstemmed Effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study
title_sort effectiveness of system-based intervention in reducing incidence of type 2 diabetes and to improve the postnatal metabolic profiles in women with gestational diabetes mellitus: a randomized controlled study
publisher Taylor and Francis
publishDate 2021
url http://psasir.upm.edu.my/id/eprint/96854/1/ABSTRACT.pdf
http://psasir.upm.edu.my/id/eprint/96854/
https://www.tandfonline.com/doi/abs/10.1080/09513590.2021.1988561?journalCode=igye20
_version_ 1751538263263281152
score 13.211869

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