Next Article in Journal
Indole-3-Propionic Acid, a Tryptophan-Derived Bacterial Metabolite, Reduces Weight Gain in Rats
Next Article in Special Issue
Offspring of Mice Exposed to a Low-Protein Diet in Utero Demonstrate Changes in mTOR Signaling in Pancreatic Islets of Langerhans, Associated with Altered Glucagon and Insulin Expression and a Lower β-Cell Mass
Previous Article in Journal
Gluten Rhapsody
Previous Article in Special Issue
Is A Healthy Diet Associated with Lower Anthropometric and Glycemic Alterations in Predisposed Children Born from Mothers with Gestational Diabetes Mellitus?
Article Menu
Issue 3 (March) cover image

Export Article

Open AccessArticle
Nutrients 2019, 11(3), 590; https://doi.org/10.3390/nu11030590

A Pilot Randomised Controlled Trial of a Text Messaging Intervention with Customisation Using Linked Data from Wireless Wearable Activity Monitors to Improve Risk Factors Following Gestational Diabetes

1
Department of Diabetes & Endocrinology, Westmead Hospital, Westmead NSW 2145, Australia
2
Westmead Clinical School & Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Westmead NSW 2145, Australia
3
Division of Women and Newborn Health, Westmead Hospital, Westmead NSW 2145, Australia
4
School of Public Health, University of Sydney, Sydney NSW 2006, Australia
5
Department of Cardiology, Westmead Hospital, Westmead NSW 2145, Australia
*
Author to whom correspondence should be addressed.
Received: 21 January 2019 / Revised: 5 March 2019 / Accepted: 5 March 2019 / Published: 11 March 2019
(This article belongs to the Special Issue Nutrition and Gestational Diabetes)
  |  
PDF [756 KB, uploaded 11 March 2019]
  |     |  

Abstract

Gestational diabetes (GDM) is a highly prevalent disorder of pregnancy which portends a high risk for future type 2 diabetes. Limited evidence indicates lifestyle intervention prevents the development of diabetes, but most previously studied interventions are resource-intensive. Intervention programs that utilise newer technologies may be scalable at lower cost. This 6-month pilot randomized controlled trial tested the delivery of text messages linked to an activity monitor, adaptive physical activity goal setting, and limited face-to-face counseling, as an intervention to improve rates of post-partum glucose tolerance testing and lifestyle behaviours amongst women following a GDM pregnancy. Sixty subjects were randomised 2:1 intervention vs. control. Compared to control subjects, there were trends for intervention subjects to improve diet, increase physical activity, and lose weight. There was no difference between the groups in the rate of glucose tolerance testing. Only 46 (77%) subjects completed some, and 19 subjects completed all the elements of the final evaluation. Feedback regarding the text messages and activity monitor was highly positive. Overall, results suggest that a text message and activity monitor intervention is feasible for a larger study or even as a potentially scalable population health intervention. However, low completion rates necessitate carefully considered modification of the protocol. View Full-Text
Keywords: gestational diabetes; lifestyle program; M-health; text messaging; activity monitor; diabetes prevention; randomized controlled trial gestational diabetes; lifestyle program; M-health; text messaging; activity monitor; diabetes prevention; randomized controlled trial
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Cheung, N.W.; Blumenthal, C.; Smith, B.J.; Hogan, R.; Thiagalingam, A.; Redfern, J.; Barry, T.; Cinnadaio, N.; Chow, C.K. A Pilot Randomised Controlled Trial of a Text Messaging Intervention with Customisation Using Linked Data from Wireless Wearable Activity Monitors to Improve Risk Factors Following Gestational Diabetes. Nutrients 2019, 11, 590.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Nutrients EISSN 2072-6643 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top