Mapping Lifestyle Interventions for Gestational Diabetes Prevention: A Scoping Review

IF 5.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM Current Diabetes Reports Pub Date : 2024-02-17 DOI:10.1007/s11892-024-01535-5

Armando Peña, Alison M. Miller, Angela G. Campbell, Richard J. Holden, Christina M. Scifres

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Abstract

Purpose of Review

The purpose of this study was to conduct a scoping review to map intervention, sample, and physiologic measurement characteristics of lifestyle interventions for gestational diabetes mellitus (GDM) prevention.

Recent Findings

A total of 19 studies met selection criteria from 405 articles screened (PubMed, Web of Science). No studies were US-based (47% multi-site), and all were delivered in clinical settings. The most targeted nutrition components were low carbohydrate intake (sugar rich foods/added sugars, low glycemic index), low fat intake (mainly low-fat meat, dairy, and saturated fat), and increased fruits and vegetables. Many studies promoted 150 min/week moderate-intensity physical activity. Only two studies provided supervised physical activity sessions. Dietitians and nurses were the most common implementers. Samples were characterized as adults with obesity (mean age 31 yr, BMI 31 kg/m²). Asian populations were predominantly studied. Four studies used theoretical frameworks (75% of which used Social Cognitive Theory). GDM diagnostic criteria set forth by the American Diabetes Association were the most widely used. Insulin sensitivity was commonly assessed via fasting indices.

Summary

There was a lack of multi-disciplinary, multi-level, and theory-based lifestyle interventions for reducing GDM risk. Addressing these gaps and prioritizing high-risk populations in the US with measurement of traditional and novel biomarkers will advance the field.

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绘制预防妊娠糖尿病的生活方式干预图：范围审查

综述目的本研究旨在对预防妊娠糖尿病（GDM）的生活方式干预的干预、样本和生理测量特征进行一次范围界定综述。没有一项研究是在美国进行的（47%为多地点研究），所有研究都是在临床环境中进行的。最有针对性的营养成分是低碳水化合物摄入量（富含糖的食品/添加糖、低血糖生成指数）、低脂肪摄入量（主要是低脂肉类、乳制品和饱和脂肪）以及增加水果和蔬菜的摄入量。许多研究提倡每周进行 150 分钟中等强度的体育锻炼。只有两项研究提供了有监督的体育锻炼课程。营养师和护士是最常见的实施者。样本的特点是成年人肥胖（平均年龄 31 岁，体重指数 31 kg/m2）。研究对象以亚洲人为主。四项研究使用了理论框架（其中 75% 使用了社会认知理论）。最广泛使用的是美国糖尿病协会制定的 GDM 诊断标准。胰岛素敏感性通常通过空腹指数进行评估。小结目前缺乏多学科、多层次和基于理论的生活方式干预措施来降低 GDM 风险。通过测量传统和新型生物标志物来弥补这些不足并优先考虑美国的高危人群，将推动该领域的发展。

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来源期刊

Current Diabetes Reports 医学 -

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.