WeChat-assisted dietary and exercise intervention for prevention of gestational diabetes mellitus in overweight/obese pregnant women: a two-arm randomized clinical trial

Purpose This study aimed to examine the influence of a WeChat-based dietary and exercise intervention on gestational diabetes mellitus (GDM) prevention in overweight/obese pregnant women in Beijing. Methods Overweight/obese pregnant women were recruited in the early stages of pregnancy. After screen...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2021-09, Vol.304 (3), p.609-618
Main Authors: Ding, Bingjie, Gou, Baohua, Guan, Huimin, Wang, Jia, Bi, Yanxia, Hong, Zhongxin
Format: Article
Language:English
Subjects:
Childbirth & labor
Endocrinology
Gestational diabetes
Gynecology
Human Genetics
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Obesity
Obstetrics/Perinatology/Midwifery
Overweight
Pregnancy
Womens health
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Summary:Purpose This study aimed to examine the influence of a WeChat-based dietary and exercise intervention on gestational diabetes mellitus (GDM) prevention in overweight/obese pregnant women in Beijing. Methods Overweight/obese pregnant women were recruited in the early stages of pregnancy. After screening by include and exclude standards, eligible women were randomly divided into two groups, intervention and control groups. The control group received a general advice session about pregnancy nutrition and weight management. The intervention group received three face-to-face sessions about personalized dietary and exercise intervention, with the help of WeChat as a monitoring tool to promote treatment plan adherence. At 24–28 weeks of pregnancy, GDM was diagnosed according to the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria. Gestational weight gain (GWG), maternal and neonatal outcomes were also collected. Results This study analyzed 215 participants. At the mid-trimester, 42 (37.8%) women in the control group were diagnosed with GDM ( n  = 111) versus 25 (24.5%) in the intervention group ( n  = 104; p   0.05). Conclusions The WeChat-assisted dietary and exercise intervention was effective in reducing the occurrence of GDM and excessive weight gain in overweight/obese pregnant women. Disseminating knowledge of pregnancy and childbirth through social media platforms like WeChat could be an important part of antenatal care.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-021-05984-1