Mediators of lifestyle behaviour changes in obese pregnant women. Secondary analyses from the DALI lifestyle randomised controlled trial

Mireille N.M. van Poppel*, Judith G.M. Jelsma, David Simmons, Roland Devlieger, Goele Jans, Sander Galjaard, Rosa Corcoy, Juan M. Adelantado, Fidelma Dunne, Jürgen Harreiter, Alexandra Kautzky-Willer, Peter Damm, Elisabeth R. Mathiesen, Dorte M. Jensen, Lise Lotte Andersen, Mette Tanvig, Annunziata Lapolla, Maria Grazia Dalfra, Allessandra Bertolotto, Ewa Wender-OzegowskaAgnieszka Zawiejska, David Hill, Gernot Desoye, Frank J Snoek

*Kontaktforfatter for dette arbejde

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Resumé

A better understanding of what drives behaviour change in obese pregnant overweight women is needed to improve the effectiveness of lifestyle interventions in this group at risk for gestational diabetes (GDM). Therefore, we assessed which factors mediated behaviour change in the Vitamin D and Lifestyle Intervention for GDM Prevention (DALI) Lifestyle Study. A total of 436 women, with pre-pregnancy body mass index ≥29 kg/m 2 , ≤19 + 6 weeks of gestation and without GDM, were randomised for counselling based on motivational interviewing (MI) on healthy eating and physical activity, healthy eating alone, physical activity alone, or to a usual care group. Lifestyle was measured at baseline, and at 24–28 and 35–37 weeks of gestation. Outcome expectancy, risk perception, task self-efficacy and social support were measured at those same time points and considered as possible mediators of intervention effects on lifestyle. All three interventions resulted in increased positive outcome expectancy for GDM reduction, perceived risk to the baby and increased task self-efficacy. The latter mediated intervention effects on physical activity and reduced sugared drink consumption. In conclusion, our MI intervention was successful in increasing task self-efficacy, which was related to improved health behaviours.

OriginalsprogEngelsk
Artikelnummer311
TidsskriftNutrients
Vol/bind11
Udgave nummer2
ISSN2072-6643
DOI
StatusUdgivet - 1. feb. 2019

Fingeraftryk

behavior change
pregnant women
lifestyle
Pregnant Women
self-efficacy
Randomized Controlled Trials
Self Efficacy
physical activity
Motivational Interviewing
risk perception
healthy diet
pregnancy
Exercise
gestational diabetes
Gestational Diabetes
counseling
Health Behavior
infants
Risk Reduction Behavior
vitamin D

Citer dette

van Poppel, M. N. M., Jelsma, J. G. M., Simmons, D., Devlieger, R., Jans, G., Galjaard, S., ... J Snoek, F. (2019). Mediators of lifestyle behaviour changes in obese pregnant women. Secondary analyses from the DALI lifestyle randomised controlled trial. Nutrients, 11(2), [311]. https://doi.org/10.3390/nu11020311
van Poppel, Mireille N.M. ; Jelsma, Judith G.M. ; Simmons, David ; Devlieger, Roland ; Jans, Goele ; Galjaard, Sander ; Corcoy, Rosa ; Adelantado, Juan M. ; Dunne, Fidelma ; Harreiter, Jürgen ; Kautzky-Willer, Alexandra ; Damm, Peter ; Mathiesen, Elisabeth R. ; Jensen, Dorte M. ; Andersen, Lise Lotte ; Tanvig, Mette ; Lapolla, Annunziata ; Dalfra, Maria Grazia ; Bertolotto, Allessandra ; Wender-Ozegowska, Ewa ; Zawiejska, Agnieszka ; Hill, David ; Desoye, Gernot ; J Snoek, Frank. / Mediators of lifestyle behaviour changes in obese pregnant women. Secondary analyses from the DALI lifestyle randomised controlled trial. I: Nutrients. 2019 ; Bind 11, Nr. 2.
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title = "Mediators of lifestyle behaviour changes in obese pregnant women. Secondary analyses from the DALI lifestyle randomised controlled trial",
abstract = "A better understanding of what drives behaviour change in obese pregnant overweight women is needed to improve the effectiveness of lifestyle interventions in this group at risk for gestational diabetes (GDM). Therefore, we assessed which factors mediated behaviour change in the Vitamin D and Lifestyle Intervention for GDM Prevention (DALI) Lifestyle Study. A total of 436 women, with pre-pregnancy body mass index ≥29 kg/m 2 , ≤19 + 6 weeks of gestation and without GDM, were randomised for counselling based on motivational interviewing (MI) on healthy eating and physical activity, healthy eating alone, physical activity alone, or to a usual care group. Lifestyle was measured at baseline, and at 24–28 and 35–37 weeks of gestation. Outcome expectancy, risk perception, task self-efficacy and social support were measured at those same time points and considered as possible mediators of intervention effects on lifestyle. All three interventions resulted in increased positive outcome expectancy for GDM reduction, perceived risk to the baby and increased task self-efficacy. The latter mediated intervention effects on physical activity and reduced sugared drink consumption. In conclusion, our MI intervention was successful in increasing task self-efficacy, which was related to improved health behaviours.",
keywords = "Behaviour change, Gestational diabetes, Lifestyle intervention, Mediation, Obesity, Pregnancy",
author = "{van Poppel}, {Mireille N.M.} and Jelsma, {Judith G.M.} and David Simmons and Roland Devlieger and Goele Jans and Sander Galjaard and Rosa Corcoy and Adelantado, {Juan M.} and Fidelma Dunne and J{\"u}rgen Harreiter and Alexandra Kautzky-Willer and Peter Damm and Mathiesen, {Elisabeth R.} and Jensen, {Dorte M.} and Andersen, {Lise Lotte} and Mette Tanvig and Annunziata Lapolla and Dalfra, {Maria Grazia} and Allessandra Bertolotto and Ewa Wender-Ozegowska and Agnieszka Zawiejska and David Hill and Gernot Desoye and {J Snoek}, Frank",
year = "2019",
month = "2",
day = "1",
doi = "10.3390/nu11020311",
language = "English",
volume = "11",
journal = "Nutrients",
issn = "2072-6643",
publisher = "MDPI",
number = "2",

}

van Poppel, MNM, Jelsma, JGM, Simmons, D, Devlieger, R, Jans, G, Galjaard, S, Corcoy, R, Adelantado, JM, Dunne, F, Harreiter, J, Kautzky-Willer, A, Damm, P, Mathiesen, ER, Jensen, DM, Andersen, LL, Tanvig, M, Lapolla, A, Dalfra, MG, Bertolotto, A, Wender-Ozegowska, E, Zawiejska, A, Hill, D, Desoye, G & J Snoek, F 2019, 'Mediators of lifestyle behaviour changes in obese pregnant women. Secondary analyses from the DALI lifestyle randomised controlled trial', Nutrients, bind 11, nr. 2, 311. https://doi.org/10.3390/nu11020311

Mediators of lifestyle behaviour changes in obese pregnant women. Secondary analyses from the DALI lifestyle randomised controlled trial. / van Poppel, Mireille N.M.; Jelsma, Judith G.M.; Simmons, David; Devlieger, Roland; Jans, Goele; Galjaard, Sander; Corcoy, Rosa; Adelantado, Juan M.; Dunne, Fidelma; Harreiter, Jürgen; Kautzky-Willer, Alexandra; Damm, Peter; Mathiesen, Elisabeth R.; Jensen, Dorte M.; Andersen, Lise Lotte; Tanvig, Mette; Lapolla, Annunziata; Dalfra, Maria Grazia; Bertolotto, Allessandra; Wender-Ozegowska, Ewa; Zawiejska, Agnieszka; Hill, David; Desoye, Gernot; J Snoek, Frank.

I: Nutrients, Bind 11, Nr. 2, 311, 01.02.2019.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Mediators of lifestyle behaviour changes in obese pregnant women. Secondary analyses from the DALI lifestyle randomised controlled trial

AU - van Poppel, Mireille N.M.

AU - Jelsma, Judith G.M.

AU - Simmons, David

AU - Devlieger, Roland

AU - Jans, Goele

AU - Galjaard, Sander

AU - Corcoy, Rosa

AU - Adelantado, Juan M.

AU - Dunne, Fidelma

AU - Harreiter, Jürgen

AU - Kautzky-Willer, Alexandra

AU - Damm, Peter

AU - Mathiesen, Elisabeth R.

AU - Jensen, Dorte M.

AU - Andersen, Lise Lotte

AU - Tanvig, Mette

AU - Lapolla, Annunziata

AU - Dalfra, Maria Grazia

AU - Bertolotto, Allessandra

AU - Wender-Ozegowska, Ewa

AU - Zawiejska, Agnieszka

AU - Hill, David

AU - Desoye, Gernot

AU - J Snoek, Frank

PY - 2019/2/1

Y1 - 2019/2/1

N2 - A better understanding of what drives behaviour change in obese pregnant overweight women is needed to improve the effectiveness of lifestyle interventions in this group at risk for gestational diabetes (GDM). Therefore, we assessed which factors mediated behaviour change in the Vitamin D and Lifestyle Intervention for GDM Prevention (DALI) Lifestyle Study. A total of 436 women, with pre-pregnancy body mass index ≥29 kg/m 2 , ≤19 + 6 weeks of gestation and without GDM, were randomised for counselling based on motivational interviewing (MI) on healthy eating and physical activity, healthy eating alone, physical activity alone, or to a usual care group. Lifestyle was measured at baseline, and at 24–28 and 35–37 weeks of gestation. Outcome expectancy, risk perception, task self-efficacy and social support were measured at those same time points and considered as possible mediators of intervention effects on lifestyle. All three interventions resulted in increased positive outcome expectancy for GDM reduction, perceived risk to the baby and increased task self-efficacy. The latter mediated intervention effects on physical activity and reduced sugared drink consumption. In conclusion, our MI intervention was successful in increasing task self-efficacy, which was related to improved health behaviours.

AB - A better understanding of what drives behaviour change in obese pregnant overweight women is needed to improve the effectiveness of lifestyle interventions in this group at risk for gestational diabetes (GDM). Therefore, we assessed which factors mediated behaviour change in the Vitamin D and Lifestyle Intervention for GDM Prevention (DALI) Lifestyle Study. A total of 436 women, with pre-pregnancy body mass index ≥29 kg/m 2 , ≤19 + 6 weeks of gestation and without GDM, were randomised for counselling based on motivational interviewing (MI) on healthy eating and physical activity, healthy eating alone, physical activity alone, or to a usual care group. Lifestyle was measured at baseline, and at 24–28 and 35–37 weeks of gestation. Outcome expectancy, risk perception, task self-efficacy and social support were measured at those same time points and considered as possible mediators of intervention effects on lifestyle. All three interventions resulted in increased positive outcome expectancy for GDM reduction, perceived risk to the baby and increased task self-efficacy. The latter mediated intervention effects on physical activity and reduced sugared drink consumption. In conclusion, our MI intervention was successful in increasing task self-efficacy, which was related to improved health behaviours.

KW - Behaviour change

KW - Gestational diabetes

KW - Lifestyle intervention

KW - Mediation

KW - Obesity

KW - Pregnancy

U2 - 10.3390/nu11020311

DO - 10.3390/nu11020311

M3 - Journal article

C2 - 30717227

VL - 11

JO - Nutrients

JF - Nutrients

SN - 2072-6643

IS - 2

M1 - 311

ER -