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Type: Journal article
Title: Assessing use of a printed lifestyle intervention tool by women with borderline gestational diabetes and their achievement of diet and exercise goals: a descriptive study
Author: Han, S.
Middleton, P.
Tran, T.
Crowther, C.
Citation: BMC Pregnancy and Childbirth, 2016; 16(1):44-1-44-8
Publisher: BioMed Central
Issue Date: 2016
ISSN: 1471-2393
Statement of
Shanshan Han, Philippa F. Middleton, Thach S. Tran and Caroline A. Crowther
Abstract: Background: The purpose of this study is to assess use of a booklet by pregnant women to record and assist dietary and lifestyle changes; to describe diet and exercise goals set during the initial lifestyle discussions; and to assess achievement of goals. Methods: Participants were women with borderline gestational diabetes who received a printed pregnancy record booklet, as part of a randomised trial, to record and set monthly goals for diet and exercise. Outcomes included women’s use of the booklets and their achievement of dietary and exercise goals after 1 month. Results: Fifty-six women returned their used pregnancy record booklets and were included in this study. These women set a total of 197 dietary goals and 65 exercise goals. In the first month, over 80 % of dietary goals that targeted grains, dairy and overall diet were achieved, but only 20–30 % of goals about vegetables, and foods high in fat, sugar and/or salt were achieved. After 1 month, women had achieved 86.4 % of their exercise goals to maintain their current level of activity, but only 25.0 % exercise goals to increase walking during pregnancy. Conclusions: Women who used pregnancy record booklets reported good achievement rates for goals related to grains, fruits, dairy and overall diet, but they were less likely to be successful in achieving goals to increase intake of vegetables, and limit foods that high in fat, sugar and/or salt. Maintaining an active lifestyle during pregnancy was feasible for women although increases in physical activity were less often achieved. Using a pregnancy record booklet may be helpful in assisting and encouraging behavioural changes, although further investigations of long-term effects and in different populations are warranted.
Keywords: Borderline gestational diabetes mellitus; pregnant women; diet; exercise; printed lifestyle intervention tool; descriptive study
Rights: © Han et al. 2016. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
DOI: 10.1186/s12884-016-0825-z
Appears in Collections:Aurora harvest 3
Obstetrics and Gynaecology publications

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