Mediators of Lifestyle Behaviour Changes in Obese Pregnant Women: Secondary Analyses from the DALI Lifestyle Randomised Controlled Trial

Mireille Nm 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-Ozegowska; Agnieszka Zawiejska; David Hill; Gernot Desoye; Frank J. Snoek

doi:10.3390/nu11020311

Mediators of Lifestyle Behaviour Changes in Obese Pregnant Women: Secondary Analyses from the DALI Lifestyle Randomised Controlled Trial

Mireille Nm 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

Institut for Klinisk Medicin

4 Citationer (Scopus)

19 Downloads (Pure)

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.

Originalsprog	Engelsk
Artikelnummer	311
Tidsskrift	Nutrients
Vol/bind	11
Udgave nummer	2
Antal sider	17
ISSN	2072-6643
DOI	https://doi.org/10.3390/nu11020311
Status	Udgivet - 2019

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10.3390/nu11020311Licens: CC BY

nutrients-11-00311-v3Forlagets udgivne version, 777 KBLicens: CC BY

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van Poppel, M. N., Jelsma, J. G. M., Simmons, D., Devlieger, R., Jans, G., Galjaard, S., Corcoy, R., Adelantado, J. M., Dunne, F., Harreiter, J., Kautzky-Willer, A., Damm, P., Mathiesen, E. R., Jensen, D. M., Andersen, L.-L., Tanvig, M., Lapolla, A., Dalfra, M.-G., Bertolotto, A., ... Snoek, F. J. (2019). Mediators of Lifestyle Behaviour Changes in Obese Pregnant Women: Secondary Analyses from the DALI Lifestyle Randomised Controlled Trial. Nutrients, 11(2), Artikel 311. https://doi.org/10.3390/nu11020311

van Poppel, MN, 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, L-L, Tanvig, M, Lapolla, A, Dalfra, M-G, Bertolotto, A, Wender-Ozegowska, E, Zawiejska, A, Hill, D, Desoye, G & Snoek, FJ 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

@article{57b29a900ed5486cbe3dcddd7d741757,

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 = "Adult, Attitude to Health, Female, Health Behavior, Health Promotion, Humans, Life Style, Obesity/psychology, Pregnancy, Pregnancy Complications/psychology, Risk Reduction Behavior",

author = "{van Poppel}, {Mireille Nm} 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 Lise-Lotte Andersen and Mette Tanvig and Annunziata Lapolla and Maria-Grazia Dalfra and Allessandra Bertolotto and Ewa Wender-Ozegowska and Agnieszka Zawiejska and David Hill and Gernot Desoye and Snoek, {Frank J.}",

year = "2019",

doi = "10.3390/nu11020311",

language = "English",

volume = "11",

journal = "Nutrients",

issn = "2072-6643",

publisher = "M D P I AG",

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T1 - Mediators of Lifestyle Behaviour Changes in Obese Pregnant Women

T2 - Secondary Analyses from the DALI Lifestyle Randomised Controlled Trial

AU - van Poppel, Mireille Nm

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 - Snoek, Frank J.

PY - 2019

Y1 - 2019

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 - Adult

KW - Attitude to Health

KW - Female

KW - Health Behavior

KW - Health Promotion

KW - Humans

KW - Life Style

KW - Obesity/psychology

KW - Pregnancy

KW - Pregnancy Complications/psychology

KW - Risk Reduction Behavior

U2 - 10.3390/nu11020311

DO - 10.3390/nu11020311

M3 - Journal article

C2 - 30717227

SN - 2072-6643

VL - 11

JO - Nutrients

JF - Nutrients

IS - 2

M1 - 311

ER -

Mediators of Lifestyle Behaviour Changes in Obese Pregnant Women: Secondary Analyses from the DALI Lifestyle Randomised Controlled Trial

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