TY - JOUR
T1 - Prenatal counseling on type 2 diabetes risk, exercise, and nutrition affects the likelihood of postpartum diabetes screening after gestational diabetes
AU - Jones, Kai E.
AU - Yan, Yan
AU - Colditz, Graham A.
AU - Herrick, Cynthia J.
N1 - Funding Information:
KEJ received funding from the National Institutes of Diabetes and Digestive, and Kidney Diseases (5T35DK074375). YY has no support to report. GAC is supported by the Washington University Institute of Clinical and Translational Sciences grant UL1TR000448. CJH received funding from the National Institutes of Diabetes and Digestive and Kidney Diseases pilot grant from the Center for Diabetes Translation Research (1P30DK092950) and the Washington University Institute of Clinical and Translational Sciences grant UL1TR000448, sub award KL2TR000450. The content of this paper is solely the responsibility of the authors and does not necessarily represent the official views of the NIH
Publisher Copyright:
© 2017 Nature America, Inc., part of Springer Nature.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - Objective: Screening rates for type 2 diabetes after a pregnancy with gestational diabetes are inadequate. We aimed to determine how prenatal counseling on exercise, nutrition, and type 2 diabetes risk affects postpartum screening for diabetes. Methods: Using Pregnancy Risk Assessment Monitoring System data from Colorado (2009-2011) and Massachusetts (2012-2013), we performed multivariable logistic regression to examine the relationship between prenatal counseling and postpartum screening. Results: Among 556 women, prenatal counseling was associated with increased postpartum diabetes screening, after adjusting for age; parity; and receipt of Women, Infants, and Children (WIC) benefits (adjusted odds ratio (AOR) 3.0 [95% CI 1.4-6.5]). This effect was modified by race/ethnicity. Primiparity (AOR 2.2 [95% CI 1.2-4.1]) and advanced maternal age (AOR 2.2 [95% CI 1.2-3.8]) were associated with increased screening, and receiving WIC benefits was associated with decreased screening (AOR 0.5 [95% CI 0.3-0.9]). Conclusions: In women with gestational diabetes, culturally appropriate counseling on future diabetes risk, nutrition, and exercise may enhance postpartum diabetes screening.
AB - Objective: Screening rates for type 2 diabetes after a pregnancy with gestational diabetes are inadequate. We aimed to determine how prenatal counseling on exercise, nutrition, and type 2 diabetes risk affects postpartum screening for diabetes. Methods: Using Pregnancy Risk Assessment Monitoring System data from Colorado (2009-2011) and Massachusetts (2012-2013), we performed multivariable logistic regression to examine the relationship between prenatal counseling and postpartum screening. Results: Among 556 women, prenatal counseling was associated with increased postpartum diabetes screening, after adjusting for age; parity; and receipt of Women, Infants, and Children (WIC) benefits (adjusted odds ratio (AOR) 3.0 [95% CI 1.4-6.5]). This effect was modified by race/ethnicity. Primiparity (AOR 2.2 [95% CI 1.2-4.1]) and advanced maternal age (AOR 2.2 [95% CI 1.2-3.8]) were associated with increased screening, and receiving WIC benefits was associated with decreased screening (AOR 0.5 [95% CI 0.3-0.9]). Conclusions: In women with gestational diabetes, culturally appropriate counseling on future diabetes risk, nutrition, and exercise may enhance postpartum diabetes screening.
UR - http://www.scopus.com/inward/record.url?scp=85040042315&partnerID=8YFLogxK
U2 - 10.1038/s41372-017-0035-1
DO - 10.1038/s41372-017-0035-1
M3 - Article
C2 - 29298984
AN - SCOPUS:85040042315
SN - 0743-8346
VL - 38
SP - 315
EP - 323
JO - Journal of Perinatology
JF - Journal of Perinatology
IS - 4
ER -