PMID- 32515856
OWN - NLM
STAT- MEDLINE
DCOM- 20210302
LR  - 20210615
IS  - 1098-240X (Electronic)
IS  - 0160-6891 (Linking)
VI  - 43
IP  - 4
DP  - 2020 Aug
TI  - Do obesity and low levels of physical activity increase the risk for developing 
      type 2 diabetes mellitus among women with prior gestational diabetes in rural 
      China?
PG  - 387-395
LID - 10.1002/nur.22043 [doi]
AB  - Moderate-to-vigorous intensity physical activity (MVPA) and obesity play 
      important roles in the development of type 2 diabetes mellitus (T2DM) among women 
      with prior gestational diabetes mellitus (GDM). Yet, how MVPA affects the risk of 
      developing T2DM among women with prior GDM across the different categories of 
      obesity indicators is unclear. This study aimed to describe the levels of 
      postpartum abnormal glucose tolerance (AGT), obesity indicators (body mass index 
      [BMI] and waist circumference [WC]), and MVPA and to explore the independent 
      effect and joint effect of MVPA and obesity indicators (BMI and WC) on the risk 
      for developing AGT among women with prior GDM in rural China. A total of 425 
      women with prior GDM were recruited from two county-level hospitals in Western 
      and Eastern Hunan, China. Data were collected with self-reported measurements on 
      sociodemographics and clinical factors as well as postpartum weight-related 
      behaviors (physical activity and dietary intake). The 75-g oral glucose tolerance 
      test, weight, height, and WC were measured on site. Binary logistic regression 
      models and multiplitive interaction models were used to explore the independent 
      and joint associations of BMI and MVPA as well as WC and MVPA on AGT, 
      respectively. One-fifth (20.9%) of the sample women had AGT. The obesity 
      indicators were significantly associated with an increased risk of postpartum 
      AGT, but MVPA was not. In joint effect analyses, larger WC and insufficient MVPA 
      were not significantly associated with increased risk of AGT compared with normal 
      WC and sufficient MVPA (mutually adjusted odds ratio [OR], 1.43; 95% confidence 
      interval [CI], 0.46-4.43; p > .05). In joint effect analyses of MVPA and BMI, the 
      mutually adjusted OR for developing AGT in women who were obese and had 
      insufficient MVPA was 4.49 (95% CI, 1.35-14.92; p < .05) compared with normal 
      weight and sufficient MVPA. Adequate weight management and increased MVPA are 
      warranted for Chinese women with prior GDM to prevent T2DM.
CI  - (c) 2020 Wiley Periodicals LLC.
FAU - Mao, Ping
AU  - Mao P
AD  - Department of Nursing, Third Xiangya Hospital, Central South University, 
      Changsha, Hunan, China.
FAU - Jiang, Shan
AU  - Jiang S
AD  - Department of Clinical Nursing, Xiangya School of Nursing, Central South 
      University, Changsha, Hunan, China.
FAU - Guo, Jia
AU  - Guo J
AUID- ORCID: 0000-0002-8304-9947
AD  - Department of Clinical Nursing, Xiangya School of Nursing, Central South 
      University, Changsha, Hunan, China.
FAU - Long, Qing
AU  - Long Q
AD  - Department of Clinical Nursing, Xiangya School of Nursing, Central South 
      University, Changsha, Hunan, China.
FAU - Zhang, Honghui
AU  - Zhang H
AD  - Department of Hepatobiliary Surgery, Hunan Provincial People's Hospital, 
      Chingsha, Hunan, China.
FAU - Chen, Jyu-Lin
AU  - Chen JL
AD  - Department of Family Nursing, School of Nursing, University of California, San 
      Francisco, California.
LA  - eng
GR  - 17XBQ111/Philosophy and Social Science Foundation of Hunan Province/
GR  - 1053320184112/Graduate research and innovation project of central south 
      university of Central South University/
GR  - 2018ZK4032/Technology Innovation Guidance Plan Project of Hunan Province/
GR  - M01 RR001271/RR/NCRR NIH HHS/United States
GR  - 2018CX037/Innovation-Driven Project of Central South University/
GR  - 16-256/China Medical Board/
PT  - Journal Article
DEP - 20200609
PL  - United States
TA  - Res Nurs Health
JT  - Research in nursing & health
JID - 7806136
SB  - IM
MH  - Adult
MH  - China
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*etiology/*physiopathology
MH  - Diabetes, Gestational/physiopathology
MH  - Exercise/*physiology
MH  - Female
MH  - Humans
MH  - Obesity/*complications
MH  - Postpartum Period
MH  - Pregnancy
MH  - Risk Assessment/*statistics & numerical data
MH  - Rural Population/*statistics & numerical data
OTO - NOTNLM
OT  - body mass index
OT  - diabetes
OT  - exercise
OT  - gestational
OT  - glucose intolerance
OT  - obesity
OT  - waist circumference
EDAT- 2020/06/10 06:00
MHDA- 2021/03/03 06:00
CRDT- 2020/06/10 06:00
PHST- 2019/09/24 00:00 [received]
PHST- 2020/03/22 00:00 [revised]
PHST- 2020/05/19 00:00 [accepted]
PHST- 2020/06/10 06:00 [pubmed]
PHST- 2021/03/03 06:00 [medline]
PHST- 2020/06/10 06:00 [entrez]
AID - 10.1002/nur.22043 [doi]
PST - ppublish
SO  - Res Nurs Health. 2020 Aug;43(4):387-395. doi: 10.1002/nur.22043. Epub 2020 Jun 9.