Dulce Mothers: an intervention to reduce diabetes and cardiovascular risk in Latinas after gestational diabetes

作者：Philis Tsimikas Athena^*; Fortmann Addie L; Dharkar Surber Sapna; Euyoque Johanna A; Ruiz Monica; Schultz James; Gallo Linda C

来源：Translational Behavioral Medicine, 2014, 4(1): 18-25.

DOI：10.1007/s13142-014-0253-4

• Diabetes
• Gestational diabetes
• Hispanic
• Latino
• Lifestyle intervention
• Prevention

Latina women with prior gestational diabetes mellitus (GDM) are at elevated risk for type 2 diabetes mellitus and cardiovascular disease. Few primary prevention programs are designed for low socioeconomic status, Spanish-speaking populations. We examined the effectiveness of a Diabetes Prevention Program (DPP) translation in low-income Latinas with a history of GDM. Eighty-four Latinas, 18-45 years old with GDM in the past 3 years, underwent an 8-week peer-educator-led group intervention, with tailoring for Latino culture and recent motherhood. Lifestyle changes and diabetes and cardiovascular risk factors were assessed at study baseline, month 3 and month 6. Participants showed significant improvements in lipids, blood pressure, physical activity, dietary fat intake, and fatalistic and cultural diabetes beliefs (p%26lt;0.05). Formative evaluation provides preliminary evidence of program acceptability. A peer-led, culturally appropriate DPP translation was effective in improving lifestyle changes and some indicators of cardiovascular and diabetes risk in Latinas with GDM.

• 出版日期2014-3