{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:27:23Z","timestamp":1753878443055,"version":"3.41.2"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T00:00:00Z","timestamp":1726272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000064","name":"Banting and Best Diabetes Centre, University of Toronto","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000064","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000201","name":"Lawson Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000201","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Women with gestational diabetes mellitus (GDM) have a high risk of developing type 2 diabetes (T2D). Readiness for behaviour change to mitigate this risk may be low after pregnancy and may further decrease over time without appropriate interventions. This study aimed to evaluate readiness for behaviour change in the first and second postpartum years in women with recent GDM to determine the best timing for lifestyle interventions to prevent T2D.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included a subset of women with GDM between 2009 and 2013 in Ontario, Canada from a larger prospective cohort study who completed a survey in the first and second postpartum years (<jats:italic>N<\/jats:italic>\u2009=\u2009329). The primary outcome was stage of readiness for behaviour change for diet and physical activity, compared between the first and second postpartum years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 34.3\u2009\u00b1\u20094.4 standard deviation (SD) years and mean pre\u2010pregnancy body\u2010mass index (BMI) was 26.7\u2009\u00b1\u20096.9\u2009kg\/m<jats:sup>2<\/jats:sup>. In the first postpartum year, 86% of women reported a pre\u2010action stage of change, which was 87% by the second postpartum year (<jats:italic>p<\/jats:italic>\u2009=\u20090.646). Non\u2010Caucasian ethnicity was associated with lower odds of being in the action stage of readiness for behaviour change overall and for physical activity in both time periods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most postpartum women with recent GDM are in a pre\u2010action stage of change after delivery, which does not increase by the second postpartum year. Behavioural interventions should continue to be prioritized in postpartum women with GDM to optimize this slim window of opportunity for T2D prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15433","type":"journal-article","created":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T19:44:36Z","timestamp":1726343076000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Readiness for behaviour change after gestational diabetes mellitus: A prospective cohort study"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6018-6036","authenticated-orcid":false,"given":"Shohinee","family":"Sarma","sequence":"first","affiliation":[{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominika","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Yu","sequence":"additional","affiliation":[{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Lowe","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Ray","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism St. Michael's Hospital  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8561-7584","authenticated-orcid":false,"given":"Denice S.","family":"Feig","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Metabolism, Leadership Centre for Diabetes, Mount Sinai Hospital University of Toronto  Toronto Ontario Canada"},{"name":"Department of Medicine University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7412-7993","authenticated-orcid":false,"given":"Lorraine L.","family":"Lipscombe","sequence":"additional","affiliation":[{"name":"Women's College Research Institute Women's College Hospital  Toronto Ontario Canada"},{"name":"Department of Medicine University of Toronto  Toronto Ontario 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