{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:37:30Z","timestamp":1787956650126,"version":"build-2784847793"},"reference-count":63,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Sydney Health Partners Medical Research Futures Fund"},{"name":"Westmead Applied Research Centre"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Gestational diabetes (GDM) is associated with a long-term risk of diabetes. We aimed to determine whether a text-messaging-based lifestyle support program would improve diabetes risk factors following GDM. Women with GDM were randomised following delivery to receive four text messages per week supporting a healthy lifestyle and parenting for 6 months, with feedback from an activity monitor (intervention), or to receive the activity monitor only (control). The primary outcome was a composite of weight, physical activity and dietary goals. There were 177 women randomised, with 88 intervention and 89 control participants. All the participants experienced COVID-19 lockdowns during the study. Six-month primary outcome data were obtained for 57 intervention participants and 56 controls. There were 7\/57 (12%) intervention and 6\/56 (11%) control participants who met the primary outcome (relative risk, 1.08; 95%CI, 0.63\u20131.85; p = 0.79). Two intervention participants met the dietary goals compared to none of the control participants (p = NS). The intervention participants were more likely to record &gt;1000 steps\/day (on 102 \u00b1 59 vs. 81 \u00b1 59 days, p = 0.03). When analysed monthly, this was not initially different but became significant 3\u20136 months post-partum. Interviews and surveys indicated that with the Intervention, healthier choices were made, but these were negatively impacted by COVID-19 restrictions. Participants found the messages motivational (74%) and the activity monitor useful (71%). In conclusion, no improvement in the diabetes risk factors occurred among the women receiving the text messaging intervention when affected by COVID-19 restrictions.<\/jats:p>","DOI":"10.3390\/nu16060820","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T05:43:30Z","timestamp":1710395010000},"page":"820","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Randomised Controlled Trial of a Customised Text Messaging and Activity Monitor Program for Lifestyle Improvement after Gestational Diabetes"],"prefix":"10.3390","volume":"16","author":[{"given":"Ngai Wah","family":"Cheung","sequence":"first","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, NSW 2145, Australia"},{"name":"Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0560-0761","authenticated-orcid":false,"given":"David","family":"Simmons","sequence":"additional","affiliation":[{"name":"Macarthur Diabetes Service, Campbelltown Hospital, Campbelltown, NSW 2560, Australia"},{"name":"School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Marschner","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aravinda","family":"Thiagalingam","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"Department of Cardiology, Westmead Hospital, Sydney, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6722-1006","authenticated-orcid":false,"given":"Dharmintra","family":"Pasupathy","sequence":"additional","affiliation":[{"name":"Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"Westmead Institute for Maternal & Fetal Medicine, Women\u2019s & Newborn Health, Westmead Hospital, Sydney, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben J.","family":"Smith","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5310-7221","authenticated-orcid":false,"given":"Victoria","family":"Flood","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"The University Centre for Rural Health, Northern Rivers, Faculty of Medicine and Health, The University of Sydney, Lismore, NSW 2480, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"McLean","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Blacktown Hospital, Blacktown, NSW 2148, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7569-1016","authenticated-orcid":false,"given":"Sarah J.","family":"Melov","sequence":"additional","affiliation":[{"name":"Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"Westmead Institute for Maternal & Fetal Medicine, Women\u2019s & Newborn Health, Westmead Hospital, Sydney, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roslyn","family":"Hogan","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, NSW 2145, Australia"},{"name":"Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suja","family":"Padmanabhan","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, NSW 2145, Australia"},{"name":"Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Duke","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Blacktown Hospital, Blacktown, NSW 2148, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cellina","family":"Ching","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haeri","family":"Min","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"McNab","sequence":"additional","affiliation":[{"name":"Reproduction and Perinatal Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4693-0038","authenticated-orcid":false,"given":"Clara K.","family":"Chow","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"},{"name":"Department of Cardiology, Westmead Hospital, Sydney, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1210\/endrev\/bnac003","article-title":"A clinical update on gestational diabetes 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