{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:47:35Z","timestamp":1792806455822,"version":"4.5.0"},"reference-count":44,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NSW Health Translational Research Grants Scheme","award":["TRGS 26"],"award-info":[{"award-number":["TRGS 26"]}]},{"name":"Maternal and Women\u2019s Clinical Academic Group of Sydney Partnership for Health, Education, Research and Enterprise","id":[{"id":"https:\/\/ror.org\/041wqk140","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Hypertensive disorders of pregnancy (HDP) increase the risk of cardiovascular disease (CVD), but few studies have explored the efficacy of lifestyle interventions to improve CVD risk post-HDP. This study compared the 6 month (6M) and 12 month (12M) dietary and physical activity outcomes of women post-HDP participating in one of three lifestyle interventions. Methods: This sub-study of the Blood Pressure Postpartum (BP2) randomised controlled trial included participants from six hospitals across Sydney, Australia, randomly assigned to one of three groups: Group 1 (usual care) received general postpartum health information; Group 2 (brief education) received usual care plus an individualised cardiovascular risk assessment and lifestyle counselling; Group 3 (extended lifestyle) received all Group 2 components plus enrolment in a six-month telephone coaching programme. Baseline and post-intervention data were collected at 6M and 12M, respectively. Diet and physical activity were assessed using the NSW Population Health Survey, alongside cardiometabolic measures. Results: Overall, 405 women provided complete 6M and 12M data (Group 1 n = 129, Group 2 n = 137, Group 3 n = 139). From 6M to 12M, Group 3 increased their vegetable serves\/day (3.0 vs. 2.0, p = 0.001). No significant changes in fruit intake and physical activity levels were observed among groups. Groups 2 and 3 reported that nutritional information had a greater influence on their food choices at 12M (p = 0.010 and p &lt; 0.001, respectively). At 12M, higher vegetable and fruit intake correlated with lower body mass index (BMI) (p = 0.006, p = 0.003) and waist circumference (p = 0.035, p = 0.014), and increased vigorous and strength exercise correlated with lower BMI (p = 0.005, p = 0.003) and waist circumference (p &lt; 0.001, p &lt; 0.001). Conclusions: Intensive lifestyle interventions improved vegetable intake and nutrition awareness in post-HDP women at 12M, holding promise for long-term cardiometabolic health benefits.<\/jats:p>","DOI":"10.3390\/nu18040610","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T17:42:13Z","timestamp":1770918133000},"page":"610","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lifestyle Outcomes Six and Twelve Months After Hypertensive Disorders of Pregnancy: A Blood Pressure Postpartum Sub-Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7801-5779","authenticated-orcid":false,"given":"Jenny","family":"Zhang","sequence":"first","affiliation":[{"name":"Discipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Medicine and Health, Sydney, NSW 2031, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2339-3751","authenticated-orcid":false,"given":"Lynne","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, St George Hospital, Sydney, NSW 2217, Australia"},{"name":"St. George and Sutherland Clinical Campus, School of Clinical Medicine, UNSW Medicine and Health, Sydney, NSW 2217, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9666-4850","authenticated-orcid":false,"given":"Kaylee","family":"Slater","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0310-9533","authenticated-orcid":false,"given":"Justine","family":"Salisbury","sequence":"additional","affiliation":[{"name":"Ministry of Health NSW, St. Leonards, NSW 2065, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9574-6248","authenticated-orcid":false,"given":"Megan","family":"Gow","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, St George Hospital, Sydney, NSW 2217, Australia"},{"name":"The George Institute for Global Health, University of New South Wales, Sydney, NSW 2031, Australia"},{"name":"School of Population Health, UNSW Medicine and Health, Sydney, NSW 2031, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7351-8922","authenticated-orcid":false,"given":"Amanda","family":"Henry","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, St George Hospital, Sydney, NSW 2217, Australia"},{"name":"The George Institute for Global Health, University of New South Wales, Sydney, NSW 2031, Australia"},{"name":"Discipline of Women\u2019s Health, School of Clinical Medicine, UNSW Medicine and Health, Sydney, NSW 2031, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1900","DOI":"10.1038\/s41440-023-01323-w","article-title":"Preeclampsia up to date\u2014What\u2019s going on?","volume":"46","author":"Bokuda","year":"2023","journal-title":"Hypertens. 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