Published in:
01-03-2014 | Original Research
Dulce Mothers: an intervention to reduce diabetes and cardiovascular risk in Latinas after gestational diabetes
Authors:
Athena Philis-Tsimikas, MD, Addie L. Fortmann, PhD, Sapna Dharkar-Surber, MPH, Johanna A. Euyoque, MA, Monica Ruiz, MA, James Schultz, MD, MBA, Linda C. Gallo, PhD
Published in:
Translational Behavioral Medicine
|
Issue 1/2014
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Abstract
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 < 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.