Document Type : Original Article


1 Department of Midwifery, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran

2 Department of Biostatistics, School of Health, Ilam University of Medical Sciences, Ilam, Iran


BACKGROUND: Physical activity and nutrition interventions are the most important ways to prevent
gestational diabetes. The purpose of the study was to determine the effect of healthy lifestyle
intervention to promote preventive behaviors of gestational diabetes in the rural woman of Shoush city.
MATERIALS AND METHODS: In an experimental study, 60 pregnant women were selected using
simple random sampling and allocate into intervention group (n = 30) and nutrition program. The
study was conducted from September to June 2018. The data were collected in baseline and 1 month
and 3 months of follow‑up phase and were analyzed using Chi‑square test, repeated‑measure test,
and generalized linear model (GLM). The α = 0.05 was considered as significance.
RESULTS: The mean age in the intervention and control group was 25.9 ± 5.6 and 27.2 ± 5.9,
respectively. The GLM test showed a significant increase in the physical activity level and the mean
of nutrition behaviors within the intervention group over time (P = 0.013). Further, based on the results
of repeated‑measure test, the mean of weekly MET‑minute was increased in the intervention group
in comparison to the control group at 1 month and 3 months of follow‑up (P < 0.001).
DISCUSSION AND CONCLUSION: The lifestyle interventions are appropriate programs to the
reduction of the risk of development of gestational diabetes in pregnant women.


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