371: Perception of risk of cardiovascular disease in obese and gestational diabetic patients

ObjectiveTo evaluate self-perceived risk of cardiovascular disease (CVD) in postpartum patients with gestational diabetes (GDM) or obesity. Given the focused health education provided to GDM patients, we hypothesized that GDM patients would have a heightened perception of CVD risk compared to non-diabetic controls, whereas obese patients would not differ in their CVD risk perception compared to non-obese non-diabetic controls.Study DesignSecondary analysis of a cross sectional study of postpartum women at a tertiary care center from July 1, 2012 to May 31, 2013. Women without pre-gestational diabetes and with a pre-pregnancy BMI ≥ 18.5 were eligible for inclusion. Outcomes evaluated include perception of control over health risks, intention to make lifestyle modifications, and perception of risk for CVD and associated morbidities.Results195 patients were included in the secondary analysis. Patients with GDM were more likely to report a high risk of CVD than controls (27.6% v. 13%, p=0.04). They also recognized their elevated risk of future diabetes, but not of hypertension and stroke (see table). When asked about general health risks, GDM patients did not consider themselves to be at higher risk of serious disease than controls (34.4% v. 34.9%, p=0.77). Obese non-diabetic patients did not recognize their higher CVD risk when compared to controls (12.7% v. 11.3%, p=0.21), and also failed to recognize their elevated risk of diabetes, hypertension and stroke. Obese patients also did not consider themselves to be at higher risk of serious disease (32.1% v. 39%, p=0.85). Both GDM and non-diabetic obese patients stated increased intention over controls to make dietary changes and lose weight over the next year.ConclusionPatients with GDM recognize their elevated risk for future CVD and diabetes, while patients with obesity did not recognize their elevated risk for future CVD or other related morbidities. These findings identify a knowledge gap that can be addressed through targeted educational initiatives.*P-value calculated using Mann-Whitney U test for ordinal variables and chi-square analysis for dichomatous variables ObjectiveTo evaluate self-perceived risk of cardiovascular disease (CVD) in postpartum patients with gestational diabetes (GDM) or obesity. Given the focused health education provided to GDM patients, we hypothesized that GDM patients would have a heightened perception of CVD risk compared to non-diabetic controls, whereas obese patients would not differ in their CVD risk perception compared to non-obese non-diabetic controls. To evaluate self-perceived risk of cardiovascular disease (CVD) in postpartum patients with gestational diabetes (GDM) or obesity. Given the focused health education provided to GDM patients, we hypothesized that GDM patients would have a heightened perception of CVD risk compared to non-diabetic controls, whereas obese patients would not differ in their CVD risk perception compared to non-obese non-diabetic controls. Study DesignSecondary analysis of a cross sectional study of postpartum women at a tertiary care center from July 1, 2012 to May 31, 2013. Women without pre-gestational diabetes and with a pre-pregnancy BMI ≥ 18.5 were eligible for inclusion. Outcomes evaluated include perception of control over health risks, intention to make lifestyle modifications, and perception of risk for CVD and associated morbidities. Secondary analysis of a cross sectional study of postpartum women at a tertiary care center from July 1, 2012 to May 31, 2013. Women without pre-gestational diabetes and with a pre-pregnancy BMI ≥ 18.5 were eligible for inclusion. Outcomes evaluated include perception of control over health risks, intention to make lifestyle modifications, and perception of risk for CVD and associated morbidities. Results195 patients were included in the secondary analysis. Patients with GDM were more likely to report a high risk of CVD than controls (27.6% v. 13%, p=0.04). They also recognized their elevated risk of future diabetes, but not of hypertension and stroke (see table). When asked about general health risks, GDM patients did not consider themselves to be at higher risk of serious disease than controls (34.4% v. 34.9%, p=0.77). Obese non-diabetic patients did not recognize their higher CVD risk when compared to controls (12.7% v. 11.3%, p=0.21), and also failed to recognize their elevated risk of diabetes, hypertension and stroke. Obese patients also did not consider themselves to be at higher risk of serious disease (32.1% v. 39%, p=0.85). Both GDM and non-diabetic obese patients stated increased intention over controls to make dietary changes and lose weight over the next year. 195 patients were included in the secondary analysis. Patients with GDM were more likely to report a high risk of CVD than controls (27.6% v. 13%, p=0.04). They also recognized their elevated risk of future diabetes, but not of hypertension and stroke (see table). When asked about general health risks, GDM patients did not consider themselves to be at higher risk of serious disease than controls (34.4% v. 34.9%, p=0.77). Obese non-diabetic patients did not recognize their higher CVD risk when compared to controls (12.7% v. 11.3%, p=0.21), and also failed to recognize their elevated risk of diabetes, hypertension and stroke. Obese patients also did not consider themselves to be at higher risk of serious disease (32.1% v. 39%, p=0.85). Both GDM and non-diabetic obese patients stated increased intention over controls to make dietary changes and lose weight over the next year. ConclusionPatients with GDM recognize their elevated risk for future CVD and diabetes, while patients with obesity did not recognize their elevated risk for future CVD or other related morbidities. These findings identify a knowledge gap that can be addressed through targeted educational initiatives.*P-value calculated using Mann-Whitney U test for ordinal variables and chi-square analysis for dichomatous variables Patients with GDM recognize their elevated risk for future CVD and diabetes, while patients with obesity did not recognize their elevated risk for future CVD or other related morbidities. These findings identify a knowledge gap that can be addressed through targeted educational initiatives.