Lifestyle Counseling for Type 2 Diabetes Risk Reduction in Dutch Primary Care
| Autor: | H. A. M. van Oers, Ivon E J Milder, P. W. A. Vermunt, J.H.M. de Vries, Gert P. Westert, F. Wielaard |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Counseling Male Research design Gerontology medicine.medical_specialty Endocrinology Diabetes and Metabolism Type 2 diabetes law.invention Randomized controlled trial law Weight loss Intervention (counseling) Diabetes mellitus Weight Loss Health care Internal Medicine Humans Medicine Exercise Life Style Original Research Aged Advanced and Specialized Nursing business.industry Clinical Care/Education/Nutrition/Psychosocial Research Middle Aged medicine.disease Dietary Fats Work experience Diabetes Mellitus Type 2 Physical therapy Female medicine.symptom Energy Intake business Risk Reduction Behavior |
| Zdroj: | Diabetes Care |
| ISSN: | 1935-5548 0149-5992 |
| Popis: | OBJECTIVE To study the overall effect of the Active Prevention in High-Risk Individuals of Diabetes Type 2 in and Around Eindhoven (APHRODITE) lifestyle intervention on type 2 diabetes risk reduction in Dutch primary care after 0.5 and 1.5 years and to evaluate the variability between general practices. RESEARCH DESIGN AND METHODS Individuals at high risk for type 2 diabetes (Finnish Diabetes Risk Score ≥13) were randomly assigned into an intervention group (n = 479) or a usual-care group (n = 446). Comparisons were made between study groups and between general practices regarding changes in clinical and lifestyle measures over 1.5 years. Participant, general practitioner, and nurse practitioner characteristics were compared between individuals who lost weight or maintained a stable weight and individuals who gained weight. RESULTS Both groups showed modest changes in glucose values, weight measures, physical activity, energy intake, and fiber intake. Differences between groups were significant only for total physical activity, saturated fat intake, and fiber intake. Differences between general practices were significant for BMI and 2-h glucose but not for energy intake and physical activity. In the intervention group, the nurse practitioners’ mean years of work experience was significantly longer in individuals who were successful at losing weight or maintaining a stable weight compared with unsuccessful individuals. Furthermore, successful individuals more often had a partner. CONCLUSIONS Risk factors for type 2 diabetes could be significantly reduced by lifestyle counseling in Dutch primary care. The small differences in changes over time between the two study groups suggest that additional intervention effects are modest. In particular, the level of experience of the nurse practitioner and the availability of partner support seem to facilitate intervention success. |
| Databáze: | OpenAIRE |
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