Efficacy of a virtual assistance-based lifestyle intervention in reducing risk factors for Type 2 diabetes in young employees in the information technology industry in India: LIMIT, a randomized controlled trial
| Autor: | Chittaranjan S. Yajnik, Dattatray S. Bhat, C. V. Joglekar, Kalyanaraman Kumaran, Tejas Limaye, R. Kulkarni, Arun S Nanivadekar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism India 030209 endocrinology & metabolism Type 2 diabetes Overweight law.invention User-Computer Interface 03 medical and health sciences 0302 clinical medicine Endocrinology Randomized controlled trial law Intervention (counseling) Glucose Intolerance Internal Medicine medicine Humans Obesity 030212 general & internal medicine Occupational Health Dyslipidemias Hypertriglyceridemia Text Messaging Intention-to-treat analysis Electronic Mail business.industry Cholesterol HDL Absolute risk reduction Cholesterol LDL medicine.disease Impaired fasting glucose Diabetes Mellitus Type 2 Hypertension Physical therapy Female medicine.symptom Information Technology business Reinforcement Psychology Risk Reduction Behavior Cell Phone |
| Popis: | Aims To investigate a virtual assistance-based lifestyle intervention to reduce risk factors for Type 2 diabetes in young employees in the information technology industry in India. Methods LIMIT (Lifestyle Modification in Information Technology) was a parallel-group, partially blinded, randomized controlled trial. Employees in the information technology industry with ≥3 risk factors (family history of cardiometabolic disease, overweight/obesity, high blood pressure, impaired fasting glucose, hypertriglyceridaemia, high LDL cholesterol and low HDL cholesterol) from two industrieswere randomized to a control or an intervention (1:1) group. After initial lifestyle advice, the intervention group additionally received reinforcement through mobile phone messages (three per week) and e-mails (two per week) for 1 year. The primary outcome was change in prevalence of overweight/obesity, analysed by intention to treat. Results Of 437 employees screened (mean age 36.2 ± 9.3 years; 74.8% men), 265 (61.0%) were eligible and randomized into the control (n=132) or intervention (n=133) group. After 1 year, the prevalence of overweight/obesity reduced by 6.0% in the intervention group and increased by 6.8% in the control group (risk difference 11.2%; 95% CI 1.2–21.1; P=0.042). There were also significant improvements in lifestyle measurements, waist circumference, and total and LDL cholesterol in the intervention group. The number-needed-to-treat to prevent one case of overweight/obesity in 1 year was 9 (95% CI 5–82), with an incremental cost of INR10665 (£112.30) per case treated/prevented. A total of 98% of participants found the intervention acceptable. Conclusions A virtual assistance-based lifestyle intervention was effective, cost-effective and acceptable in reducing risk factors for diabetes in young employees in the information technology industry, and is potentially scalable. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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