About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Community Approach Effective Against Diabetes Fight

by Sheela Philomena on March 18, 2013 at 10:17 AM
Font : A-A+

 Community Approach Effective Against Diabetes Fight

A prevention program led by community workers is effective at lowering blood pressure and diabetes, say researchers. This is the largest program to successfully replicate the results achieved by the Diabetes Prevention Project (DPP), a research study led by the National Institutes of Health and supported by Centers for Disease Control and Prevention, which demonstrated several years ago that lifestyle weight-loss interventions can reduce the incidence of diabetes by 58 percent. The study is published in the March 18 issue of the American Journal of Preventive Medicine.

"We wanted to take this intervention out to people in the community rather than having them have to come to us in a clinical setting," said the study's lead author, Jeff Katula, Ph.D., assistant professor of health and exercise sciences at Wake Forest University and joint assistant professor of epidemiology and prevention at Wake Forest Baptist. "Given the high prevalence of obesity and metabolic syndrome and risk for diabetes, our study shows we can provide an effective program in a community setting."

Advertisement

Latest estimates indicate that almost 26 million people in the U.S. have diabetes and another 79 million adults have prediabetes, a condition in which blood glucose levels are higher than normal but not yet high enough to be diagnosed as diabetes. Despite improved treatment, the overall public health burden continues to increase, which highlights the critical importance of prevention, Katula said.

Because the DPP involved substantial amounts of resources and specialized personnel, the goal of the Wake Forest Baptist study was to test a translation of the DPP model in community settings. The lifestyle weight-loss interventions were conducted by community health workers in parks and recreation centers, rather than by health care professionals in clinical settings.

The research team examined the effects of a 24-month lifestyle weight-loss program in 301 overweight or obese participants with elevated fasting blood glucose, a common indicator of prediabetes. The study was conducted in and around Forsyth County, N.C., from 2007 through 2011 with the volunteers representing the racial composition of the county's population. Fasting blood glucose, insulin, insulin resistance, body weight, body mass index (BMI) and waist circumference were assessed every six months for 24 months.
Advertisement

Overweight and obese volunteers with elevated fasting blood glucose were assigned randomly to either a group-based, lifestyle weight-loss intervention (LWL) or an enhanced usual care comparison (UCC). The UCC was designed to exceed the usual care a person with prediabetes would typically receive, which might include a doctor advising a patient to lose weight and to exercise. In this study, the enhanced UCC provided participants with two meetings with a registered dietitian and monthly newsletters.

Results indicated that the significant reductions in body weight, BMI, waist circumference, fasting blood glucose, insulin and insulin resistance achieved during the first year of the program by the LWL group largely were maintained in the second year as compared to the usual care group. Additionally, at 24 months the percentage of volunteers who lost 5 percent or more of their initial body weight was 46.5 percent in the LWL group versus 15 percent in the UCC group.

"Many previous studies have shown that people can lose weight for six months, but maintaining those changes, particularly metabolic changes, over time is the real challenge," Katula said.

The study was limited in that participants were only from one county in North Carolina that included a mid-sized city. It is unknown whether this type of intervention can be implemented effectively in varying geographic locations involving various racial distributions and/or in rural settings, Katula said.

This project was supported by award R18DK069901 from the National Institute of Diabetes and Digestive and Kidney Diseases.

Co-authors of the study are Mara Vitolins, Dr.PH., Timothy Morgan, Ph.D., Caroline Blackwell, B.S., Scott Isom, M.S., Carolyn Pedley, M.D., of Wake Forest Baptist; David Goff Jr., M.D., Ph.D., of the University of Colorado School of Public Health; and Michael Lawlor, Ph.D., of Wake Forest University.

Source: Newswise
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
Turmeric: Magic Ingredient to Keep you Healthy in Winter
Top 7 Benefits of Good Oral Hygiene
Healthy and Safer Thanksgiving 2021
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Diabetic Retinopathy Diabetes Diabetic Diet Diabetes - Essentials Diabetes - Self-Monitoring of Blood Glucose (SMBG) Insulin Delivery Devices Diabetes and Exercise Stress Relief Through Alternative Medicine Stress and the Gender Divide Silent Killer Diseases 

Recommended Reading
Diabetes Screening
Diabetes screening is done using blood tests like fasting blood sugar and hemoglobin A1c levels. ......
Quiz on Diabetes Medications
How much do you know about the medications used to treat diabetes? Here are a few questions you ......
Diabetes Risk Assessment Calculator
Almost one-third of the people are unaware of the risk factors of diabetes. Find out if you run the ...
Molecule's Structure Reveals New Therapeutic Opportunities for Rare Diabetes: Researchers
Researchers have determined the complete three-dimensional structure of a protein called ......
Diabetes
A comprehensive article on diabetes - both Type 1 and Type 2 diabetes, including : causes, signs, sy...
Diabetes - Essentials
Diabetes is a metabolic disease caused by insulin deficiency that leads to high blood sugar levels a...
Diabetes - Self-Monitoring of Blood Glucose (SMBG)
Self-Monitoring Of Blood Glucose (SMBG) is one of the greatest advancements in the management of Di...
Diabetes and Exercise
Regular exercise especially in type II diabetes not only helps reduce the sugar but also reduces the...
Diabetic Diet
The diabetic diet most often recommended is high in dietary fiber (especially soluble fiber) and nut...
Diabetic Retinopathy
The term ‘diabetic retinopathy’ refers to changes in the retina which often occur in people with ......
Insulin Delivery Devices
Insulin delivery devices have evolved drastically since their invention in 1922. They are all aimed ...
Stress and the Gender Divide
Stress has become entwined in the current lifestyle of a young working couple and has resulted in th...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use