OBJECTIVES: We evaluated lifestyle interventions for diabetic persons who live in rural communities. METHODS: We conducted a 12-month randomized clinical trial (n = 152) of "intensive-lifestyle" (modeled after the NIH Diabetes Prevention Program) and "reimbursable-lifestyle" (intensive-lifestyle intervention delivered in the time allotted for Medicare reimbursement for diabetes education related to nutrition and physical activity) interventions with usual care as a control. RESULTS:Modest weight loss occurred by 6 months among intensive-lifestyle participants and was greater than the weight loss among usual-care participants (2.6 kg vs 0.4 kg, P<.01). At 12 months, a greater proportion of intensive-lifestyle participants had lost 2 kg or more than usual-care participants (49% vs 25%, P<.05). No differences in weight change were observed between reimbursable-lifestyle and usual-care participants. Glycated hemoglobin was reduced among all groups (P<.05) but was not different between groups. CONCLUSIONS: Improvement in both weight and glycemia was attainable by lifestyle interventions designed for persons who had type 2 diabetes and lived in rural communities.
RCT Entities:
OBJECTIVES: We evaluated lifestyle interventions for diabeticpersons who live in rural communities. METHODS: We conducted a 12-month randomized clinical trial (n = 152) of "intensive-lifestyle" (modeled after the NIH Diabetes Prevention Program) and "reimbursable-lifestyle" (intensive-lifestyle intervention delivered in the time allotted for Medicare reimbursement for diabetes education related to nutrition and physical activity) interventions with usual care as a control. RESULTS: Modest weight loss occurred by 6 months among intensive-lifestyle participants and was greater than the weight loss among usual-care participants (2.6 kg vs 0.4 kg, P<.01). At 12 months, a greater proportion of intensive-lifestyle participants had lost 2 kg or more than usual-care participants (49% vs 25%, P<.05). No differences in weight change were observed between reimbursable-lifestyle and usual-care participants. Glycated hemoglobin was reduced among all groups (P<.05) but was not different between groups. CONCLUSIONS: Improvement in both weight and glycemia was attainable by lifestyle interventions designed for persons who had type 2 diabetes and lived in rural communities.
Authors: Shiriki K Kumanyika; Mark A Espeland; Judy L Bahnson; Juliene B Bottom; Jeanne B Charleston; Steve Folmar; Alan C Wilson; Paul K Whelton Journal: Obes Res Date: 2002-02
Authors: William C Knowler; Elizabeth Barrett-Connor; Sarah E Fowler; Richard F Hamman; John M Lachin; Elizabeth A Walker; David M Nathan Journal: N Engl J Med Date: 2002-02-07 Impact factor: 91.245
Authors: V J Stevens; S A Corrigan; E Obarzanek; E Bernauer; N R Cook; P Hebert; M Mattfeldt-Beman; A Oberman; C Sugars; A T Dalcin Journal: Arch Intern Med Date: 1993-04-12
Authors: Daniel Clark; Lisa Chrysler; Anthony Perkins; Nicole R Keith; Deanna R Willis; Greg Abernathy; Faye Smith Journal: J Health Care Poor Underserved Date: 2010-05
Authors: Kate Lambourne; Richard A Washburn; Cheryl Gibson; Debra K Sullivan; Jeannine Goetz; Robert Lee; Bryan K Smith; Matthew S Mayo; Joseph E Donnelly Journal: Contemp Clin Trials Date: 2012-06-01 Impact factor: 2.226
Authors: Sherri L Pals; David M Murray; Catherine M Alfano; William R Shadish; Peter J Hannan; William L Baker Journal: Am J Public Health Date: 2008-06-12 Impact factor: 9.308
Authors: Elizabeth G Eakin; Marina M Reeves; Alison L Marshall; David W Dunstan; Nicholas Graves; Genevieve N Healy; Jonathan Bleier; Adrian G Barnett; Trisha O'Moore-Sullivan; Anthony Russell; Ken Wilkie Journal: BMC Public Health Date: 2010-08-03 Impact factor: 3.295
Authors: Richard M Davis; Angela D Hitch; Muhammad M Salaam; William H Herman; Ingrid E Zimmer-Galler; Elizabeth J Mayer-Davis Journal: Diabetes Care Date: 2010-05-18 Impact factor: 19.112