BACKGROUND: Lifestyle modification (i.e., weight loss, active lifestyle, healthy diet) is a recommended strategy for the prevention of type 2 diabetes and cardiovascular disease. The purpose of this study was to examine the relationship between receiving a health-care provider's recommendation and adherence to behavioral indicators of adaptation of a healthy lifestyle among adults with prediabetes. METHODS: A secondary analysis was conducted using the 2005-2006 National Health and Nutrition Examination Survey (NHANES) data (N=2,853) that included self-reported efforts to improve diet, lose weight, and increase physical activity and objective measures of body mass index, blood tests for lipids, and actigraph data on physical activity. RESULTS: When demographic variables, metabolic factors, and physical activity level were controlled, central obesity and elevated blood pressure were significantly associated with having prediabetes. Almost 40% of the respondents with prediabetes reported being told by their health-care provider during the previous year to control or lose weight, increase their physical activity, or decrease the fat and calories in their diet. Participants who were counseled to adopt a healthy lifestyle reported high adherence to weight control and diet modification. Selected objective measures supported that the health-care providers' recommendations contributed to improved lifestyle. CONCLUSIONS: These findings indicate that self-reported health-care provider's recommendations for lifestyle modifications are associated with people actually engaging in healthier behavior. The results reinforce the importance of health-care provider's making recommendations to promote adherence to a healthier lifestyle.
BACKGROUND: Lifestyle modification (i.e., weight loss, active lifestyle, healthy diet) is a recommended strategy for the prevention of type 2 diabetes and cardiovascular disease. The purpose of this study was to examine the relationship between receiving a health-care provider's recommendation and adherence to behavioral indicators of adaptation of a healthy lifestyle among adults with prediabetes. METHODS: A secondary analysis was conducted using the 2005-2006 National Health and Nutrition Examination Survey (NHANES) data (N=2,853) that included self-reported efforts to improve diet, lose weight, and increase physical activity and objective measures of body mass index, blood tests for lipids, and actigraph data on physical activity. RESULTS: When demographic variables, metabolic factors, and physical activity level were controlled, central obesity and elevated blood pressure were significantly associated with having prediabetes. Almost 40% of the respondents with prediabetes reported being told by their health-care provider during the previous year to control or lose weight, increase their physical activity, or decrease the fat and calories in their diet. Participants who were counseled to adopt a healthy lifestyle reported high adherence to weight control and diet modification. Selected objective measures supported that the health-care providers' recommendations contributed to improved lifestyle. CONCLUSIONS: These findings indicate that self-reported health-care provider's recommendations for lifestyle modifications are associated with people actually engaging in healthier behavior. The results reinforce the importance of health-care provider's making recommendations to promote adherence to a healthier lifestyle.
Authors: Andrea S Wallace; Yelena Perkhounkova; Andrew L Sussman; Maria Hein; Sophia Jihey Chung; Toni Tripp-Reimer Journal: Transl Behav Med Date: 2016-06 Impact factor: 3.046
Authors: Matthew J O'Brien; Margaret R Moran; Joyce W Tang; Maria C Vargas; Mary Talen; Laura J Zimmermann; Ronald T Ackermann; Namratha R Kandula Journal: Diabetes Educ Date: 2016-09-12 Impact factor: 2.140
Authors: Alberly Perez; Victor A Alos; Adam Scanlan; Catarina M Maia; Adam Davey; Robert C Whitaker; Gary D Foster; Ronald T Ackermann; Matthew J O'Brien Journal: Contemp Clin Trials Date: 2015-10-24 Impact factor: 2.226