Natalie D Ritchie1,2, Liesel Christoe-Frazier3, Kim K McFann4, Edward P Havranek5,6, Rocio I Pereira5,7. 1. 1 Ambulatory Care Services, Denver Health and Hospital Authority, Denver, CO, USA. 2. 2 Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA. 3. 3 Department of Counseling Psychology, University of Northern Colorado, Greeley, CO, USA. 4. 4 Colorado School of Public Health, University of Colorado, Aurora, CO, USA. 5. 5 Department of Medicine, Denver Health and Hospital Authority, Denver, CO, USA. 6. 6 Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA. 7. 7 Department of Endocrinology, University of Colorado School of Medicine, Aurora, CO, USA.
Abstract
PURPOSE: To study the effect of the National Diabetes Prevention Program (NDPP) on weight loss in Latinos. DESIGN: No-control, cohort study comparing Latino and non-Hispanic white (NHW) participants. SETTING: A health-care system. PARTICIPANTS: Five hundred sixty-seven Latino and 175 NHW patients who enrolled in the NDPP. A total of 45.2% of Latinos selected the Spanish-language NDPP. INTERVENTION: The NDPP is a nationwide translation of a clinical trial and seeks to prevent diabetes through weight loss in a yearlong group program. MEASURES: Independent variables included ethnicity, class language, and number of sessions attended. Main outcomes were initial attendance, number of sessions attended, and weight loss. ANALYSIS: Multivariate logistic regression and analysis of covariance were used to determine differences in NDPP outcomes by ethnicity, language, and number of sessions attended. RESULTS: Mean attendance was 8.60 of 22 sessions. Each session was associated with 0.30% (±0.02; P < .001) body weight loss. Latinos were half as likely to attend as NHWs, odds ratio 0.52 ( P < .001). Latino attendees came to 2.67 ± 0.63 ( P < .001) fewer sessions than NHWs. There were no weight loss differences by ethnicity after controlling for attendance. Outcomes did not differ among Latinos in the English- and Spanish-language NDPP. CONCLUSION: Latinos appeared to benefit less from the NDPP compared to NHWs, likely due to lower attendance rates. Further efforts are needed to support their participation.
PURPOSE: To study the effect of the National Diabetes Prevention Program (NDPP) on weight loss in Latinos. DESIGN: No-control, cohort study comparing Latino and non-Hispanic white (NHW) participants. SETTING: A health-care system. PARTICIPANTS: Five hundred sixty-seven Latino and 175 NHW patients who enrolled in the NDPP. A total of 45.2% of Latinos selected the Spanish-language NDPP. INTERVENTION: The NDPP is a nationwide translation of a clinical trial and seeks to prevent diabetes through weight loss in a yearlong group program. MEASURES: Independent variables included ethnicity, class language, and number of sessions attended. Main outcomes were initial attendance, number of sessions attended, and weight loss. ANALYSIS: Multivariate logistic regression and analysis of covariance were used to determine differences in NDPP outcomes by ethnicity, language, and number of sessions attended. RESULTS: Mean attendance was 8.60 of 22 sessions. Each session was associated with 0.30% (±0.02; P < .001) body weight loss. Latinos were half as likely to attend as NHWs, odds ratio 0.52 ( P < .001). Latino attendees came to 2.67 ± 0.63 ( P < .001) fewer sessions than NHWs. There were no weight loss differences by ethnicity after controlling for attendance. Outcomes did not differ among Latinos in the English- and Spanish-language NDPP. CONCLUSION: Latinos appeared to benefit less from the NDPP compared to NHWs, likely due to lower attendance rates. Further efforts are needed to support their participation.
Entities:
Keywords:
latinos; patient participation; prediabetes; weight loss
Authors: Earle C Chambers; Jeffrey S Gonzalez; Melinda E Marquez; Amanda Parsons; Colin D Rehm Journal: Diabetes Educ Date: 2019-10-14 Impact factor: 2.140
Authors: Maud Joachim-Célestin; Thelma Gamboa-Maldonado; Hildemar Dos Santos; Susanne B Montgomery Journal: J Prim Care Community Health Date: 2020 Jan-Dec