Abstract
Aims
Many studies have demonstrated the effectiveness of primary prevention strategies
in type 2 diabetes, however, questions remain around the feasibility of high resource,
intensive interventions within a healthcare setting. We report the results of a dietitian-led
pre-diabetes education session targeting healthy eating and active living as strategies
for weight reduction.
Methods
Participants were asked to complete a baseline questionnaire prior to completing the
pre-diabetes education session and were sent follow-up questionnaires at 3 and 6 months.
Differences between participants at baseline, 3 and 6 months were determined using
χ2, t-tests and ANOVA.
Results
Of the 211 participants asked to fill out baseline questionnaires, 45 participants
completed questionnaires at baseline, 3 months and 6 months. Although we observed
general trends towards improvements in diet, physical activity and weight related
behaviours among the 45 completers, no significant changes were observed among participants
between questionnaire periods.
Conclusion
A “one-off”, theory-guided group education session may be insufficient to support
lifestyle modifications in the context of weight management in a pre-diabetic population.
Further evaluation of the efficacy and feasibility of the PCN as a setting for lifestyle
intervention is required.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Primary Care DiabetesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Canadian diabetes association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada.Can. J. Diabetes. 2013; 37: S1-S212
- Diagnosis and classification of diabetes mellitus.Diabetes Care. 2010; 33: S62-S69
- The IDF diabetes atlas: providing evidence, raising awareness and promoting action.Diabetes Res. Clin. Pract. 2010; 87: 2-3
- Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.N. Engl. J. Med. 2001; 344: 1343-1350
- Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.N. Engl. J. Med. 2002; 346: 393-403
- Pharmacological and lifestyle interventions to prevent or delay type 2 diabetes in people with impaired glucose tolerance: systematic review and meta-analysis.BMJ. 2007; 334: 299
- The European perspective of type 2 diabetes prevention: diabetes in Europe--prevention using lifestyle, physical activity and nutritional intervention (DE-PLAN) project.Exp. Clin. Endocrinol. Diabetes. 2008; 116: 167-172
- Preventing type 2 diabetes: risk identification and interventions for individuals at high risk.NICE Public Health Guidance 38. 2012
- National type 2 diabetes prevention programme in Finland: FIN-D2D.Int. J. Circumpolar Health. 2007; 66: 101-112
- Translating the Diabetes Prevention Program into the community. The DEPLOY Pilot Study.Am. J. Prev. Med. 2008; 35: 357-363
- Long-term effects of a community-based lifestyle intervention to prevent type 2 diabetes: the DEPLOY extension pilot study.Chron. Illness. 2011; 7: 279-290
- One-year results of a community-based translation of the diabetes prevention program: healthy-living partnerships to prevent diabetes (HELP PD) project.Diabetes Care. 2011; 34: 1451-1457
- Canada's Food Guide.M.o. Health, Ottawa, Ontario2011
- Health promotion by social cognitive means.Health Educ. Behav. 2004; 31: 143-164
- A simple method to assess exercise behavior in the community.Can. J. Appl. Sport Sci. 1985; 10: 141-146
- Performance of a short tool to assess dietary intakes of fruits and vegetables, percentage energy from fat and fibre.Public Health Nutr. 2004; 7: 1097-1105
- Dietary and physical activity behaviors among adults successful at weight loss maintenance.Int. J. Behav. Nutr. Phys. Act. 2006; 3: 17
- Comparison of estimates of population levels of physical activity using two measures.Aust. N. Z. J. Public Health. 2000; 24: 520-525
Article info
Publication history
Published online: February 27, 2014
Accepted:
January 28,
2014
Received in revised form:
January 27,
2014
Received:
August 8,
2013
Identification
Copyright
© 2014 Primary Care Diabetes Europe. Published by Elsevier Inc. All rights reserved.