Number and Characteristics of US Adults Meeting Prediabetes Criteria for Diabetes Prevention Programs: NHANES 2007–2016

Lee, Alexandra K.; Warren, Bethany; Liu, Caroline; Foti, Kathryn; Selvin, Elizabeth

doi:10.1007/s11606-019-04915-w

Cited by 6 publications

(3 citation statements)

References 3 publications

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“…There are also disparities in obesity prevalence by race/ethnicity. NHANES data from 2015 to 2016 showed that Hispanics and Blacks had a higher obesity rate of 50.6% and 54.8% compared to Whites with 38% in the US (Lee, Warren, Liu, Foti, & Selvin, 2019). Even among children, obesity rates were higher among Hispanics (47%) and Blacks (46.8) compared to Whites (37.9%).…”

Section: Discussion Box 161: Accessing Obesity Treatmentmentioning

confidence: 99%

Sustainable Community Health

2020

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If we want to achieve the goal of sustainable community health, it is imperative to address the broad and multi-level context in which these communities are situated. Understanding and integrating the context (or many contexts) of a community is a challenging task, and this timely volume tackles this issue headon. Drawing on many disciplines and perspectives, this text both integrates strong theoretical perspectives and relies on evidence and pragmatic implementational realities. In doing so, it provides a thoughtful and practical guide for how to build and sustain communities that are active agents in their own health and well-being. I recommend this to anyone seeking to better understand and/ or implement community health programs." -

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Section: Discussion Box 161: Accessing Obesity Treatmentmentioning

confidence: 99%

Sustainable Community Health

2020

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“…Recent estimates suggest that >100 million US adults, 43.5% of adults aged 20–64 years and 69.4% of adults ≥65 years old, are eligible for the DPP. 7 Access to DPPs is increasing, but more rapid growth and alternate delivery approaches are needed. 4 , 8 , 9 The vast majority of DPPs have been conducted in-person (76%) or through telehealth (11%), requiring in-person or phone counseling.…”

Section: Introductionmentioning

confidence: 99%

Reach of a Fully Digital Diabetes Prevention Program in Health Professional Shortage Areas

Auster‐Gussman¹,

Lockwood

Stein³

et al. 2022

Population Health Management

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The National Diabetes Prevention Program (NDPP) offers lifestyle change education to adults at risk for diabetes across the United States, but its reach is curbed due, in part, to limitations of traditional in-person programs. Diabetes Prevention Programs (DPPs) that are fully digital may increase reach by overcoming these barriers. The aim of this research was to examine the reach of Lark's DPP, a fully digital artificial-intelligence-powered DPP. This study assessed geographic features and demographic characteristics of a sample of Lark DPP commercial health plan members with complete data ( N = 16,327) and compared several demographic features with a large composite sample of members from DPPs across the nation (NDPP; N = 143,489) and a National Health Interview Survey (NHIS) sample of prediabetic adults in the United States (NHIS; N = 2118). Examination of the Lark DPP sample revealed that 24.4% of members lived in rural areas, 30.8% lived in whole county health professional shortage areas, and only 7.6% of members lived in a zip code with an in-person DPP. When comparing the Lark sample with the NDPP and NHIS samples, Lark DPP enrollees tended to be younger and have a higher body mass index (BMI) ( p' s < 0.001). Lark provides convenient access to a DPP for individuals living in hard-to-reach areas who may face barriers to participating in in-person or telephonic DPPs or who prefer a digital program. Compared with the NDPP sample, Lark is also reaching younger and higher BMI users, who are traditionally difficult to enroll and have a high need for intervention.

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“…Diabetes now affects an estimated 8.8% of adults globally 5. Pre-diabetes, a condition in which blood glucose levels are higher than normal, but not high enough to be classified as diabetes, is more common, affecting as many as 30%–50% of some adult populations 6–9. Without treatment, about 5%–10% of those with pre-diabetes will progress to type 2 diabetes mellitus (T2DM) annually, and most will eventually develop T2DM 10 11.…”

Section: Introductionmentioning

confidence: 99%

What predicts regression from pre-diabetes to normal glucose regulation following a primary care nurse-delivered dietary intervention? A study protocol for a prospective cohort study

et al. 2019

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IntroductionPre-diabetes is a high-risk state for the development of type 2 diabetes mellitus (T2DM) and cardiovascular disease. Regression to normoglycaemia, even if transient, significantly reduces the risk of developing T2DM. The primary aim of this mixed-methods study is to determine if there are clinically relevant differences among those with pre-diabetes and excess weight who regress to normoglycaemia, those who have persistent pre-diabetes and those who progress to T2DM following participation in a 6-month primary care nurse-delivered pre-diabetes dietary intervention. Incidence of T2DM at 2 years will be examined.Methods and analysisFour hundred participants with pre-diabetes (New Zealand definition glycated haemoglobin 41–49 mmol/mol) and a body mass index >25 kg/m2 will be recruited through eight primary care practices in Hawke’s Bay, New Zealand. Trained primary care nurses will deliver a 6-month structured dietary intervention, followed by quarterly reviews for 18 months post-intervention. Clinical data, data on lifestyle factors and health-related quality of life (HR-QoL) and blood samples will be collected at baseline, 6 months, 12 months and 24 months. Sixty participants purposefully selected will complete a semi-structured interview following the 6-month intervention. Poisson regression with robust standard errors and clustered by practice will be used to identify predictors of regression or progression at 6 months, and risk factors for developing T2DM at 2 years. Qualitative data will be analysed thematically. Changes in HR-QoL will be described and potential cost savings will be estimated from a funder’s perspective at 2 years.Ethics and disseminationThis study was approved by the Northern A Health and Disability Ethics Committee, New Zealand (Ethics Reference: 17/NTA/24). Study results will be presented to participants, published in peer-reviewed journals and presented at relevant conferences.Trial registration numberACTRN12617000591358; Pre-results.

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Number and Characteristics of US Adults Meeting Prediabetes Criteria for Diabetes Prevention Programs: NHANES 2007–2016

Cited by 6 publications

References 3 publications

Sustainable Community Health

Sustainable Community Health

Reach of a Fully Digital Diabetes Prevention Program in Health Professional Shortage Areas

What predicts regression from pre-diabetes to normal glucose regulation following a primary care nurse-delivered dietary intervention? A study protocol for a prospective cohort study

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