Outcomes of a Latino Community-Based Intervention for the Prevention of Diabetes: The Lawrence Latino Diabetes Prevention Project

Ockene, Ira S.; Tellez, Trinidad; Rosal, Milagros C.; Reed, George W.; Mordes, John P.; Merriam, Philip A.; Olendzki, Barbara C.; Handelman, Garry J.; Nicolosi, Robert J.; Ma, Yunsheng

doi:10.2105/ajph.2011.300357

Cited by 156 publications

(265 citation statements)

References 24 publications

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“…It was also observed a slight increase, although significant, in the prevalence of DM among individuals who practiced physical activities, a fact that may have occurred owing to the guidelines for health conditions improvement of these elderly people. Physical exercises result in significant improvement for type 2 DM carriers, such as reducing blood glucose after performing exercises, reduction of blood glucose in fasting, glycated hemoglobin, and improved vascular function 7,30 . The BMI was significantly associated to the DM, which replicates the findings of several studies reporting a statistically significant relation between obesity and incidence or prevalence of DM among the elderly population 22,27,30 .…”

Section: Discussionmentioning

confidence: 99%

“…Physical exercises result in significant improvement for type 2 DM carriers, such as reducing blood glucose after performing exercises, reduction of blood glucose in fasting, glycated hemoglobin, and improved vascular function 7,30 . The BMI was significantly associated to the DM, which replicates the findings of several studies reporting a statistically significant relation between obesity and incidence or prevalence of DM among the elderly population 22,27,30 . Besides the increased prevalent of general overweight, it was observed a high prevalence of abdominal obesity prevailed among the diabetic elderly.…”

Section: Discussionmentioning

confidence: 99%

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Prevalência e fatores associados ao diabetes em idosos no município de Viçosa, Minas Gerais

Vitoi

Fogal

Nascimento

et al. 2015

Rev. bras. epidemiol.

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ABSTRACT:Objectives: To assess the prevalence and factors associated with diabetes in the elderly population and verify the correlation between the use of medications for diabetes and information about the disease. Methods: This epidemiological cross-sectional study was conducted in Viçosa, Minas Gerais, Brazil, with 621 elderly people aged 60 years or older selected by simple random sampling. A semi-structured questionnaire was used as a research tool and included questions about socioeconomic conditions, lifestyle, health conditions, and nutritional status. The weight, height, and waist circumference were measured. The dependent variable was the self-reported diabetes. In the association analysis between explanatory variables and self-reported diabetes, the Poisson regression analysis with robust variance was used. In the bivariate analysis, a p value < 0.25 was used to include the variables for the multivariate modeling, and in the final model, the variables with p value < 0.10 association were included. Results: The prevalence of diabetes was 22.4%. The multivariate hierarchical analysis showed the following factors independently and positively associated with diabetes: gender, self-reported health, history of hypertension/dyslipidemia, polypharmacy, and waist circumference. The elderly schooling was negatively associated with diabetes. Conclusion: The results showed the need for implementation of educational public policies to promote behavior changes of the population to prevent and control diabetes and its complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalência e fatores associados ao diabetes em idosos no município de Viçosa, Minas Gerais

Vitoi

Fogal

Nascimento

et al. 2015

Rev. bras. epidemiol.

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“…111 112 Another RCT examined the effectiveness a behavioral lifestyle intervention that was adapted from the DPP and included 15 groups sessions over 24 months and four one-on-one case management visits among Latino adults of primarily Mexican descent (n=204). The three-arm study compared the intervention with and without community health worker support (7 visits over 24 months) with usual care in a community health center setting.…”

mentioning

confidence: 99%

Evaluation of a culturally-adapted lifestyle intervention to treat elevated cardiometabolic risk of Latino adults in primary care (Vida Sana): A randomized controlled trial

Rosas

Xiao

et al. 2016

Contemporary Clinical Trials

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Latinos bear a disproportionate burden of the dual pandemic of obesity and diabetes. However, successful interventions addressing this disparity through primary care are lacking. To address this gap, the 5-year Vida Sana (Healthy Life) study tests a culturally adapted and technology-enhanced group-based Diabetes Prevention Program intervention in a randomized controlled trial with overweight/obese Latino adults who have metabolic syndrome and/or pre-diabetes. Eligible, consenting patients (n=186) from a large community-based multispecialty group practice in Northern California will be randomly assigned to receive the culturally-adapted intervention or usual care. The RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework guided the planned evaluations. The primary aim is to determine the effectiveness of the intervention (the "E" in RE-AIM). We hypothesize that the intervention will lead to a greater mean reduction in weight at 24 months (primary endpoint) vs. usual care. Secondary outcomes will include measures of cardiometabolic risk factors (e.g., blood pressure), psychosocial wellbeing (e.g., health-related quality of life), and behavior change (e.g., physical activity). The secondary aim is to evaluate the other RE-AIM dimensions using mixed methods: reach (e.g., participation rate of the target population), adoption (e.g., participating clinic and provider characteristics), implementation (e.g., intervention fidelity), and maintenance (e.g., sustainability in the practice setting). These findings have real word applicability with value to clinicians, patients, and other decision makers considering effective diabetes prevention programs for primary

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“…In the landmark Diabetes Prevention Program trial, only 50 % of people in the lifestyle arm achieved the weight loss goal of 7 % of their body weight [3]. In general, low adherence and attendance are formidable challenges to the effectiveness of many existing clinicbased interventions, with group session attendance dropping markedly over time [15][16][17].…”

Section: Original Researchmentioning

confidence: 99%

“…Frequent and sustained in-person contact presents cost and feasibility challenges, with group session attendance dropping markedly over time [15][16][17]. Further, men are a difficult population to engage in weight loss studies [18,19].…”

Section: Introductionmentioning

confidence: 99%

Virtual small groups for weight management: an innovative delivery mechanism for evidence-based lifestyle interventions among obese men

Azar

Aurora

Wang

et al. 2014

Behav. Med. Pract. Policy Res.

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While group interventions for weight management have been shown to be efficacious, adherence is often low, especially among men. This pilot study seeks to test whether group interventions using web-based group video conferencing (VC) technology is effective for weight loss. We adapted a 12-week curriculum based on the Diabetes Prevention Program, and delivered this intervention to a small group of men (BMI ≥30 kg/m 2 ), using web-based group VC. Participants were randomized to intervention (n=32) or delayed-intervention control group (n=32). The intervention group lost 3.5 % (95 % CI 2.1 %, 4.9 %) of their initial body weight. Difference in mean weight loss was 3.2 kg (p=0.0002) and mean BMI decrease was 1.0 kg/m 2 (p=0.0010) between the two groups. Virtual small groups may be an effective means of allowing face-to-face group interaction, while overcoming some barriers to access.

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Outcomes of a Latino Community-Based Intervention for the Prevention of Diabetes: The Lawrence Latino Diabetes Prevention Project

Abstract: We developed an inexpensive, culturally sensitive diabetes prevention program that resulted in weight loss, improved HbA1c, and improved insulin resistance in a high-risk Latino population.

Cited by 156 publications

References 24 publications

Prevalência e fatores associados ao diabetes em idosos no município de Viçosa, Minas Gerais

Prevalência e fatores associados ao diabetes em idosos no município de Viçosa, Minas Gerais

Evaluation of a culturally-adapted lifestyle intervention to treat elevated cardiometabolic risk of Latino adults in primary care (Vida Sana): A randomized controlled trial

Virtual small groups for weight management: an innovative delivery mechanism for evidence-based lifestyle interventions among obese men

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