Rural—urban differences in health and health behaviour: A baseline description of a community health-promotion programme for the elderly

Fogelholm, Mikael; Valve, Raisa; Absetz, Pilvikki; Heinonen, Heikki; Uutela, Antti; Patja, Kristiina; Karisto, Antti; Konttinen, Riikka; Mäkelä, Tiina; Nissinen, Aulikki; Jallinoja, Piia; Nummela, Olli; Talja, Martti

doi:10.1080/14034940600616039

Cited by 100 publications

(89 citation statements)

References 26 publications

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“…The GOAL program is a community health promotion program in Pä ijä tHäme, Finland, in an area covering 14 municipalities and a total of 208,000 inhabitants (8). Program partners are the municipalities, regional and local health care organizations, the National Public Health Institute, the UKK Institute for Health Promotion, the Lahti University of Applied Sciences, and the University of Helsinki.…”

Section: Research Design Andmentioning

confidence: 99%

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Type 2 Diabetes Prevention in the “Real World”

Absetz¹,

et al. 2007

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OBJECTIVE -"Real-world" implementation of lifestyle interventions is a challenge. The Good Ageing in Lahti Region (GOAL) Lifestyle Implementation Trial was designed for the primary health care setting, with lifestyle and risk reduction objectives derived from the major diabetes prevention efficacy trials. We report on the program's effectiveness as well as findings related to the program's reach, adoption, and implementation.RESEARCH DESIGN AND METHODS -A total of 352 middle-aged participants with elevated type 2 diabetes risk were recruited from the health care centers in Päijät-Häme Province in Finland. The intervention included six group counseling sessions, delivered by trained public health nurses. Measurement was conducted at baseline and 12 months. Clinical risk factors were measured by study nurses, and lifestyle outcomes were analyzed from self-reports. Lifestyle outcomes were compared with the outcomes achieved in relevant efficacy trials, and withinsubject changes were tested for risk reduction.RESULTS -At baseline, mean BMI was Ͼ32 kg/m 2 , and 25% of the participants had impaired glucose tolerance. At 12 months, 20% of participants achieved at least four of five key lifestyle outcomes, with these results being comparable with the reference trials. However, physical activity and weight loss goals were achieved significantly less frequently (65 vs. 86% and 12 vs. 43%, respectively). Several clinical risk factors decreased, more so among men than women.CONCLUSIONS -This trial demonstrates that lifestyle counseling can be effective and is feasible in real-world settings for individuals with elevated risk of type 2 diabetes. To increase program impact, program exposure and treatment intensity need to be increased.

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Section: Research Design Andmentioning

confidence: 99%

“…In the Good Ageing in Lahti Region (GOAL) Program, a lifestyle implementation trial (7,8) was designed for the primary health care setting, with lifestyle objectives derived from the DPS (2). We first assess the program's reach, adoption, and implementation in the health care setting.…”

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confidence: 99%

Type 2 Diabetes Prevention in the “Real World”

Absetz¹,

et al. 2007

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“…Within the GOAL Programme framework, a lifestyle implementation trial (31,32) was designed for the primary health-care setting with lifestyle objectives derived from the DPS (14) . The lifestyle implementation trial differed from the other Finnish implementation trials in that in addition to the evidence-base from efficacy trials, it was also strongly based on health behavioural change theories (33) .…”

Section: Practical Implementation Of Preventionmentioning

confidence: 99%

Reducing the risk of type 2 diabetes with nutrition and physical activity – efficacy and implementation of lifestyle interventions in Finland

Lindström

Absetz

Hemiö

et al. 2010

Public Health Nutr.

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Background: The prevalence of type 2 diabetes has been increasing in Finland, in parallel with a gradual increase in overweight and obesity during the past decades. The expanding prevalence of type 2 diabetes brings along complications, most importantly CVD. Therefore, it is extremely important to implement activities to prevent type 2 diabetes. Objective: In the present paper, the clinical evidence for the prevention of type 2 diabetes is presented with the Finnish diabetes prevention study. In addition, the paper discusses the practical implementation of prevention of type 2 diabetes using three different types of prevention programmes as examples: FIN-D2D, including risk-screening and repeated consultation in primary health-care; FINNAIR, a workplace-targeted intervention project involving airline employees; and the good ageing in Lahti region (GOAL) programme, a community-based prevention programme. Conclusions: FIN-D2D, the FINNAIR project and the GOAL programme have shown that screening for type 2 diabetes risk and implementing large-scale lifestyle intervention in primary health-care are feasible. However, the crucial questions still are whether it is possible to replicate the results concerning effectiveness of lifestyle intervention in primary and occupational health-care systems. Furthermore, it remains to be shown whether it is possible to achieve the same results in different health-care settings, cultures, regions and age groups, especially in adolescents and young adults among whom the increase in the incidence has been the highest. In addition, the importance of co-operation among all sections of society, citizens' awareness of healthy lifestyles and the social inequalities in health must be emphasised because the diabetes epidemic cannot be solved only by concentrating on preventive actions carried out by health-care systems.

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“…The participation rate was 66% (n = 2, 815). The design and the sample of the study have been described in more detail elsewhere [13]. In the present study, participants in the two youngest age cohorts (1936-40 and 1946-50) who took part in the clinical check-ups and answered to the survey in 2002 and 2008 were analysed (n = 1, 428).…”

Section: Subjectsmentioning

confidence: 99%

Weight and Health Behaviour Changes among Ageing People with Medication for Hypertension and High Cholesterol Level

et al. 2012

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properly cited.Purpose. It is hypothesized that people with medication for hypertension and/or high cholesterol level do not lose weight or change their health behaviour. Methods. This is a six-year follow-up study consisting of 1,428 individuals from two birth cohorts who took part in clinical check-ups and answered to the survey questionnaires in 2002 and 2008. Results. Those participants, born in 1946-50, who had medication at the baseline had higher increase of body mass index (P < 0.01) and waist circumference (P < 0.01) at the follow-up. No major disparities in health behaviour changes between medicated and nonmedicated were found. Conclusions. Findings of this study support partly the hypothesis that aging individuals with medication for hypertension and/or high cholesterol level do not lose weight or change their health behaviour.

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Rural—urban differences in health and health behaviour: A baseline description of a community health-promotion programme for the elderly

Cited by 100 publications

References 26 publications

Type 2 Diabetes Prevention in the “Real World”

Type 2 Diabetes Prevention in the “Real World”

Reducing the risk of type 2 diabetes with nutrition and physical activity – efficacy and implementation of lifestyle interventions in Finland

Weight and Health Behaviour Changes among Ageing People with Medication for Hypertension and High Cholesterol Level

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