Key result
A community-based group diabetes prevention program significantly reduced estimated 10-year CHD risk at 12 months compared to brief counseling (-2.23% vs +1.88%).
Why the study?
Does a community-based group diabetes prevention program reduce estimated 10-year coronary heart disease risk in overweight adults with abnormal glucose metabolism?
Does a community-based group diabetes prevention program reduce estimated 10-year coronary heart disease risk in overweight adults with abnormal glucose metabolism?
A community-based lifestyle intervention significantly reduces estimated 10-year coronary heart disease risk in overweight adults with pre-diabetes compared to brief counseling.
May support community programs for CHD risk reduction in pre-diabetes; hypothesis-generating and requires randomized confirmation.
OBJECTIVE: We evaluated whether participation in a community-based group diabetes prevention program might lead to relative changes in composite 10-year coronary heart disease (CHD) risk for overweight adults with abnormal glucose metabolism. RESEARCH DESIGN AND METHODS: We used the UK Prospective Diabetes Study engine to estimate CHD risk for group-lifestyle and brief counseling (control) groups. Between-group risk changes after 4 and 12 months were compared using ANCOVA. RESULTS: Baseline 10-year risk was similar between treatment groups (P = 0.667). At 4 and 12 months, the intervention group experienced significant decreases in 10-year risk from baseline (-3.28%, P < 0.001; and -2.23%, P = 0.037) compared with control subjects (-0.78%, P = 0.339; and +1.88%, P = 0.073). Between-group differences were statistically significant and increased from the 4- to 12-month visits. CONCLUSIONS: Community-based delivery of the Diabetes Prevention Program lifestyle intervention could be a promising strategy to prevent both CHD and type 2 diabetes in adults with pre-diabetes.
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Lipscomb et al. (2008) studied Overweight with abnormal glucose metabolism (pre-diabetes). Community-based group diabetes prevention program vs. Brief counseling was evaluated on Change in composite 10-year coronary heart disease (CHD) risk at 12 months. A community-based group diabetes prevention program significantly reduced estimated 10-year CHD risk at 12 months compared to brief counseling (-2.23% vs +1.88%).
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