Key result
Community-based lifestyle intervention linked to ~44% lower diabetes risk in middle-aged adults.
Why the study?
Lifestyle modification is the cornerstone of preventive management for people with cardiovascular disease risks, but the long-term effect of community-based interventions on these risks in middle-aged Japanese was unclear.
Does a community-based lifestyle intervention reduce cardiovascular disease risk factors in middle-aged Japanese adults?
Cohort (n=397)
Open-label
None
No
Does a community-based lifestyle intervention reduce cardiovascular disease risk factors in middle-aged Japanese adults?
Odds Ratio: 0.56 (95% CI 0.32–0.99)
p-value: p=<0.05
A 27-month community-based lifestyle intervention significantly reduces the risk of diabetes, overweight, and dyslipidemia in middle-aged Japanese adults with baseline cardiovascular risk factors.
Lifestyle modification is the cornerstone of preventive management for people with cardiovascular disease risks, such as obesity, hypertension, dyslipidemia and diabetes. This study investigated the effect of a 27-month community-based lifestyle intervention on the reduction of cardiovascular disease risks in middle-aged Japanese. Of 549 participants with cardiovascular disease risk factors of overweight, hypertension, dyslipidemia or diabetes enrolled in this non-randomized controlled study, 397 participants aged 39-71 years old completed all 3 serial surveys at baseline, 15 months and 27 months. For the intervention group (39 males and 174 females), 31 specific interventions including individual counselling and group sessions were conducted. The control group (64 males and 120 females) only received 7 newsletters providing health information and results of health checkups. Multiple logistic regression analysis adjusted for sex, each baseline risk category and age category showed that the proportion of those who were overweight or showed dyslipidemia risk were significantly lower in the intervention group only at 27 months [Odds ratio (OR): 0.43 (95% CI 0.20-0.94), OR: 0.43 (95% CI 0.21-0.87), respectively] and the proportion of those showing diabetes risk was significantly lower in the intervention group at both 15 months [OR: 0.42 (95% CI 0.18-0.97)] and 27 months [OR: 0.56 (95% CI 0.32-0.99)]. In conclusion, the 27-month community-based lifestyle modification of cardiovascular disease risks shows significant reductions in risks of diabetes, overweight and dyslipidemia in middle-aged Japanese.
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Fujii et al. (2010) conducted a cohort in Cardiovascular disease risk factors (overweight, hypertension, dyslipidemia, diabetes) (n=397). Community-based lifestyle intervention vs. Newsletters providing health information and health checkup results was evaluated on Diabetes risk at 27 months (OR 0.56, 95% CI 0.32-0.99, p=<0.05). A 27-month community-based lifestyle intervention significantly reduced the risks of diabetes (OR 0.56), overweight (OR 0.43), and dyslipidemia (OR 0.43) in middle-aged Japanese adults.
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