Science Current Events | Science News | Brightsurf.com
 
Email a Friend Send to a friend
Printer Friendly Print Community-based diabetes prevention program shows promise

Community-based diabetes prevention program shows promise

September 09, 2008

With over 60 million Americans diagnosed with prediabetes, putting them at increased risk for diabetes, cardiovascular events and other obesity-related ailments, finding ways to help large populations avoid these complications is an important initiative. In an article published in the October 2008 issue of the American Journal of Preventive Medicine, researchers from the Indiana University School of Medicine report that organizations such as the YMCA can be an effective vehicle for diabetes-prevention education.

A number of significant studies, such as the Diabetes Prevention Program (DPP), have shown that structured diet and physical exercise can significantly reduce the progression of prediabetes to diabetes. These trials involved strict enrollment criteria and major lifestyle changes that are difficult to translate into large-scale, community-level programs.




With over 2,500 facilities serving more than 10,000 rural, suburban and inner-city communities, and a long history of implementing successful health promotion programs, the YMCA is in a unique position to help develop this pilot study for large-scale outreach. Two facilities, located in semi-urban neighborhoods in greater Indianapolis, Indiana, participated in the current study. One offered the increased DPP-style intervention while the other offered standard diabetes-prevention advice (controls).

The study involved 92 participants, divided into an intervention group (46) and a control group. Both groups received baseline educational materials, but the intervention group was offered a core curriculum involving 16 classroom-style meetings focused on building knowledge and skills for goal setting, self-monitoring and problem-solving. Program sessions lasted 60-90 minutes, and the entire core curriculum was delivered over 16-20 weeks.

At the 4-6-month follow-up visit, body weight decreased by 6.0% in intervention participants and 2.0% in control participants. This was equal to a mean weight loss of 5.7 kg (12.5 lbs) for intervention participants and 1.8 kg (4.0 lbs) for controls, a clinically meaningful and significant difference. There was also a significant and clinically meaningful difference in the change in total cholesterol concentration (-21.6 mg/dL intervention vs +6 mg/dL controls). All of these differences persisted at the 12-14 month follow-up visits.

Writing in the article, Ronald T. Ackermann, MD, MPH, states, "This is the first study to demonstrate that the YMCA is a promising vehicle for the dissemination of the DPP lifestyle intervention into the community-In this pilot study, people at high risk for developing diabetes achieved and maintained a mean 6% reduction in baseline body weight and significant reductions in total cholesterol. Given these results, delivery of the DPP via the YMCA warrants further study as a model for the wide-scale dissemination of an evidence-based strategy to lower diabetes and cardiometabolic risk for millions of Americans with prediabetes."

Elsevier Health Sciences



Related Diabetes Prevention Current Events and Diabetes Prevention News Articles Diabetes Prevention Current Events and Diabetes Prevention News RSS Diabetes Prevention Current Events and Diabetes Prevention News RSS
Dance to the music: Learning and exercising at YMCA can prevent diabetes
Community-based exercise organizations, such as the YMCA, are an effective tool in the fight against diabetes, according to a study by Indiana University School of Medicine researchers in the October 2008 issue of the American Journal of Preventive Medicine.

Children's Hospital studying drug with the potential to prevent/delay onset of type 1 diabetes
Researchers at Children's Hospital of Pittsburgh of UPMC are participating in an international clinical trial currently underway to study the effectiveness of oral insulin in preventing or delaying the onset of type 1 diabetes in people at risk for the disease.

New diabetes report documents devastating effects in New York City
The diabetes epidemic is taking a large and growing toll on New York City, a new Health Department report shows, as death rates, debilitating complications, and hospitalization costs soar.

Selenium Supplements May Increase the Risk of Type 2 Diabetes
Selenium, an antioxidant included in multivitamin tablets thought to have a possible protective effect against the development of type 2 diabetes, may actually increase the risk of developing the disease.

Common rheumatoid arthritis treatment shows potential for diabetes prevention
Far fewer rheumatoid arthritis patients treated with the drug hydroxychloroquine (HCQ) went on to develop diabetes compared to those who never took the drug.

Women with diabetes left behind in drop in death rates
A new analysis of data from three large national databases finds that in the 29 years between 1971 and 2000, the death rate of men with diabetes has dropped significantly, in line with the overall decline of the death rate for all Americans. But the death rate for women with diabetes did not decline at all.

Can we prevent type 1 diabetes by modifying infant nutrition?
Within the next 10 years the EU-funded Diabetes Prevention study, part of an international study called TRIGR (Trial to Reduce IDDM in the Genetically at Risk), coordinated at the University of Helsinki, Finland, will generate a definite answer to the question whether early nutritional modification may prevent type 1 diabetes later in childhood.

Gene variant increases risk of type 2 diabetes
Researchers have confirmed that a gene variant confers susceptibility to type 2 diabetes in participants of the Diabetes Prevention Program (DPP), a large clinical trial in adults at increased risk for developing type 2 diabetes.

Weight loss improves bladder control in women with prediabetes
Losing a modest amount of weight through dietary changes and increased physical activity reduces the occurrence of urinary incontinence (UI) in women with prediabetes, a condition in which blood glucose levels are higher than normal but not yet diabetic.

Eating grapefruit does help weight loss, could prevent diabetes
Early results from US researchers suggests that eating grapefruit really does help people lose weight, and could help reduce the risk of developing diabetes. Writing in Chemistry & Industry Magazine, Marina Murphy reports on a pilot study of one hundred obese patients at the Scripps Clinic in San Diego. The group who ate half a grapefruit with each meal lost an average of 3.6 lb (1.6kg) over twelve weeks, compared with a placebo group who lost an average 0.5lb (0.2kg). Some patients lost as much as 10lbs. After the meal, the "grapefruit groups" also had reduced levels of insulin, the hormone which enables the body to metabolise sugars. Glucose levels were also lower, suggesting a m
More Diabetes Prevention Current Events and Diabetes Prevention News Articles


Diabetes Diet Cookbook: Discover the New Fiber-FULL Eating Plan for Weight Loss
by Editors of Prevention Magazine, Ann Fittante

     Nearly 21 million Americans already have diabetes, and at least 54 million adults over the age of 20 are at risk. Fortunately, there is good news: Studies have shown that people with pre-diabetes who lose weight and increase their physical activity can prevent or delay the onset of type 2 diabetes—and even return their blood glucose levels to normal. This outstanding cookbook draws on...

Prevention's Diabetes Breakthroughs 2008

Smart solutions for optimal blood sugar...



The Complete Diabetes Prevention Plan: A Guide to Understanding the Emerging Epidemic of Prediabetes and Halting Its Pr
by Sandra Woodruff, Christopher Saudek

Stop the development of diabetes in its tracks. The Complete Diabetes Prevention Plan is a guide to halting the development of diabetes. In clear, accessible language, it explains the stages of diabetes and how the disease process can be arrested. It provides dietary guidelines for preventing diabetes, weight-loss tips, and exercise suggestions. In addition, the book features 150 easy and...



Diabetes: Prevention And Cure: Prevention and Cure
by Leigh C. Broadhurst



Outsmart Diabetes
by The Editors of Prevention Health Books

What's the best medicine for treating diabetes? Taking charge of your life! Few health problems are more responsive to diet, exercise, and other lifestyle factors than this widespread disease. For many people, the combination of healthy food choices, a safe and easy fitness plan, and sensible weight loss can significantly lower blood sugar levels and prevent diabetes' hidden risks. This guide,...



Prevention Outsmart Diabetes 1-2-3: A 3-Step Plan to Balance Blood Sugar, Lose Weight, and Reverse Diabetes Complications



Conquering Diabetes: A Complete Program for Prevention and Treatment
by M.D., Anne Peters

A cutting-edge, comprehensive guide to diabetes and prediabetes treatment by a world- renowned physician The numbers are epidemic—more than 60 million Americans have prediabetes or diabetes—and the complications (heart disease, blindness, kidney failure) can be devastating. But they are not inevitable, says Anne Peters, M.D., who, in Conquering Diabetes, explains how prediabetes can...

Complete Diabetes Prevention Plan



User's Guide to Preventing & Reversing Diabetes Naturally (Basic Health Publications User's Guide)
by Melissa Diane Smith

Adult-onset, or type 2, diabetes has reachd epidemic proportions in the United States and is on the rise worldwide. In this User's Guide, nutritionist Melissa Diane Smith is clear on the cause of diabetes: the increasing consumption of highly processed and refined foods, which boost blood sugar and insulin levels. Smith describes a healthy easy-to-follow diet for losing weight, stabilizing blood...



Diabetes: Diabetes Book Prevention, Treatment, and Diagnosis : 7 Booklet Collection: Everything You Need To Know About Diabetes
by U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, National Institutes of Health, National Institute of Diabetes and Digestive and Kindney Diseases

Diabetes: Learn Everything You Need Know about Diabetes and Preventing and Treating Diabetes... This Diabetes Book is Presented To You By: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases Edited by: S.Smith In this Diabetes Book: This "Diabetes" and “Prevent Diabetes Problems”...

© 2008 BrightSurf.com