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Am J Public Health. 2012 Aug;102(8):1551-8. doi: 10.2105/AJPH.2011.300456. Epub 2012 Jun 14.

The Live Well, Be Well study: a community-based, translational lifestyle program to lower diabetes risk factors in ethnic minority and lower-socioeconomic status adults.

Author information

1
Division of General Internal Medicine, University of California, San Francisco, San Francisco, CA 94115, USA. alka.kanaya@ucsf.edu

Abstract

OBJECTIVES:

We evaluated a community-based, translational lifestyle program to reduce diabetes risk in lower-socioeconomic status (SES) and ethnic minority adults.

METHODS:

Through an academic-public health department partnership, community-dwelling adults at risk for diabetes were randomly assigned to individualized lifestyle counseling delivered primarily via telephone by health department counselors or a wait-list control group. Primary outcomes (6 and 12 months) were fasting glucose level, triglycerides, high- and low-density lipoprotein cholesterol, weight, waist circumference, and systolic blood pressure. Secondary outcomes included diet, physical activity, and health-related quality of life.

RESULTS:

Of the 230 participants, study retention was 92%. The 6-month group differences for weight and triglycerides were significant. The intervention group lost 2 pounds more than did the control group (P=.03) and had decreased triglyceride levels (difference in change, 23 mg/dL; P=.02). At 6 months, the intervention group consumed 7.7 fewer grams per day of fat (P=.05) and more fruits and vegetables (P=.02) than did control participants.

CONCLUSIONS:

Despite challenges designing effective translational interventions for lower-SES and minority communities, this program modestly improved some diabetes risk factors. Thus, individualized, telephone-based models may be a promising alternative to group-based interventions.

PMID:
22698027
PMCID:
PMC3395772
DOI:
10.2105/AJPH.2011.300456
[Indexed for MEDLINE]
Free PMC Article
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