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Diabetes Educ. 2012 Nov-Dec;38(6):798-804. doi: 10.1177/0145721712458834. Epub 2012 Sep 10.

Two-year results of translating the diabetes prevention program into an urban, underserved community.

Author information

1
The Department of Medical Education, University of Michigan, Ann Arbor, Michigan (Dr Piatt)
2
The School of Sustainability and the Environment, Chatham University, Pittsburgh, Pennsylvania (Ms Seidel)
3
The Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania (Ms Chen, Dr Zgibor)
4
The University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (Mr Powell)

Abstract

PURPOSE:

The purpose of the study was to examine the long-term effect of a Group Lifestyle Balance (GLB) program on weight, impaired fasting glucose, hypertension, and hyperlipidemia in an urban, medically underserved community.

METHODS:

This study was a single-arm prospective intervention study that was designed to test the effectiveness of a community-based GLB intervention. In sum, 638 residents from 11 targeted neighborhoods were screened for body mass index ≥ 25 kg/m(2) and metabolic syndrome. Eligible individuals took part in a 12-week GLB intervention (n = 105) that addressed weight loss and physical activity. Subjects were followed for 24 months.

RESULTS:

The probability of being at risk for diabetes and cardiovascular disease was significantly reduced by 25.7% over the long-term follow-up. Of the participants who lost at least 5% of their body weight following the intervention, 52.6% maintained the 5% weight loss at their last follow-up time, weighing about 20 lb less than they did at baseline.

CONCLUSION:

Risk reduction and weight loss maintenance are possible following a GLB intervention and have substantial potential for future public health impact.

PMID:
22968220
DOI:
10.1177/0145721712458834
[Indexed for MEDLINE]

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