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Diabet Med. 2016 Apr;33(4):547-51. doi: 10.1111/dme.12848. Epub 2015 Aug 18.

Translation of the Diabetes Prevention Program for diabetes risk reduction in Chinese immigrants in New York City.

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Nutrition Program, CUNY School of Public Health, New York, NY, USA.
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.
Department of Psychology, Pace University, New York, NY, USA.
Chinese Community Partnership for Health, New York Presbyterian-Lower Manhattan Hospital, New York, NY, USA.
Chinese American Independent Practice Association, New York, NY, USA.



To evaluate the effectiveness and feasibility of implementing a linguistically and culturally tailored Diabetes Prevention Program among Chinese immigrants with prediabetes living in New York City.


A total of 60 Chinese immigrants with prediabetes were randomized into either a Diabetes Prevention Program lifestyle intervention (n = 30) consisting of 12 bi-weekly core sessions and six monthly post-core sessions or the control intervention (n = 30), consisting of quarterly mailing of diabetes prevention information. Each Diabetes Prevention Program intervention session lasted 1.5-2 h and covered topics such as healthy eating, physical activity, stress reduction and problem-solving skills. Outcomes such as percent change in weight, BMI, and HbA1c concentration were assessed at baseline, 6 and 12 months. A mixed-effects linear regression was applied to test the intervention effect at months 6 and 12. Data were collected in the period 2012-2013 and analysed in 2014.


The participant attrition rate was < 5% (2 out of 60) at 12 months. There was a significantly greater percent weight loss in the intervention group (-3.5 vs. -0.1%; P = 0.0001) at 6 months, which was largely maintained at 12 months (-3.3 vs. 0.3%; P = 0.0003).


Participants in a Diabetes Prevention Program-based intervention achieved greater weight loss and improvements in HbA1c concentration than control participants. Evaluation of the Chinese Diabetes Prevention Program curriculum in a larger trial is warranted.

[Indexed for MEDLINE]
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