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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.

Author information

1
Nutrition Program, CUNY School of Public Health, New York, NY, USA.
2
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY, USA.
3
Department of Psychology, Pace University, New York, NY, USA.
4
Chinese Community Partnership for Health, New York Presbyterian-Lower Manhattan Hospital, New York, NY, USA.
5
Chinese American Independent Practice Association, New York, NY, USA.

Abstract

AIMS:

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.

METHODS:

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.

RESULTS:

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).

CONCLUSIONS:

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.

PMID:
26179569
PMCID:
PMC4713381
DOI:
10.1111/dme.12848
[Indexed for MEDLINE]
Free PMC Article

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