Pilot study of strategies for effective weight management in type 2 diabetes: Pounds off with empowerment (POWER)

Elizabeth J. Mayer-Davis, Angela D'Antonio, Michelle Martin, Abraham Wandersman, Deborah Parra-Medina, Richard Schulz

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

This pilot test effort focused on weight management strategies for individuals with type 2 diabetes living in rural, medically under-served communities. Randomly selected patients from the diabetes registry of a federally funded primary care practice in a rural community were randomized to one of two 8-week interventions: intensive lifestyle (reduced fat and calorie intake and increased activity) or intensive lifestyle plus ongoing formal evaluation for continuous quality improvement. Mean weight loss was 1.15 ±1.90 kg (96.4% African American, n = 23, p < 0.01) with no difference between groups. Among the 78% who lost weight, mean loss was 2.00 kg. Mean difference in pre-vs. postintervention fasting blood glucose was -24.23 mg/dL (n = 23, p < 0.05). In this rural, medically under-served community, the interventions were moderately successful in facilitating weight loss and improving fasting glucose concentration. For purposes of state-of-the-art weight management interventions with diabetics, the addition of formal evaluation did not result in improved outcomes.

Original languageEnglish (US)
Pages (from-to)27-35
Number of pages9
JournalFamily and Community Health
Volume24
Issue number2
DOIs
StatePublished - Jul 2001

Keywords

  • African American
  • Diabetes
  • Diet
  • Rural
  • Weight loss

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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