Abstract
Objectives. We evaluated lifestyle interventions for diabetic persons who live in rural communities. Methods. We conducted a 12-month randomized clinical trial (n = 152) of "intensive-lifestyle" (modeled after the NIH Diabetes Prevention Program) and "reimbursable-lifestyle" (intensive-lifestyle intervention delivered in the time allotted for Medicare reimbursement for diabetes education related to nutrition and physical activity) interventions with usual care as a control. Results. Modest weight loss occurred by 6 months among intensive-lifestyle participants and was greater than the weight loss among usual-care participants (2.6kg vs 0.4 kg, P<.01). At 12 months, a greater proportion of intensive-lifestyle participants had lost 2 kg or more than usual-care participants (49% vs 25%, P<.05). No differences in weight change were observed between reimbursable-lifestyle and usual-care participants. Glycated hemoglobin was reduced among all groups (P<.05) but was not different between groups. Conclusions. Improvement in both weight and glycemia was attainable by lifestyle interventions designed for persons who had type 2 diabetes and lived in rural communities.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1736-1742 |
| Number of pages | 7 |
| Journal | American Journal of Public Health |
| Volume | 94 |
| Issue number | 10 |
| State | Published - Oct 2004 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Pounds off with empowerment (POWER) : A clinical trial of weight management strategies for black and white adults with diabetes who live in medically underserved rural communities. / Mayer-Davis, Elizabeth J.; D'Antonio, Angela M.; Smith, Sharon M.; Kirkner, Gregory; Martin, Sarah Levin; Parra-medina, Deborah M; Schultz, Richard.
In: American Journal of Public Health, Vol. 94, No. 10, 10.2004, p. 1736-1742.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pounds off with empowerment (POWER)
T2 - A clinical trial of weight management strategies for black and white adults with diabetes who live in medically underserved rural communities
AU - Mayer-Davis, Elizabeth J.
AU - D'Antonio, Angela M.
AU - Smith, Sharon M.
AU - Kirkner, Gregory
AU - Martin, Sarah Levin
AU - Parra-medina, Deborah M
AU - Schultz, Richard
PY - 2004/10
Y1 - 2004/10
N2 - Objectives. We evaluated lifestyle interventions for diabetic persons who live in rural communities. Methods. We conducted a 12-month randomized clinical trial (n = 152) of "intensive-lifestyle" (modeled after the NIH Diabetes Prevention Program) and "reimbursable-lifestyle" (intensive-lifestyle intervention delivered in the time allotted for Medicare reimbursement for diabetes education related to nutrition and physical activity) interventions with usual care as a control. Results. Modest weight loss occurred by 6 months among intensive-lifestyle participants and was greater than the weight loss among usual-care participants (2.6kg vs 0.4 kg, P<.01). At 12 months, a greater proportion of intensive-lifestyle participants had lost 2 kg or more than usual-care participants (49% vs 25%, P<.05). No differences in weight change were observed between reimbursable-lifestyle and usual-care participants. Glycated hemoglobin was reduced among all groups (P<.05) but was not different between groups. Conclusions. Improvement in both weight and glycemia was attainable by lifestyle interventions designed for persons who had type 2 diabetes and lived in rural communities.
AB - Objectives. We evaluated lifestyle interventions for diabetic persons who live in rural communities. Methods. We conducted a 12-month randomized clinical trial (n = 152) of "intensive-lifestyle" (modeled after the NIH Diabetes Prevention Program) and "reimbursable-lifestyle" (intensive-lifestyle intervention delivered in the time allotted for Medicare reimbursement for diabetes education related to nutrition and physical activity) interventions with usual care as a control. Results. Modest weight loss occurred by 6 months among intensive-lifestyle participants and was greater than the weight loss among usual-care participants (2.6kg vs 0.4 kg, P<.01). At 12 months, a greater proportion of intensive-lifestyle participants had lost 2 kg or more than usual-care participants (49% vs 25%, P<.05). No differences in weight change were observed between reimbursable-lifestyle and usual-care participants. Glycated hemoglobin was reduced among all groups (P<.05) but was not different between groups. Conclusions. Improvement in both weight and glycemia was attainable by lifestyle interventions designed for persons who had type 2 diabetes and lived in rural communities.
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M3 - Article
C2 - 15451743
AN - SCOPUS:4944237708
VL - 94
SP - 1736
EP - 1742
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 10
ER -