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How effective were lifestyle interventions in real-world settings that were modeled on the diabetes prevention program?
MedLine Citation:
PMID:  22232096     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We conducted a systematic review and meta-analysis of twenty-eight US-based studies applying the findings of the Diabetes Prevention Program, a clinical trial that tested the effects of a lifestyle intervention for people at high risk for diabetes, in real-world settings. The average weight change at twelve months after the intervention was a loss of about 4 percent from participants' baseline weight. Change in weight was similar regardless of whether the intervention was delivered by clinically trained professionals or lay educators. Additional analyses limited to seventeen studies with a nine-month or greater follow-up assessment showed similar weight change. With every additional lifestyle session attended, weight loss increased by 0.26 percentage point. We conclude that costs associated with diabetes prevention can be lowered without sacrificing effectiveness, using nonmedical personnel and motivating higher attendance at program sessions.
Authors:
Mohammed K Ali; Justin Echouffo-Tcheugui; David F Williamson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Health affairs (Project Hope)     Volume:  31     ISSN:  1544-5208     ISO Abbreviation:  Health Aff (Millwood)     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303128     Medline TA:  Health Aff (Millwood)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  67-75     Citation Subset:  IM    
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