Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2004 Oct;94(10):1736-42.
doi: 10.2105/ajph.94.10.1736.

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

Elizabeth J Mayer-Davis  1 , Angela M D'Antonio, Sharon M Smith, Gregory Kirkner, Sarah Levin Martin, Deborah Parra-Medina, Richard Schultz
Affiliations
Clinical Trial

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

Elizabeth J Mayer-Davis et al. Am J Public Health. 2004 Oct.

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 (2.6 kg 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.

PubMed Disclaimer

Figures

FIGURE 1—
FIGURE 1—
Weight change (kg) and standard errors at 3, 6, and 12 months of follow-up, by intervention group. *Paired t test (P < .05); **paired t test (P < .001).
FIGURE 2—
FIGURE 2—
Distribution of Pounds Off With Empowerment participants at 12 months, by weight change category. *Chi-square test for intensive-lifestyle intervention versus usual care (P < .05).
FIGURE 3—
FIGURE 3—
Change in glycated hemoglobin level ±SE at randomization and at 6 months. *P < .05; **P < .001; paired t test.
See this image and copyright information in PMC

References

    1. South Carolina Department of Health and Environmental Control, Diabetes Initiative of South Carolina. Burden of Diabetes in South Carolina. Columbia, SC: South Carolina Department of Health and Environmental Control; 1999.
    1. Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289:76–79. - PubMed
    1. Eberhardt MS, Lackland DT, Wheeler FC, et al. Is race related to glycemic control? An assessment of glycosylated hemoglobin in two South Carolina communities. J Clin Epidemiol. 1994;47:1181–1189. - PubMed
    1. Wing RR, Koeske R, Epstein LH, et al. Long-term effects of modest weight loss in type II diabetic patients. Arch Intern Med. 1987;147(10)1749–1753. - PubMed
    1. Agurs-Collins TD, Kumanyika SK, Ten Have TR, et al. A randomized controlled trial of weight reduction and exercise for diabetes management in older African American subjects. Diabetes Care. 1997;20:1503–1511. - PubMed

Publication types

MeSH terms