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Randomized Controlled Trial
. 2012 Aug;102(8):1551-8.
doi: 10.2105/AJPH.2011.300456. Epub 2012 Jun 14.

The Live Well, Be Well study: a community-based, translational lifestyle program to lower diabetes risk factors in ethnic minority and lower-socioeconomic status adults

Alka M Kanaya  1 , Jasmine Santoyo-Olsson, Steven Gregorich, Melanie Grossman, Tanya Moore, Anita L Stewart
Affiliations
Randomized Controlled Trial

The Live Well, Be Well study: a community-based, translational lifestyle program to lower diabetes risk factors in ethnic minority and lower-socioeconomic status adults

Alka M Kanaya et al. Am J Public Health. 2012 Aug.

Abstract

Objectives: We evaluated a community-based, translational lifestyle program to reduce diabetes risk in lower-socioeconomic status (SES) and ethnic minority adults.

Methods: Through an academic-public health department partnership, community-dwelling adults at risk for diabetes were randomly assigned to individualized lifestyle counseling delivered primarily via telephone by health department counselors or a wait-list control group. Primary outcomes (6 and 12 months) were fasting glucose level, triglycerides, high- and low-density lipoprotein cholesterol, weight, waist circumference, and systolic blood pressure. Secondary outcomes included diet, physical activity, and health-related quality of life.

Results: Of the 230 participants, study retention was 92%. The 6-month group differences for weight and triglycerides were significant. The intervention group lost 2 pounds more than did the control group (P=.03) and had decreased triglyceride levels (difference in change, 23 mg/dL; P=.02). At 6 months, the intervention group consumed 7.7 fewer grams per day of fat (P=.05) and more fruits and vegetables (P=.02) than did control participants.

Conclusions: Despite challenges designing effective translational interventions for lower-SES and minority communities, this program modestly improved some diabetes risk factors. Thus, individualized, telephone-based models may be a promising alternative to group-based interventions.

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Figures

FIGURE 1—
FIGURE 1—
Flow of participants from screening to completion of the final follow-up assessment: Live Well, Be Well program, Berkeley, Oakland, and Richmond, California, July 2006–August 2009.
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention National Diabetes Fact Sheet: National Estimates and General Information on Diabetes and Prediabetes in the United States. Atlanta, GA: Centers for Disease Control and Prevention; 2011
    1. Vega WA, Amaro H. Latino outlook: good health, uncertain prognosis. Annu Rev Public Health. 1994;15:39–67 - PubMed
    1. Liao Y, Tucker P, Okoro CA, Giles WH, Mokdad AH, Harris VB. REACH 2010 Surveillance for Health Status in Minority Communities—United States, 2001–2002. MMWR Surveill Summ. 2004;53(6):1–36 - PubMed
    1. Carter JS, Pugh JA, Monterrosa A. Non-insulin-dependent diabetes mellitus in minorities in the United States. Ann Intern Med. 1996;125(3):221–232 - PubMed
    1. Harris MI, Flegal KM, Cowie CCet al.Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in U.S. adults: the Third National Health and Nutrition Examination Survey, 1988-1994. Diabetes Care. 1998;21(4):518–524 - PubMed

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