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
Multicenter Study
. 2018 Dec;41(12):2644-2647.
doi: 10.2337/dc18-1141. Epub 2018 Oct 30.

Older Adults and Diabetes Prevention Programs in the Veterans Health Administration

Pearl G Lee  1   2 , Laura J Damschroder  3 , Robert Holleman  3 , Tannaz Moin  4   5   6 , Caroline R Richardson  7
Affiliations
Multicenter Study

Older Adults and Diabetes Prevention Programs in the Veterans Health Administration

Pearl G Lee et al. Diabetes Care. 2018 Dec.

Abstract

Objective: To investigate whether older veterans enrolled in two diabetes prevention programs (DPPs) in the Veterans Health Administration will have similar weight loss as younger veterans.

Research design and methods: Post hoc analysis of data from two prospective, pragmatic, nonrandomized studies of behavioral weight management interventions that were delivered in-person (Department of Veterans Affairs [VA]-DPP) or online (Online-DPP), comparing participation and weight loss between participants aged ≥65 years (N = 120) vs. <65 years (N = 258).

Results: Over 70% of participants in both age groups completed eight or more sessions within 6 months; a higher proportion completed eight or more sessions in the Online-DPP intervention than in the VA-DPP intervention (P < 0.05). The overall weight changes at 6 and 12 months were similar across the two age groups: ∼5 kg or 5% weight loss compared with baseline (P > 0.05).

Conclusions: DPPs delivered in person or online can be similarly effective in older and younger veterans. Online programs may be an important means to improve the reach of DPPs for older adults.

PubMed Disclaimer

References

    1. Liu Y, Sayam S, Shao X, et al. . Prevalence of and trends in diabetes among veterans, United States, 2005-2014. Prev Chronic Dis 2017;14:E135. - PMC - PubMed
    1. Centers for Disease Control and Prevention National Diabetes Statistics Report, 2017: Estimates of Diabetes and Its Burden in the United States Atlanta, GA, Department of Health and Human Services, Centers for Disease Control and Prevention, 2017.
    1. Wong ES, Wang V, Liu CF, Hebert PL, Maciejewski ML. Do Veterans Health Administration enrollees generalize to other populations? Med Care Res Rev 2016;73:493–507 - PubMed
    1. Lee PG, Cigolle CT, Ha J, et al. . Physical function limitations among middle-aged and older adults with prediabetes: one exercise prescription may not fit all. Diabetes Care 2013;36:3076–3083 - PMC - PubMed
    1. Damschroder LJ, Moin T, Datta SK, et al. . Implementation and evaluation of the VA DPP clinical demonstration: protocol for a multi-site non-randomized hybrid effectiveness-implementation type III trial. Implement Sci 2015;10:68. - PMC - PubMed

Publication types

MeSH terms