dc.contributor.author | Følling, Ingrid Sørdal | |
dc.contributor.author | Kulseng, Bård Eirik | |
dc.contributor.author | Midthjell, Kristian | |
dc.contributor.author | Rangul, Vegar | |
dc.contributor.author | Helvik, Anne-Sofie | |
dc.date.accessioned | 2017-08-16T06:53:26Z | |
dc.date.available | 2017-08-16T06:53:26Z | |
dc.date.created | 2017-08-10T14:25:38Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | BMJ Open Diabetes Research & Care. 2017, 5 (1), 1-11. | nb_NO |
dc.identifier.issn | 2052-4897 | |
dc.identifier.uri | http://hdl.handle.net/11250/2450825 | |
dc.description.abstract | Objective Prevention of type 2 diabetes mellitus is possible through lifestyle programs, but the effect depends on the program's content, resources, and setting. Lifestyle programs are often confronted with high rates of non-participation and attrition. This study invited individuals at high risk for type 2 diabetes to a lifestyle program in the Norwegian primary healthcare setting. The aims were to investigate possible differences in characteristics between participants and non-participants and to study the effect of the lifestyle program at 24-month follow-up for participants.
Research design and methods Individuals identified at high risk for type 2 diabetes during the third survey of the Nord-Trøndelag Health Study (HUNT3) from two municipalities (n=332) were invited to a lifestyle program (the VEND-RISK Study). A cross-sectional design was used to explore if the participants’ characteristics differed from non-participants. A non-randomized, single-arm, pre–post examination was used to examine the effect of the lifestyle program on participants’ characteristics at 24-month follow-up.
Results Of all individuals at high risk for type 2 diabetes invited to the lifestyle program, 86% (287/332) declined to participate. Non-participating women had fewer years of education (p<0.001), compared with participating women. For men, no differences were seen between non-participants and participants. Among all participants (n=45) at 24-month follow-up, none had developed type 2 diabetes, and HbA1c (p<0.001) had decreased significantly. There was a small reduction in mean body mass index from baseline to 24 months that was not statistically significant. For women, waist circumference (−4.0 cm, p<0.001) decreased significantly.
Conclusions Future research regarding individuals at high risk for type 2 diabetes in the primary healthcare lifestyle program should focus on how to promote recruitment of women with low education. Participants attending this study's lifestyle program improved their cardiometabolic markers. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | BMJ Publishing Group | nb_NO |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Individuals at high risk for type 2 diabetes invited to a lifestyle program: characteristics of participants versus non-participants (the HUNT Study) and 24-month follow-up of participants (the VEND-RISK Study) | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.description.version | publishedVersion | nb_NO |
dc.source.pagenumber | 1-11 | nb_NO |
dc.source.volume | 5 | nb_NO |
dc.source.journal | BMJ Open Diabetes Research & Care | nb_NO |
dc.source.issue | 1 | nb_NO |
dc.identifier.doi | 10.1136/bmjdrc-2016-000368 | |
dc.identifier.cristin | 1485490 | |
dc.description.localcode | This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ | nb_NO |
cristin.unitcode | 194,65,15,0 | |
cristin.unitcode | 194,65,20,15 | |
cristin.unitcode | 194,65,20,0 | |
cristin.unitname | Institutt for kreftforskning og molekylær medisin | |
cristin.unitname | Helseundersøkelsen i Nord-Trøndelag | |
cristin.unitname | Institutt for samfunnsmedisin | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |