| Titre : | 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. (2004) |
| Auteurs : | Elizabeth-J MAYER-DAVIS ; Angela-M D'ANTONIO ; Gregory KIRKNER ; Sarah-Levin Martin ; Deborah PARRA-MEDINA ; Richard SCHULTZ ; Sharon-M Smith ; University of South Carolina. Department of Epidemiology and Biostatistics. Arnold School of Public Health. Columbia. SC. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 10, 2004) |
| Pagination : | 1736-1742 |
| Langues: | Anglais |
| Mots-clés : | Glycémie ; Surveillance ; Poids corporel ; Stratégie ; Ethnie ; Etude comparée ; Adulte ; Homme ; Programme santé ; Milieu rural ; Communauté ; Condition vie ; Glande endocrine [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS GR0xSQhC. Diffusion soumise à autorisation]. 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. |
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