Titre :
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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)
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Auteurs :
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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
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 94, n° 10, 2004)
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Pagination :
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1736-1742
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Langues:
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Anglais
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Mots-clés :
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Glycémie
;
Surveillance
;
Poids corporel
;
Stratégie
;
Ethnie
;
Etude comparée
;
Adulte
;
Homme
;
Programme santé
;
Milieu rural
;
Communauté
;
Condition vie
;
Glande endocrine [pathologie]
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Résumé :
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[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<. at months a greater proportion of intensive-lifestyle participants had lost kg or more than usual-care vs p no differences in weight change were observed between reimbursable-lifestyle and participants. glycated hemoglobin was reduced among all groups but not different groups. conclusions. improvement both glycemia attainable by lifestyle interventions designed for persons who type diabetes lived rural communities.>
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