Factors related to lifestyle goal achievement in a diabetes prevention program dissemination study.

摘要: The U.S. Diabetes Prevention Program (DPP) showed that lifestyle participants who achieved ≥7% weight loss and ≥150 min/week physical activity experienced the greatest reduction in type 2 diabetes incidence. Demographic, clinical, program factors are related to achieving both these goals have seldom been explored community-delivered DPP programs. purpose of this investigation is examine associated with concurrent achievement a 12-month community intervention. Adults [n = 223; age 58.4 (SD 11.5); BMI 33.8 6.0)] glucose or HbA1c values pre-diabetes range and/or metabolic syndrome risk enrolled from one worksite three centers Pittsburgh, PA metropolitan area between January 2011 2014. Logistic regression analyses determined demographic, clinical adherence goal at 6, 12, 18 months. Participants intervention 6 months (n 57) were more likely attend sessions [Adjusted Odds Ratio (AOR) =1.48], self-weigh (AOR 1.19), self-monitor behaviors 1.18) than those meeting neither 35; all p < 0.05). Baseline 0.87, 0.01), elevated glycemic status 0.49, 0.05), female sex 0.52, 0.05) inversely Meeting either had strongest association 12 Our study supports importance early engagement, regular attendance, self-monitoring, self-weighing for achievement. Dissemination efforts should consider alternative approaches not by enhance long-term success.