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- Title
The Impact of a Yearlong Diabetes Prevention Program-Based Lifestyle Intervention on Cardiovascular Health Metrics.
- Authors
Devaraj, Susan M.; Rockette-Wagner, Bonny; Miller, Rachel G.; Arena, Vincent C.; Napoleone, Jenna M.; Conroy, Molly B.; Kriska, Andrea M.
- Abstract
Introduction: The American Heart Association created "Life's Simple Seven" metrics to estimate progress toward improving US cardiovascular health in a standardized manner. Given the widespread use of federally funded Diabetes Prevention Program (DPP)-based lifestyle interventions such as the Group Lifestyle Balance (DPP-GLB), evaluation of change in health metrics within such a program is of national interest. This study examined change in cardiovascular health metric scores during the course of a yearlong DPP-GLB intervention. Methods: Data were combined from 2 similar randomized trials offering a community based DPP-GLB lifestyle intervention to overweight/obese individuals with prediabetes and/or metabolic syndrome. Pre/post lifestyle intervention participation changes in 5 of the 7 cardiovascular health metrics were examined at 6 and 12 months (BMI, blood pressure, total cholesterol, fasting plasma glucose, physical activity). Smoking was rare and diet was not measured. Results: Among 305 participants with complete data (81.8% of 373 eligible adults), significant improvements were demonstrated in all 5 risk factors measured continuously at 6 and 12 months. There were significant positive shifts in the "ideal" and "total" metric scores at both time points. Also noted were beneficial shifts in the proportion of participants across categories for BMI, activity, and blood pressure. Conclusion: AHA-metrics could have clinical utility in estimating an individual's cardiovascular health status and in capturing improvement in cardiometabolic/behavioral risk factors resulting from participation in a community-based translation of the DPP lifestyle intervention.
- Subjects
UNITED States; CARDIOVASCULAR disease prevention; OBESITY treatment; DIABETES prevention; AMERICAN Heart Association; CARDIOVASCULAR diseases risk factors; EVALUATION of human services programs; HEALTH status indicators; COMMUNITY health services; BLOOD sugar; FISHER exact test; MANN Whitney U Test; NATIONAL health services; PHYSICAL activity; HEALTH behavior; RESEARCH funding; DESCRIPTIVE statistics; QUESTIONNAIRES; CHI-squared test; HEALTH impact assessment; BODY mass index; BLOOD pressure measurement; DATA analysis software; BEHAVIOR modification; HEALTH promotion; SECONDARY analysis; GROUP process; CHOLESTEROL
- Publication
Journal of Primary Care & Community Health, 2021, p1
- ISSN
2150-1319
- Publication type
Article
- DOI
10.1177/21501327211029816