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- Title
Reversing Type 2 Diabetes in a Primary Care-Anchored eHealth Lifestyle Coaching Programme in Denmark: A Randomised Controlled Trial.
- Authors
Christensen, Jeanette Reffstrup; Laursen, Ditte Hjorth; Lauridsen, Jørgen Trankjær; Hesseldal, Laura; Jakobsen, Pernille Ravn; Nielsen, Jesper Bo; Søndergaard, Jens; Brandt, Carl J.
- Abstract
The goal of this trial was to investigate whether an eHealth lifestyle coaching programme led to significant weight loss and decreased Haemoglobin A1c (HbA1c) in patients with type 2 diabetes. In an RCT, 170 patients were enrolled from 2018 to 2019 for intervention or control. Inclusion criteria were diagnosed with type 2 diabetes, BMI 30–45 kg/m2, and aged 18–70 years. Exclusion criteria were lacks internet access, pregnant or planning a pregnancy, or has a serious disease. Primary and secondary outcomes were a reduction in body weight and HbA1c. At six months, 75 (75%) patients in the intervention group and 53 (76%) patients in the control group remained in the trial. The mean body weight loss was 4.2 kg (95% CI, −5.49; −2.98) in the intervention group and 1.5 kg (95% CI, −2.57; −0.48) in the control group (p = 0.005). In the intervention group, 24 out of 62 patients with elevated HbA1c at baseline (39%) had a normalized HbA1c < 6.5% at six months, compared to 8 out of 40 patients with elevated HbA1c at baseline (20%) in the control group (p = 0.047). The eHealth lifestyle coaching programme can lead to significant weight loss and decreased HbA1c among patients with type 2 diabetes, compared to standard care.
- Subjects
DENMARK; GLYCOSYLATED hemoglobin; BODY weight; CONFIDENCE intervals; MOBILE apps; TYPE 2 diabetes; PRIMARY health care; RANDOMIZED controlled trials; HEALTH behavior; WEIGHT loss; DESCRIPTIVE statistics; STATISTICAL sampling; BODY mass index; BEHAVIOR modification
- Publication
Nutrients, 2022, Vol 14, Issue 16, p3424
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu14163424