|
|||||
|
|
Six-Month Outcomes from Living Well with Diabetes: A Randomized Trial of a Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control |
|
| Authors: | E G Eakin PhD M M Reeves PhD E Winkler PhD G N Healy PhD D W Dunstan PhD N Owen PhD A M Marshal PhD K C Wilkie MBBS |
| Institution: | 1. The University of Queensland, School of Population Health, Cancer Prevention Research Centre, Level 3 Public Health Building, Herston Road, Herston, Brisbane, QLD, 4006, Australia 2. Baker IDI Heart and Diabetes Institute, Melbourne, Australia 3. School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Australia 4. Greater Metro South Brisbane Medicare Local, Logan, QLD, Australia |
| Abstract: | BackgroundIntensive lifestyle intervention trials in type 2 diabetes contribute evidence on what can be achieved under optimal conditions, but are less informative for translation in applied settings.PurposeLiving Well with Diabetes is a telephone-delivered weight loss intervention designed for real-world delivery.MethodsThis study is a randomized controlled trial of telephone counseling (n?=?151) versus usual care (n?=?151); 6-month primary outcomes of weight, physical activity, HbA1c; secondary diet outcomes; analysis was by adjusted generalized linear models.ResultsRelative to usual care, telephone counseling participants had small but significantly better weight loss ?1.12 % of initial body weight; 95 % confidence interval (CI) ?1.92, ?0.33 %]; physical activity relative rate (RR)?=?1.30; 95 % CI, 1.08, 1.57]; energy intake reduction (?0.63 MJ/day; 95 % CI, ?1.01, ?0.25); and diet quality (3.72 points; 95 % CI, 1.77, 5.68), with no intervention effect for HbA1c (RR?=?0.99; 95 % CI, 0.96, 1.01).ConclusionsResults are discussed in light of challenges to intervention delivery. |
| Keywords: | |
| 本文献已被 SpringerLink 等数据库收录！ | |