Abstract:
INTRODUCTION:Self-administered lifestyle interventions have been suggested as an alternative to face-to-face delivery modes, although their efficacy remains uncertain. The aim of this study was to evaluate the efficacy of the Type 2 diabetes mellitus Prevention Using LifeStyle Education (PULSE) Program, a self-administered and gender-tailored lifestyle intervention for men at high risk for developing Type 2 diabetes mellitus. DESIGN/SETTING:A 6-month, assessor-blinded, parallel-group RCT was conducted at the University of Newcastle, Australia in 2012-2013. PARTICIPANTS:Men (aged 18-65 years, BMI 25-40 kg/m(2), high risk for developing Type 2 diabetes mellitus) were stratified by age (<50 and >50 years) and BMI category (25.0-29.9, 30.0-35.9, and 35.0-40 kg/m(2)) and individually randomized (1:1 ratio) to the intervention (n=53) or waitlist control groups (n=48). INTERVENTION:The intervention group received the PULSE Program, which contained print and video resources on weight loss (Self-Help, Exercise and Diet using Internet Technology [SHED-IT] Weight Loss Program), diet modification, and exercise for Type 2 diabetes mellitus prevention. The waitlist control group received no information until 6 months. MAIN OUTCOME MEASURES:Data were collected from September 2012 to September 2013 and analyzed in 2014-2015. Linear mixed models (intention-to-treat) were used to determine group X time interactions (differences between groups in changes over time) at 6 months for the primary outcome (weight), glycated hemoglobin, and several secondary outcomes (significance level, p<0.05). RESULTS:Differences between groups in mean changes from baseline to 6 months (group × time interaction) favored the intervention over control group for weight loss (-5.50 kg, 95% CI=-7.40 kg, -3.61 kg, p<0.001, Cohen's d=1.15), glycated hemoglobin (-0.2%, 95% CI=-0.3%, -0.1%, p=0.002, d=0.64), and BMI, waist circumference, body fat percentage, aerobic fitness, and lower body muscular fitness (all p<0.05). No group × time effects were observed for fasting plasma glucose, upper body muscular fitness, physical activity, or energy intake. CONCLUSIONS:The PULSE Program improved several Type 2 diabetes mellitus risk factors in men, including weight and glycated hemoglobin. These findings provide evidence for a self-administered and gender-tailored lifestyle intervention, which has potential for dissemination in community settings.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Aguiar EJ,Morgan PJ,Collins CE,Plotnikoff RC,Young MD,Callister Rdoi
10.1016/j.amepre.2015.08.020subject
Has Abstractpub_date
2016-03-01 00:00:00pages
353-364issue
3eissn
0749-3797issn
1873-2607pii
S0749-3797(15)00510-3journal_volume
50pub_type
杂志文章,随机对照试验abstract::We describe the predictors of change in physical activity in a population-derived sample of residents of two New England communities. In 1986-1987 and again in 1990-1991, we assessed the self-reported physical activity of 1,081 survey respondents using a single question concerning the frequency of exercise-induced swe...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
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abstract:BACKGROUND:Low-density lipoprotein (LDL)-based guidelines are currently used to initiate and monitor cholesterol-lowering therapy. METHODS:Using stratified analyses, data from the Framingham Heart Study and the Coronary Primary Prevention Trial were evaluated to determine whether (1) cholesterol levels (total choleste...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::Calls for more public health education for medical students date back at least 150 years. In recent years, medical schools have increased their required coursework in core public health topics such as epidemiology, biostatistics, and behavioral determinants of health. Some schools have created more in-depth alternativ...
journal_title:American journal of preventive medicine
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abstract:INTRODUCTION:Exposure to violence victimization may help explain disparities of substance use among gender-nonconforming youth (i.e., those whose gender expression differs from societal expectations). METHODS:In 2015, three large urban school districts (2 in California and 1 in Florida) conducted a Youth Risk Behavior...
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abstract:INTRODUCTION:The effectiveness of low-cost smoking interventions targeted to pregnant women has been demonstrated, although few gains in absolute cessation rates have been reported in the past decade. Under conditions of typical clinical practice, this study examined whether outcomes achieved with brief counseling from...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2004.12.002
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.01.005
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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更新日期:1987-07-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2009-12-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.03.014
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
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更新日期:2014-01-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2000-04-01 00:00:00
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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pub_type: 杂志文章
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