A National Effort to Prevent Type 2 Diabetes: Participant-Level Evaluation of CDC's National Diabetes Prevention Program.
A National Effort to Prevent Type 2 Diabetes: Participant-Level Evaluation of CDC's National Diabetes Prevention Program.
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DOI：
10.2337/dc16-2099
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发表时间：
2017-10
期刊：
影响因子：
16.2
通讯作者：
Albright AL
中科院分区：
文献类型：
--
作者：
Ely EK;Gruss SM;Luman ET;Gregg EW;Ali MK;Nhim K;Rolka DB;Albright AL
评估国家糖尿病预防计划（National DPP）实施前4年的参与者水平结果，该计划是一项通过结构化生活方式改变计划预防高危人群2型糖尿病的国家努力。对2012年2月至2016年1月期间参加为期一年的2型糖尿病预防计划的14，747名成年人的数据进行了描述性分析。汇总了出勤率、体重和体力活动分钟数的数据，并使用混合线性模型检查了体重减轻的预测因素。所有分析均使用SAS 9.3进行。参与者平均参加了14次会议，平均172天（中位数134天）。总体而言，35.5%的人实现了5%的减肥目标（平均减肥4.2%，中位数3.1%）。参与者报告每周平均152分钟的身体活动（中位数128分钟），其中41.8%达到每周150分钟的身体活动目标。对于每增加一次会议和每30分钟的活动报告，参与者体重减轻0.3%（P < 0.0001）。在最初的4年里，国家DPP已经实现了广泛实施的生活方式改变计划，以预防2型糖尿病，并取得了可喜的早期成果。更长的持续时间和强度的会议出席导致更高的百分比的体重减轻的整体和亚组。专注于保留可以减少差异并改善整体计划结果。需要进一步的项目扩展和调查，以继续降低全国2型糖尿病的负担。
To assess participant-level results from the first 4 years of implementation of the National Diabetes Prevention Program (National DPP), a national effort to prevent type 2 diabetes in those at risk through structured lifestyle change programs. Descriptive analysis was performed on data from 14,747 adults enrolled in year-long type 2 diabetes prevention programs during the period February 2012 through January 2016. Data on attendance, weight, and physical activity minutes were summarized and predictors of weight loss were examined using a mixed linear model. All analyses were performed using SAS 9.3. Participants attended a median of 14 sessions over an average of 172 days in the program (median 134 days). Overall, 35.5% achieved the 5% weight loss goal (average weight loss 4.2%, median 3.1%). Participants reported a weekly average of 152 min of physical activity (median 128 min), with 41.8% meeting the physical activity goal of 150 min per week. For every additional session attended and every 30 min of activity reported, participants lost 0.3% of body weight (P < 0.0001). During the first 4 years, the National DPP has achieved widespread implementation of the lifestyle change program to prevent type 2 diabetes, with promising early results. Greater duration and intensity of session attendance resulted in a higher percent of body weight loss overall and for subgroups. Focusing on retention may reduce disparities and improve overall program results. Further program expansion and investigation is needed to continue lowering the burden of type 2 diabetes nationally.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
影响因子：
39.2
作者：
Pronk, Nicolaas P.;Remington, Patrick L.
通讯作者：
Remington, Patrick L.
影响因子：
16.2
作者：
Saaristo, Timo;Moilanen, Leena;Keinanen-Kiukaanniemi, Sirkka
通讯作者：
Keinanen-Kiukaanniemi, Sirkka
影响因子：
9.7
作者：
Zhuo, Xiaohui;Zhang, Ping;Albright, Ann
通讯作者：
Albright, Ann
影响因子：
16.2
作者：
Hoerger, Thomas J.;Hicks, Katherine A.;Engelgau, Michael M.
通讯作者：
Engelgau, Michael M.