TheLive Well, Be WellStudy: A Community-Based, Translational Lifestyle Program to Lower Diabetes Risk Factors in Ethnic Minority and Lower–Socioeconomic Status Adults

Abstract

Objectives We evaluated a community-based, translational lifestyle program to reduce diabetes risk in lower–socioeconomic status (SES) and ethnic minority adults. Methods Through an academic–public health department partnership, community-dwelling adults at risk for diabetes were randomly assigned to individualized lifestyle counseling delivered primarily via telephone by health department counselors or a wait-list control group. Primary outcomes (6 and 12 months) were fasting glucose level, triglycerides, high- and low-density lipoprotein cholesterol, weight, waist circumference, and systolic blood pressure. Secondary outcomes included diet, physical activity, and health-related quality of life. Results Of the 230 participants, study retention was 92%. The 6-month group differences for weight and triglycerides were significant. The intervention group lost 2 pounds more than did the control group (P = .03) and had decreased triglyceride levels (difference in change, 23 mg/dL; P = .02). At 6 months, the intervention group consumed 7.7 fewer grams per day of fat (P = .05) and more fruits and vegetables (P = .02) than did control participants. Conclusions Despite challenges designing effective translational interventions for lower-SES and minority communities, this program modestly improved some diabetes risk factors. Thus, individualized, telephone-based models may be a promising alternative to group-based interventions.

Mortality from Diabetes by Hispanic Groups: Evidence from the US National Longitudinal Mortality Study

“…We thus agree with "the twin epidemics of poverty and diabetes" in Latino neighborhoods argument made by Chaufan et al [51, page 1032]. Many Latinos suffer from poverty; poverty, obesity, lack of physical exercise, and poor diets have been observed to be diabetes risk factors in many studies [21,23,52].…”

A community-based primary prevention programme for type 2 diabetes mellitus integrating identification and lifestyle intervention for prevention: a cluster randomised controlled trial

“…Additional analysis comparing the difference in weight lost Gilis-Januszewska 2011 69 Ruggerio 2011 88 Kramer 2012 (CPC) 81 Kramer 2012 (TPC) 81 Laatikainen 2012 93 Kanaya et al 94 and Penn et al 95 ) have been added; therefore, the subtotal line and overall line in the plots have changed, as they now include additional data. Boxes and horizontal lines represent mean weight change and 95% CI for each study.…”

“…Appendix 3 Coding scores for study interventions 2008 75 Almeida, 2010 76 Boltri, 2008 77 Costa, 2012 78 DavisSmith, 2007 79 Faridi, 2010 62 GilisJanuszewska, 2011 69 Janus, 2012 93 Kanaya, 2012 94 Katula, 2011 80 Kramer, 2009 70 Kramer, 2012 81 Kramer, 2012 81 71 Laatikainen, 2012 98 Makrilakis, 2010 73 Mensink, 2003 82 Ockene, 2012 84 Parikh, 2010 85 Payne, 2008 86 Penn, 2009 87 Penn, 2013 95 Ruggerio, 2011 88 Saaristo, 2010 89 Sakane, 2011 90 Yates 86 Penn et al 87 Penn et al 95 Ruggerio et al…”

The SMILE Program: Does Timing and Dosing of Nurse Home Visits Matter in Reducing Adverse Birth Outcomes for African American Women

“…Nurse home visitation (NHV) programs. Given the emergence of the social determinants of health framework, one approach to improve health for those that have historically been disenfranchised is to increase utilization of community-based health interventions (Austin & Harris, 2011;DeBate, Plescia, Joyner, & Spann, 2004;Dodani & Fields, 2010;Gehlert & Coleman, 2010;Kanaya et al, 2012;Kang-Yi & Gellis, 2010). An approach to reduce and eliminate infant mortality has been that of home visitation (cf.…”