Feasibility of group lifestyle intervention for diabetes prevention in Arab Americans

作者：Jaber Linda A^*; Pinelli Nicole R; Brown Morton B; Funnell Martha M; Anderson Robert; Hammad Adnan; Herman William H

来源：Diabetes Research and Clinical Practice, 2011, 91(3): 307-315.

DOI：10.1016/j.diabres.2010.11.032

• Diabetes
• Prevention
• Lifestyle intervention
• Diabetes Prevention Program (DPP)
• Arab Americans

Aims: To assess the feasibility and acceptability of a community-based, culturally-specific, Diabetes Prevention Program (DPP)-adapted, group lifestyle intervention in Arab-Americans.
Methods: Overweight (BMI >= 27 kg/m(2)) Arab-Americans aged >= 30 years and without a history of diabetes were recruited to participate in a 24-week group lifestyle intervention. The DPP core-curriculum was culturally rewritten, translated into Arabic, and delivered in weekly sessions over a 12-week period. Follow-up was performed at week-24. The primary goals were to achieve >= 7% weight loss and >= 150 min/week of physical activity. An intent-to-treat analysis was performed.
Results: Of the 71 participants (mean age +/- SD 47 +/- 10 years, 38% males), 44% achieved >= 7% weight loss, 59% achieved >= 5% reduction in weight, and 78% reached the physical activity goal of >= 150-min/week. The mean +/- SD weight loss was 5.2 +/- 4.4 kg at week-24 (p < 0.0001), Marked reduction in body measurements, daily energy and fat intake were noted. Retention was high with 86% completing the intervention.
Conclusions: This trial demonstrates that a culturally-specific, DPP-adapted, group lifestyle intervention implemented in a community setting is feasible and effective in Arab-Americans.

• 出版日期2011-3