A primary care based healthy-eating and active living education session for weight reduction in the pre-diabetic population

作者：Weir Daniala L; Johnson Steven T^*; Mundt Clark; Bray Dianne; Taylor Lorian; Eurich Dean T; Johnson Jeffrey A

来源：Primary Care Diabetes, 2014, 8(4): 301-307.

DOI：10.1016/j.pcd.2014.01.013

• Diabetes
• Primary care
• Physical activity
• Diet
• Dietitian
• Health service research

Aims: Many studies have demonstrated the effectiveness of primary prevention strategies in type 2 diabetes, however, questions remain around the feasibility of high resource, intensive interventions within a healthcare setting. We report the results of a dietitian-led pre-diabetes education session targeting healthy eating and active living as strategies for weight reduction.
Methods: Participants were asked to complete a baseline questionnaire prior to completing the pre-diabetes education session and were sent follow-up questionnaires at 3 and 6 months. Differences between participants. at baseline, 3 and 6 months were determined using chi(2), t-tests and ANOVA.
Results: Of the 211 participants asked to fill out baseline questionnaires, 45 participants completed questionnaires at baseline, 3 months and 6 months. Although we observed general trends towards improvements in diet, physical activity and weight related behaviours among the 45 completers, no significant changes were observed among participants between questionnaire periods.
Conclusion: A "one-off", theory-guided group education session may be insufficient to support lifestyle modifications in the context of weight management in a pre-diabetic population. Further evaluation of the efficacy and feasibility of the PCN as a setting for lifestyle intervention is required.

• 出版日期2014-12