Journal article
The effects of adding group-based lifestyle counselling to individual counselling on changes in plasma glucose levels in a randomized controlled trial: The Inter99 study
AimThis study aimed to assess whether group-based lifestyle counselling offered to a high-risk population subgroup had any effect beyond individual multifactorial interventions on fasting plasma glucose (FPG) and 2-h plasma glucose (2hPG) changes. MethodsIn a population-based study of 6784 participants, 4053 were determined to be at high risk based on a risk estimate of ischaemic heart disease or the presence of risk factors (smoking, hypertension, hypercholesterolaemia, obesity, impaired glucose tolerance).
Of these subjects, 90% were randomized to high-intensity intervention (group A) and 10% to low-intensity intervention (group B). All participants went through health examinations, risk assessments and individual lifestyle counselling. Participants in group A were further offered group-based lifestyle counselling.
The intervention was repeated after 1 and 3 years. A total of 2738 participants free of diabetes at baseline (1999–2001) and with at least one FPG and/or 2hPG measurement during 5 years of follow-up were included in the analyses. Differences in changes of plasma glucose between groups A and B were analyzed using multilevel linear regression.
ResultsFor FPG, crude 5-year changes were significantly different between the two groups (group A: −0.003 mmol/L vs group B: −0.079 mmol/L; P=0.0427). After adjusting for relevant confounders, no differences in FPG changes were observed (P=0.116). Also, no significant differences in the 5-year changes in 2hPG between the two groups were observed (group A: − 0.127 mmol/L vs group B: −0.201 mmol/L; P=0.546).
ConclusionOffering additional group-based intervention to a high-risk population subgroup had no clinical effects on changes in plasma glucose beyond those of individualized multifactorial interventions.
Language: | English |
---|---|
Year: | 2011 |
Pages: | 546-552 |
ISSN: | 18781780 and 12623636 |
Types: | Journal article |
DOI: | 10.1016/j.diabet.2011.06.001 |
ORCIDs: | 0000-0002-3321-3972 |
Group-based counselling High-risk population Lifestyle counselling Plasma glucose Randomized trial SDG 3 - Good Health and Well-being
Blood Glucose Conseils de style de vie Conseils en groupe Counseling Denmark Diabetes Mellitus, Type 2 Diet Essai randomisé Exercise Female Follow-Up Studies Glucose Intolerance Glycémie Humans Hypertension Male Middle Aged Obesity Population à haut risque Risk Factors Risk Reduction Behavior Smoking Smoking Prevention Surveys and Questionnaires White People