Lifestyle changes can be achieved through counseling and follow-up in first-degree relatives of patients with type 2 diabetes
To describe two lifestyle prevention strategies tested in first-degree relatives of patients with type 2 diabetes and to present the short-term effects of these strategies on nutrient intake, physical activity pattern, and body weight. In this 16-week controlled intervention trial, subjects were ass...
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| Veröffentlicht in: | Journal of the American Dietetic Association 2003-07, Vol.103 (7), p.835-843 |
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| creator | Brekke, H.K Jansson, P.A Mansson, J.E Lenner, R.A |
| description | To describe two lifestyle prevention strategies tested in first-degree relatives of patients with type 2 diabetes and to present the short-term effects of these strategies on nutrient intake, physical activity pattern, and body weight.
In this 16-week controlled intervention trial, subjects were assigned to one of three treatment conditions: diet group (D) (n=25), diet and exercise group (DE) (n=30), or control group (C) (n=22). Subjects/setting Non-diabetic relatives of individuals with diabetes were recruited (n=77; men and women; age 25 to 55 years).
Intervention groups received group counseling on two occasions and follow-up through unannounced telephone interviews every 10 days. Counseling regarding diet and physical activity was based on the Nordic Nutrition Recommendations. In addition, increased intake of fatty fish and low glycemic index foods were recommended. Main outcome measures Changes in diet (assessed by food frequency questionnaires), leisure time physical activity (assessed through interviews), fatty acid composition of erythrocyte membrane, and body weight. Statistical analysis One-way analysis of variance and Mann-Whitney U test were used to compare changes among groups.
Compared with the control group, both intervention groups decreased intake of saturated fatty acids (percent of energy), increased intake of dietary fiber, and reduced average glycemic index of the diet. The ratio of n-6:n-3 fatty acids of the erythrocyte membranes decreased, confirming increased intake of fatty fish. Body weight decreased 1.7 kg (2.1%, P=.030) in group DE, and physical activity increased in the least-active subjects (+70 min/week, P |
| doi_str_mv | 10.1016/S0002-8223(03)00378-X |
| format | Article |
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In this 16-week controlled intervention trial, subjects were assigned to one of three treatment conditions: diet group (D) (n=25), diet and exercise group (DE) (n=30), or control group (C) (n=22). Subjects/setting Non-diabetic relatives of individuals with diabetes were recruited (n=77; men and women; age 25 to 55 years).
Intervention groups received group counseling on two occasions and follow-up through unannounced telephone interviews every 10 days. Counseling regarding diet and physical activity was based on the Nordic Nutrition Recommendations. In addition, increased intake of fatty fish and low glycemic index foods were recommended. Main outcome measures Changes in diet (assessed by food frequency questionnaires), leisure time physical activity (assessed through interviews), fatty acid composition of erythrocyte membrane, and body weight. Statistical analysis One-way analysis of variance and Mann-Whitney U test were used to compare changes among groups.
Compared with the control group, both intervention groups decreased intake of saturated fatty acids (percent of energy), increased intake of dietary fiber, and reduced average glycemic index of the diet. The ratio of n-6:n-3 fatty acids of the erythrocyte membranes decreased, confirming increased intake of fatty fish. Body weight decreased 1.7 kg (2.1%, P=.030) in group DE, and physical activity increased in the least-active subjects (+70 min/week, P<.01 within group). Applications/Conclusions Healthy individuals with heredity for type 2 diabetes can achieve desired changes in lifestyle factors associated with increased risk for the disease.</description><identifier>ISSN: 0002-8223</identifier><identifier>ISSN: 2212-2672</identifier><identifier>EISSN: 1878-3570</identifier><identifier>EISSN: 2212-2680</identifier><identifier>DOI: 10.1016/S0002-8223(03)00378-X</identifier><identifier>PMID: 12830021</identifier><identifier>CODEN: JADAAE</identifier><language>eng</language><publisher>United States: Elsevier Science Publishers</publisher><subject>Adult ; Analysis of Variance ; body mass index ; Body Weight - physiology ; Care and treatment ; Counseling ; Counseling - methods ; Diabetes ; diabetes mellitus ; Diabetes Mellitus, Type 2 - prevention & control ; Diabetics ; Diet ; Diet therapy ; Dietary Fats - administration & dosage ; Dietary Fats, Unsaturated - administration & dosage ; Dietary Fiber - administration & dosage ; Disease management ; disease prevention ; Erythrocyte Membrane - chemistry ; Exercise ; Exercise - physiology ; families ; Female ; Follow-Up Studies ; Food and nutrition ; food intake ; genetic relationships ; Glycemic Index - physiology ; Health aspects ; Humans ; Leisure Activities ; Life Style ; Lifestyles ; Male ; Middle Aged ; nutrient intake ; nutritional intervention ; Obesity - complications ; Obesity - therapy ; Patient Compliance ; physical activity ; Pilot Projects ; Prevention ; Seafood ; Surveys and Questionnaires ; Sweden ; Type 2 diabetes</subject><ispartof>Journal of the American Dietetic Association, 2003-07, Vol.103 (7), p.835-843</ispartof><rights>COPYRIGHT 2003 Elsevier Science Publishers</rights><rights>Copyright American Dietetic Association Jul 2003</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-fd4230b22a64b124ef0006e9dbc4ade3b798028203e6ae34b5c837d52ffecb073</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12830021$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brekke, H.K</creatorcontrib><creatorcontrib>Jansson, P.A</creatorcontrib><creatorcontrib>Mansson, J.E</creatorcontrib><creatorcontrib>Lenner, R.A</creatorcontrib><title>Lifestyle changes can be achieved through counseling and follow-up in first-degree relatives of patients with type 2 diabetes</title><title>Journal of the American Dietetic Association</title><addtitle>J Am Diet Assoc</addtitle><description>To describe two lifestyle prevention strategies tested in first-degree relatives of patients with type 2 diabetes and to present the short-term effects of these strategies on nutrient intake, physical activity pattern, and body weight.
In this 16-week controlled intervention trial, subjects were assigned to one of three treatment conditions: diet group (D) (n=25), diet and exercise group (DE) (n=30), or control group (C) (n=22). Subjects/setting Non-diabetic relatives of individuals with diabetes were recruited (n=77; men and women; age 25 to 55 years).
Intervention groups received group counseling on two occasions and follow-up through unannounced telephone interviews every 10 days. Counseling regarding diet and physical activity was based on the Nordic Nutrition Recommendations. In addition, increased intake of fatty fish and low glycemic index foods were recommended. Main outcome measures Changes in diet (assessed by food frequency questionnaires), leisure time physical activity (assessed through interviews), fatty acid composition of erythrocyte membrane, and body weight. Statistical analysis One-way analysis of variance and Mann-Whitney U test were used to compare changes among groups.
Compared with the control group, both intervention groups decreased intake of saturated fatty acids (percent of energy), increased intake of dietary fiber, and reduced average glycemic index of the diet. The ratio of n-6:n-3 fatty acids of the erythrocyte membranes decreased, confirming increased intake of fatty fish. Body weight decreased 1.7 kg (2.1%, P=.030) in group DE, and physical activity increased in the least-active subjects (+70 min/week, P<.01 within group). Applications/Conclusions Healthy individuals with heredity for type 2 diabetes can achieve desired changes in lifestyle factors associated with increased risk for the disease.</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>body mass index</subject><subject>Body Weight - physiology</subject><subject>Care and treatment</subject><subject>Counseling</subject><subject>Counseling - methods</subject><subject>Diabetes</subject><subject>diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - prevention & control</subject><subject>Diabetics</subject><subject>Diet</subject><subject>Diet therapy</subject><subject>Dietary Fats - administration & dosage</subject><subject>Dietary Fats, Unsaturated - administration & dosage</subject><subject>Dietary Fiber - administration & dosage</subject><subject>Disease management</subject><subject>disease prevention</subject><subject>Erythrocyte Membrane - chemistry</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>families</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Food and nutrition</subject><subject>food intake</subject><subject>genetic relationships</subject><subject>Glycemic Index - physiology</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Leisure Activities</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Middle Aged</subject><subject>nutrient intake</subject><subject>nutritional intervention</subject><subject>Obesity - complications</subject><subject>Obesity - therapy</subject><subject>Patient Compliance</subject><subject>physical activity</subject><subject>Pilot Projects</subject><subject>Prevention</subject><subject>Seafood</subject><subject>Surveys and Questionnaires</subject><subject>Sweden</subject><subject>Type 2 diabetes</subject><issn>0002-8223</issn><issn>2212-2672</issn><issn>1878-3570</issn><issn>2212-2680</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkl1vFCEUhonR2LX6E1TSC2MvpvIxH-xl02g12cSL2qR3hGEOMzQsrMC07oX_Xba70dQ0kHCA5z3hJS9Cbyk5o4S2n64IIawSjPGPhJ8SwjtR3TxDCypKwZuOPEeLv8gRepXSbdmShpKX6IgywcsdXaDfK2sg5a0DrCflR0hYK497wEpPFu5gwHmKYR4nrMPsEzjrR6z8gE1wLtxX8wZbj42NKVcDjBEAR3Aq27vSKhi8KSX4nPC9zRPO2w1ghgeresiQXqMXRrkEbw7rMbr-8vnHxddq9f3y28X5qtJ12-XKDDXjpGdMtXVPWQ2mOGlhOfS6VgPwvlsKwgQjHFoFvO4bLXg3NMwY0D3p-DH6sO-7ieHnXPzKtU0anFMewpxkx3nbLkVTwJP_wNswR1_eJhkVNaW0bgtU7aFROZDWm5Cj0iN4iMoFD8aW43NKmlYw_sCfPcGXMcDa6icFp48EhcnwK49qTkmKy9VjttmzOoaUIhi5iXat4lZSIndJkQ9JkbsYSFLmLinypujeHZzO_RqGf6pDNArwfg8YFaQao03y-ooRygktf71sKP8DerDBpw</recordid><startdate>20030701</startdate><enddate>20030701</enddate><creator>Brekke, H.K</creator><creator>Jansson, P.A</creator><creator>Mansson, J.E</creator><creator>Lenner, R.A</creator><general>Elsevier Science Publishers</general><general>Elsevier Limited</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PADUT</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20030701</creationdate><title>Lifestyle changes can be achieved through counseling and follow-up in first-degree relatives of patients with type 2 diabetes</title><author>Brekke, H.K ; Jansson, P.A ; Mansson, J.E ; Lenner, R.A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-fd4230b22a64b124ef0006e9dbc4ade3b798028203e6ae34b5c837d52ffecb073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>body mass index</topic><topic>Body Weight - physiology</topic><topic>Care and treatment</topic><topic>Counseling</topic><topic>Counseling - methods</topic><topic>Diabetes</topic><topic>diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - prevention & control</topic><topic>Diabetics</topic><topic>Diet</topic><topic>Diet therapy</topic><topic>Dietary Fats - administration & dosage</topic><topic>Dietary Fats, Unsaturated - administration & dosage</topic><topic>Dietary Fiber - administration & dosage</topic><topic>Disease management</topic><topic>disease prevention</topic><topic>Erythrocyte Membrane - chemistry</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>families</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Food and nutrition</topic><topic>food intake</topic><topic>genetic relationships</topic><topic>Glycemic Index - physiology</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Leisure Activities</topic><topic>Life Style</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Middle Aged</topic><topic>nutrient intake</topic><topic>nutritional intervention</topic><topic>Obesity - complications</topic><topic>Obesity - therapy</topic><topic>Patient Compliance</topic><topic>physical activity</topic><topic>Pilot Projects</topic><topic>Prevention</topic><topic>Seafood</topic><topic>Surveys and Questionnaires</topic><topic>Sweden</topic><topic>Type 2 diabetes</topic><toplevel>online_resources</toplevel><creatorcontrib>Brekke, H.K</creatorcontrib><creatorcontrib>Jansson, P.A</creatorcontrib><creatorcontrib>Mansson, J.E</creatorcontrib><creatorcontrib>Lenner, R.A</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Research Library China</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Dietetic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brekke, H.K</au><au>Jansson, P.A</au><au>Mansson, J.E</au><au>Lenner, R.A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lifestyle changes can be achieved through counseling and follow-up in first-degree relatives of patients with type 2 diabetes</atitle><jtitle>Journal of the American Dietetic Association</jtitle><addtitle>J Am Diet Assoc</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>103</volume><issue>7</issue><spage>835</spage><epage>843</epage><pages>835-843</pages><issn>0002-8223</issn><issn>2212-2672</issn><eissn>1878-3570</eissn><eissn>2212-2680</eissn><coden>JADAAE</coden><abstract>To describe two lifestyle prevention strategies tested in first-degree relatives of patients with type 2 diabetes and to present the short-term effects of these strategies on nutrient intake, physical activity pattern, and body weight.
In this 16-week controlled intervention trial, subjects were assigned to one of three treatment conditions: diet group (D) (n=25), diet and exercise group (DE) (n=30), or control group (C) (n=22). Subjects/setting Non-diabetic relatives of individuals with diabetes were recruited (n=77; men and women; age 25 to 55 years).
Intervention groups received group counseling on two occasions and follow-up through unannounced telephone interviews every 10 days. Counseling regarding diet and physical activity was based on the Nordic Nutrition Recommendations. In addition, increased intake of fatty fish and low glycemic index foods were recommended. Main outcome measures Changes in diet (assessed by food frequency questionnaires), leisure time physical activity (assessed through interviews), fatty acid composition of erythrocyte membrane, and body weight. Statistical analysis One-way analysis of variance and Mann-Whitney U test were used to compare changes among groups.
Compared with the control group, both intervention groups decreased intake of saturated fatty acids (percent of energy), increased intake of dietary fiber, and reduced average glycemic index of the diet. The ratio of n-6:n-3 fatty acids of the erythrocyte membranes decreased, confirming increased intake of fatty fish. Body weight decreased 1.7 kg (2.1%, P=.030) in group DE, and physical activity increased in the least-active subjects (+70 min/week, P<.01 within group). Applications/Conclusions Healthy individuals with heredity for type 2 diabetes can achieve desired changes in lifestyle factors associated with increased risk for the disease.</abstract><cop>United States</cop><pub>Elsevier Science Publishers</pub><pmid>12830021</pmid><doi>10.1016/S0002-8223(03)00378-X</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Analysis of Variance body mass index Body Weight - physiology Care and treatment Counseling Counseling - methods Diabetes diabetes mellitus Diabetes Mellitus, Type 2 - prevention & control Diabetics Diet Diet therapy Dietary Fats - administration & dosage Dietary Fats, Unsaturated - administration & dosage Dietary Fiber - administration & dosage Disease management disease prevention Erythrocyte Membrane - chemistry Exercise Exercise - physiology families Female Follow-Up Studies Food and nutrition food intake genetic relationships Glycemic Index - physiology Health aspects Humans Leisure Activities Life Style Lifestyles Male Middle Aged nutrient intake nutritional intervention Obesity - complications Obesity - therapy Patient Compliance physical activity Pilot Projects Prevention Seafood Surveys and Questionnaires Sweden Type 2 diabetes |
| title | Lifestyle changes can be achieved through counseling and follow-up in first-degree relatives of patients with type 2 diabetes |
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