Effects of A 12-Month Intensive Lifestyle Monitoring Program in Predominantly Overweight/Obese Arab Adults with Prediabetes

This 12-month, randomized, controlled lifestyle intervention study was aimed at assessing the effectiveness of a lifestyle intervention in terms of (1) the reduction of at least 5% of body weight compared to baseline and (2) the percentage of participants in which fasting blood glucose (FBG) normali...

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Veröffentlicht in:Nutrients 2020-02, Vol.12 (2), p.464
Hauptverfasser: Wani, Kaiser, Alfawaz, Hanan, Alnaami, Abdullah M, Sabico, Shaun, Khattak, Malak Nawaz Khan, Al-Attas, Omar, Alokail, Majed S, Alharbi, Mohammed, Chrousos, George, Kumar, Sudhesh, Al-Daghri, Nasser M
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container_start_page 464
container_title Nutrients
container_volume 12
creator Wani, Kaiser
Alfawaz, Hanan
Alnaami, Abdullah M
Sabico, Shaun
Khattak, Malak Nawaz Khan
Al-Attas, Omar
Alokail, Majed S
Alharbi, Mohammed
Chrousos, George
Kumar, Sudhesh
Al-Daghri, Nasser M
description This 12-month, randomized, controlled lifestyle intervention study was aimed at assessing the effectiveness of a lifestyle intervention in terms of (1) the reduction of at least 5% of body weight compared to baseline and (2) the percentage of participants in which fasting blood glucose (FBG) normalizes (
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A total of 300 Saudi adults with prediabetes at baseline (FBG 5.6-6.9 mmol/L) were enrolled to receive either general advice (GA) or a rigorous, self-monitored, lifestyle modification program (intervention group, IG) for 12 months, focused on food choices, physical activity, and weight loss. Anthropometric and biochemical estimations were analyzed at baseline, 6, and 12 months. At baseline, 136/150 in the GA group (90.7%) and 127/150 in the IG group (84.7%) were either overweight or obese. A total of 14% ( = 21) of the subjects in the IG arm discontinued, compared to 8% ( = 12) in the GA arm. Data from completers (92% ( = 138) and 86% ( = 129) participants in GA and IG arms, respectively) were considered for the final analysis. Post-intervention, 37.2% ( = 48) of participants in the IG group had ≥5% weight reduction, as compared to 12.3% ( = 17) in the GA group ( &lt; 0.01). Similarly, the percentage of participants who normalized their FBG post-intervention was 46.5% ( = 60) in the IG group compared to 21.7% ( = 30) in the GA group ( &lt; 0.01). A 12-month Diabetes Prevention Program (DPP)-styled intensive lifestyle program translated effectively in decreasing weight and improving fasting glucose compared to the GA group in predominantly overweight/obese Saudi adults with prediabetes, suggesting that in the case of guided intervention programs, people are willing to participate and possibly change a sedentary lifestyle.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu12020464</identifier><identifier>PMID: 32059477</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Adults ; Aged ; Anthropometry ; Arabs ; Blood Glucose ; Blood pressure ; Body Weight ; Body weight loss ; Cholesterol ; Collaboration ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - diagnosis ; Diabetes Mellitus, Type 2 - prevention &amp; control ; Diet, Reducing ; Disease control ; Exercise ; Expatriates ; Fasting ; Fasting - blood ; Female ; Glucose ; Healthy Lifestyle ; Humans ; Immunoglobulins ; Insulin ; Intervention ; Laboratory testing ; Lifestyles ; Male ; Middle Aged ; Monitoring, Physiologic - methods ; Obesity ; Overweight ; Patient Participation ; Physical activity ; Prediabetic State - diagnosis ; Prevention ; Primary care ; Time Factors ; Weight control ; Weight Loss ; Weight reduction ; Womens health</subject><ispartof>Nutrients, 2020-02, Vol.12 (2), p.464</ispartof><rights>2020. 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source MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Adult
Adults
Aged
Anthropometry
Arabs
Blood Glucose
Blood pressure
Body Weight
Body weight loss
Cholesterol
Collaboration
Diabetes
Diabetes mellitus
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - prevention & control
Diet, Reducing
Disease control
Exercise
Expatriates
Fasting
Fasting - blood
Female
Glucose
Healthy Lifestyle
Humans
Immunoglobulins
Insulin
Intervention
Laboratory testing
Lifestyles
Male
Middle Aged
Monitoring, Physiologic - methods
Obesity
Overweight
Patient Participation
Physical activity
Prediabetic State - diagnosis
Prevention
Primary care
Time Factors
Weight control
Weight Loss
Weight reduction
Womens health
title Effects of A 12-Month Intensive Lifestyle Monitoring Program in Predominantly Overweight/Obese Arab Adults with Prediabetes
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