{"id":16988,"date":"2016-09-01T00:00:00","date_gmt":"2018-12-03T18:45:43","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/improving-diet-activity-and-wellness-in-adults-at-risk-of-diabetes\/"},"modified":"2018-12-03T19:45:43","modified_gmt":"2018-12-03T18:45:43","slug":"improving-diet-activity-and-wellness-in-adults-at-risk-of-diabetes","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/improving-diet-activity-and-wellness-in-adults-at-risk-of-diabetes\/","title":{"rendered":"Improving diet, activity and wellness in adults at risk of diabetes: randomized controlled trial."},"content":{"rendered":"<p style=\"text-align:justify\"><strong>OBJECTIVE<\/strong><br \/>\nThe purpose of this analysis is to examine the effect of an algorithm-driven online diabetes prevention program on changes in eating habits, physical activity and wellness\/productivity factors.<\/p>\n<p style=\"text-align:justify\"><strong>METHODS<\/strong><br \/>\nThe intervention, Alive-PD, used small-step individually tailored goal setting and other features to promote changes in diet and physical activity. A 6-month randomized controlled trial was conducted among patients from a healthcare delivery system who had confirmed prediabetes (n =339). Change in weight and glycemic markers were measured in the clinic. Changes in physical activity, diet and wellness\/productivity factors were self-reported. Mean age was 55 (s.d. 8.9) years, mean body mass index was 31 (s.d. 4.4) kg&thinsp;m(-2), 68% were white and 69% were male.<\/p>\n<p style=\"text-align:justify\"><strong>RESULTS<\/strong><br \/>\nThe intervention group increased fruit\/vegetable consumption by 3.71 (95% confidence interval (CI) 2.73, 4.70) times per week (effect size 0.62), and decreased refined carbohydrates by 3.77 (95% CI 3.10, 4.44) times per week both significantly (P&lt;0.001) greater changes than in the control group. The intervention group also reported a significantly greater increase in physical activity than in the control group, effect size 0.49, P&lt;0.001. In addition, the intervention group reported a significant increase in self-rated health, in confidence in ability to make dietary changes and in ability to accomplish tasks, and a decrease in fatigue, compared with the control group. These changes paralleled the significant treatment effects on glycemic markers and weight.<\/p>\n<p style=\"text-align:justify\"><strong>CONCLUSIONS<\/strong><br \/>\nIn addition to promoting improvements in weight and glycemic markers, the Alive-PD program appears to improve eating habits and physical activity, behaviors important not just for diabetes prevention but for those with diagnosed diabetes or obesity. The improvements in wellness\/productivity may derive from the diet and activity improvements, and from the satisfaction and self-efficacy of achieving goals.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-16988","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Turnaround Health, Berkeley, CA, USA.\r\ngblock@berkeley.edu","annee":"2016","mois":"9","numero":"6:9","page":"e231","auteurs":[{"ID":12357,"post_author":"0","post_date":"2018-12-03 18:45:36","post_date_gmt":"2018-12-03 17:45:36","post_content":"","post_title":"Gladys Block","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"gladys-block","to_ping":"","pinged":"","post_modified":"2018-12-03 18:45:36","post_modified_gmt":"2018-12-03 17:45:36","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/gladys-block\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16981,"post_author":"0","post_date":"2018-12-03 19:45:39","post_date_gmt":"2018-12-03 18:45:39","post_content":"","post_title":"K M J Azar","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"k-m-j-azar","to_ping":"","pinged":"","post_modified":"2018-12-03 19:45:39","post_modified_gmt":"2018-12-03 18:45:39","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/k-m-j-azar\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16982,"post_author":"0","post_date":"2018-12-03 19:45:40","post_date_gmt":"2018-12-03 18:45:40","post_content":"","post_title":"R J Romanelli","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"r-j-romanelli","to_ping":"","pinged":"","post_modified":"2018-12-03 19:45:40","post_modified_gmt":"2018-12-03 18:45:40","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/r-j-romanelli\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16983,"post_author":"0","post_date":"2018-12-03 19:45:40","post_date_gmt":"2018-12-03 18:45:40","post_content":"","post_title":"T J Block","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"t-j-block","to_ping":"","pinged":"","post_modified":"2018-12-03 19:45:40","post_modified_gmt":"2018-12-03 18:45:40","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/t-j-block\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16984,"post_author":"0","post_date":"2018-12-03 19:45:41","post_date_gmt":"2018-12-03 18:45:41","post_content":"","post_title":"L P Palaniappan","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"l-p-palaniappan","to_ping":"","pinged":"","post_modified":"2018-12-03 19:45:41","post_modified_gmt":"2018-12-03 18:45:41","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/l-p-palaniappan\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16985,"post_author":"0","post_date":"2018-12-03 19:45:41","post_date_gmt":"2018-12-03 18:45:41","post_content":"","post_title":"M Dolginsky","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"m-dolginsky","to_ping":"","pinged":"","post_modified":"2018-12-03 19:45:41","post_modified_gmt":"2018-12-03 18:45:41","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/m-dolginsky\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":16986,"post_author":"0","post_date":"2018-12-03 19:45:42","post_date_gmt":"2018-12-03 18:45:42","post_content":"","post_title":"C H Block","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"c-h-block","to_ping":"","pinged":"","post_modified":"2018-12-03 19:45:42","post_modified_gmt":"2018-12-03 18:45:42","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/c-h-block\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":16987,"post_author":"0","post_date":"2018-12-03 19:45:42","post_date_gmt":"2018-12-03 18:45:42","post_content":"","post_title":"Nutrition &amp; Diabetes","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"nutrition-diabetes-4","to_ping":"","pinged":"","post_modified":"2018-12-03 19:45:42","post_modified_gmt":"2018-12-03 18:45:42","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/nutrition-diabetes-4\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - 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