{"id":34341,"date":"2013-05-01T00:00:00","date_gmt":"2018-12-03T23:27:35","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/effects-of-lifestyle-education-program-for-type-2-diabetes\/"},"modified":"2018-12-04T00:27:35","modified_gmt":"2018-12-03T23:27:35","slug":"effects-of-lifestyle-education-program-for-type-2-diabetes","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/effects-of-lifestyle-education-program-for-type-2-diabetes\/","title":{"rendered":"Effects of lifestyle education program for type 2 diabetes patients in clinics: a cluster randomized controlled trial."},"content":{"rendered":"<p><strong>BACKGROUND: <\/strong>The prevalence of type 2 diabetes is rising worldwide, as has been the global mean fasting plasma glucose level. This study aimed to evaluate the effectiveness of a structured individual-based lifestyle education (SILE) program to reduce the hemoglobin A1c (HbA1c) level in type 2 diabetes patients delivered by registered dietitians in primary care clinical settings.<\/p>\n<p><strong>METHODS: <\/strong>This was a 6-month prospective cluster randomized controlled trial in a primary care setting with randomization at the practice level. Twenty general practitioners in 20 clinics in Kanagawa prefecture, Japan, were involved. 193 adults (51% men, mean age 61.3 years) with type 2 diabetes and HbA1c &ge;6.5% who received treatment in medical clinics were the participants. A SILE program was implemented through 4 sessions with trained registered dietitians during the 6-month study period. Results were compared with those of a control group who received usual care. The primary endpoint was the change in HbA1c levels at 6 months from baseline. Secondary endpoints were the changes at 6 months from baseline in fasting plasma glucose, lipid profile, blood pressure, BMI, energy, and nutrient intakes (whole day and each meal). Intention-to-treat analysis was conducted. Mixed-effects linear models were used to examine the effects of the treatment.<\/p>\n<p><strong>RESULTS:<\/strong> The mean change at 6 months from baseline in HbA1c was a 0.7% decrease in the intervention group (n&thinsp;=&thinsp;100) and a 0.2% decrease in the control group (n&thinsp;=&thinsp;93) (difference -0.5%, 95%CI: -0.2% to -0.8%, p&thinsp;=&thinsp;0.004). After adjusting for baseline values and other factors, the difference was still significant (p&thinsp;=&thinsp;0.003&thinsp;~&thinsp;0.011). The intervention group had a significantly greater decrease in mean energy intake at dinner compared with the control group and a greater increase in mean vegetable intake for the whole day, breakfast, and lunch as shown in crude and adjusted models. A tendency toward improvement was observed in the other secondary endpoints but the improvement was not statistically significant. These results were confirmed by several sensitivity analyses.<\/p>\n<p><strong>CONCLUSIONS:<\/strong> The SILE program that was provided in primary care settings for patients with type 2 diabetes resulted in greater improvement in HbA1c levels than usual diabetes care and education.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-34341","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Nutrition Support Network LLC, 2-2-4 Wakamatu, Sagamihara, Kanagawa 252-0334, Japan.","annee":"2013","mois":"5","numero":"13","page":"467","auteurs":[{"ID":14082,"post_author":"0","post_date":"2018-12-03 19:05:38","post_date_gmt":"2018-12-03 18:05:38","post_content":"","post_title":"Anna M Adachi-mejia","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"anna-m-adachi-mejia","to_ping":"","pinged":"","post_modified":"2018-12-03 19:05:38","post_modified_gmt":"2018-12-03 18:05:38","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/anna-m-adachi-mejia\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":34340,"post_author":"0","post_date":"2018-12-04 00:27:34","post_date_gmt":"2018-12-03 23:27:34","post_content":"","post_title":"Yamaoka","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"yamaoka","to_ping":"","pinged":"","post_modified":"2018-12-04 00:27:34","post_modified_gmt":"2018-12-03 23:27:34","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/yamaoka\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":3062,"post_author":"0","post_date":"2018-12-03 17:01:53","post_date_gmt":"2018-12-03 16:01:53","post_content":"","post_title":"Makoto Watanabe","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"makoto-watanabe","to_ping":"","pinged":"","post_modified":"2018-12-03 17:01:53","post_modified_gmt":"2018-12-03 16:01:53","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/makoto-watanabe\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":1292,"post_author":"0","post_date":"2018-12-03 15:58:04","post_date_gmt":"2018-12-03 14:58:04","post_content":"","post_title":"BMC PUBLIC HEALTH.","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"bmc-public-health","to_ping":"","pinged":"","post_modified":"2018-12-03 15:58:04","post_modified_gmt":"2018-12-03 14:58:04","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/bmc-public-health\/","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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