Premium
Effects of an educational group intervention for patients with type 2 diabetes on lifestyle and glycemic control
Author(s) -
Sterpone Lucia M,
HauaNavarro Karime,
PerezLizaur Ana B
Publication year - 2016
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.30.1_supplement.676.10
Subject(s) - waist , medicine , glycemic , body mass index , attendance , type 2 diabetes , glycated hemoglobin , gerontology , type 2 diabetes mellitus , population , physical therapy , psychological intervention , diabetes mellitus , endocrinology , environmental health , nursing , economic growth , economics
Prevalence of type 2 diabetes mellitus (T2DM) in Mexico has increased due to changes in lifestyle. Educational interventions based on behavioral change theories and subject‐oriented models can help improve the health condition of people with T2DM, accomplishing goals in body weight, waist circumference, body mass index (BMI), glycemic control (HbA1c) and improvements in lifestyle indicators. The Health Center “Jesús del Rosal” in Hidalgo, Mexico has a support group, in which some educational needs related to lifestyle were observed. Aim of study assess the benefits of an educational group (n=30, 51–69 years old) intervention in lifestyle scores and glycated hemoglobin. . HbA1c values (ion exchange chromatography) were collected through the health centers database. Lifestyle was assessed by a specific instrument to measure lifestyle of patients with T2DM validated for Mexican population. Results changes in body weight (−10.28%), BMI (−10.37%), waist circumference (−6.39%), HbA1c (−14.8%) and lifestyle score (+43.3%). Patients with high attendance had significant and most clinically relevant changes in body weight (p=0.000), BMI (p=0.000), waist circumference (p=0.001), lifestyle score (p=0.000) and HbA1c (p=0.000). Lifestyle scores were positively correlated with attendance to the educational sessions (Spearman; r = 0.594, p = 0.002), while glycemic control (HbA1c) was inversely associated with lifestyle questionnaire scores at baseline (Spearman; r=−0.592, p=0.002), showing that low lifestyle scores are associated with higher concentrations of HbA1c. Results group educational interventions in lifestyle may be an effective strategy for improvements in several nutrition indicators, lifestyle score outcomes and glycemic control (HbA1c) support groups in Mexico.