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The Pre‐diabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme study: are improvements in glucose regulation sustained at 2 years?
Author(s) -
Yates T.,
Davies M. J.,
Sehmi S.,
Gorely T.,
Khunti K.
Publication year - 2011
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/j.1464-5491.2011.03357.x
Subject(s) - pedometer , medicine , overweight , diabetes mellitus , randomized controlled trial , physical therapy , plasma glucose , ethnic group , patient education , physical education , health education , physical activity , obesity , endocrinology , family medicine , public health , nursing , medical education , sociology , anthropology
Diabet. Med. 28, 1268–1271 (2011) Abstract Objective To determine whether improvements in glucose regulation following the PREPARE structured education programme were sustained at 24 months. Patients and methods Ninety‐eight overweight or obese individuals with impaired glucose tolerance were randomized to receive: (1) advice leaflet, (2) 3‐h structured education programme aimed at promoting physical activity, (iii) 3‐h structured education with personalized pedometer use. The primary outcome was change in 2‐h post‐challenge plasma glucose. Results Seventy‐three (74%) individuals were included for analysis at 24 months; age 65 ± 8 years, BMI 29.3 ± 4.8 kg/m 2 , South Asian ethnicity 21%. A statistically significant reduction in 2‐h glucose of −1.6 mmol/l (−0.4 to −2.7) was seen in the education‐with‐pedometer group compared with the control group. There is no significant difference in the education‐only group. Conclusion Improvements in glucose regulation following a pragmatic group‐based structured education with pedometer use were sustained at 24 months.