Evaluation of US Veterans Nutrition Education for Diabetes Prevention

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• 作者：Megan Erickson ; MS ; RD ; LD¹ ; ^{Megan.Erickson@sdstate.edu" class="auth_mail" title="E-mail the corresponding author} ; Katie Braun ; MS ; RD ; LD ; CNSC¹ ; ² ; Riesa List ; MS ; RD³ ; Anne Utech ; PhD ; RD ; LD² ; Carolyn Moore ; PhD ; RD ; LD¹ ; Donna L. White ; PhD ; MPH⁴ ; ⁵ ; ⁶ ; ⁷ ; ⁸ ; Jose M. Garcia ; MD ; PhD² ; ⁷ ; ⁸ ; ⁹ ; ¹⁰
• 关键词：diabetes ; prediabetes ; nutrition education ; veterans
• 刊名：Journal of Nutrition Education and Behavior
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：48
• 期：8
• 页码：538-543.e1
• 全文大小：178 K

文摘

Evaluate the effectiveness of nutrition education interventions for diabetes prevention.

Design

Retrospective cohort design.

Setting

Tertiary-care US Veterans' Hospital, July 2007 to July 2012, using pre-existing database.

Participants

Prediabetic, adult veterans (n = 372), mostly men (94.4%, n = 351).

Interventions

Visits with existing nutrition education classes were collected.

Main Outcome Measures

Primary outcome: diabetes status; predictors: visits/encounters, age, body mass index, weight change, and hemoglobin A1c.

Analysis

Cox proportional hazards method, χ² test, and logistic regression.

Results

In this sample, prediabetic veterans who received nutrition education were less likely to develop diabetes when compared with prediabetic veterans who did not receive nutrition education (hazard ratio, 0.71; 95% confidence interval, 0.55–0.92; P < .01). This difference remained significant after adjusting for body mass index and weight change.

Conclusions and Implications

Nutrition education was significantly associated with preventing the progression from prediabetes to diabetes in US Veterans participating in a nutrition education intervention at the Michael E. DeBakey Veterans Affairs Medical Center.