Copyright © 2008 Elsevier Ltd All rights reserved.
ss="h4">Comment
Lifestyle intervention, diabetes, and cardiovascular disease
Compared with control participants, those in the combined lifestyle intervention groups had a 51%lower incidence of diabetes (hazard rate ratio [HRR] 0·49; 95%CI 0·33–0·73) during the active intervention period and a 43%lower incidence (0·57; 0·41–0·81) over the 20 year period, controlled for age and clustering by clinic. The average annual incidence of diabetes was 7%for intervention participants versus 11%in control participants, with 20-year cumulative incidence of 80%in the intervention groups and 93%in the control group. Participants in the intervention group spent an average of 3·6 fewer years with diabetes than those in the control group. There was no significant difference between the intervention and control groups in the rate of first CVD events (HRR 0·98; 95%CI 0·71–1·37), CVD mortality (0·83; 0·48–1·40), and all-cause mortality (0·96; 0·65–1·41), but our study had limited statistical power to detect differences for these outcomes.
Group-based lifestyle interventions over 6 years can prevent or delay diabetes for up to 14 years after the active intervention. However, whether lifestyle intervention also leads to reduced CVD and mortality remains unclear.
Centers for Disease Control and Prevention, WHO, the China-Japan Friendship Hospital, and Da Qing First Hospital.
style="float:right; padding-left:5px">src="/scidirimg/btn_xclose.gif" alt="Close" title="Close" onmouseover="javascript:this.src='/scidirimg/btn_xclose_hov.gif';" onmouseout="javascript:this.src='/scidirimg/btn_xclose.gif';"> src="/scidirimg/jrn_nsub.gif" alt="You are not entitled to access the full text of this document" title="You are not entitled to access the full text of this document" width=12 height=14"> sciencedirect.com/science?_ob=ArticleURL&_udi=B75JG-4M5F260-9&_user=10&_coverDate=12%2F31%2F2006&_rdoc=1&_fmt=high&_orig=article&_cdi=13150&_sort=v&_docanchor=&view=c&_ct=37534&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=d10a027670f299efed1e3b40f305f20b">Lifestyle Intervention for Prevention and Treatment of Type 2 DiabetesNursing Clinics of North America, Volume 41, Issue 4, December 2006, Pages 567-588 Carmen D. Samuel-Hodge, Felicia Hill-Briggs, Tiffany L. Gary |
style="padding:3px 5px 0px 5px">src="/scidirimg/bulletTriang.gif" alt=""> | science?_ob=RelatedArtURL&_udi=B6T1B-4SK2SW3-8&_orig=article&_acct=C000050221&_version=1&_userid=10&md5=8cec2239b985e93153f073837461af20">View More Related Articles |
Lifestyle intervention, diabetes, and cardiovascular disease