The effectiveness of a community-based, type 2 diabetes prevention programme on health-related quality of life. The DE-PLAN study


Autoři: Georgios Karamanakos aff001;  Bernardo Costa-Pinel aff002;  Aleksandra Gilis-Januszewska aff003;  Dzilda Velickiene aff004;  Francisco Barrio-Torrell aff002;  Xavier Cos-Claramunt aff002;  Santiago Mestre-Miravet aff002;  Beata Piwońska-Solska aff003;  Alicja Hubalewska-Dydejczyk aff003;  Jaakko Tuomilehto aff005;  Stavros Liatis aff001;  Konstantinos Makrilakis aff001
Působiště autorů: First Department of Propaedeutic Medicine, Diabetes Center, National and Kapodistrian University of Athens, Laiko General Hospital, Athens, Greece aff001;  Catalan Diabetes Prevention Research Group, Jordi Gol Primary Care Research Institute, Catalan Health Institute, Primary Health Care Division, Reus-Barcelona, Spain aff002;  Department of Endocrinology, Jagiellonian University, Medical College, Krakow, Poland aff003;  Lithuanian University of Health Sciences, Institute of Endocrinology, Kaunas, Lithuania, LT aff004;  Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland aff005;  Department of Public Health, University of Helsinki, Helsinki, Finland aff006;  Saudi Diabetes Research Group, King Abdulaziz University, Jeddah, Saudi Arabia aff007
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0221467

Souhrn

Background and aims

The DE-PLAN was a European multicenter study, with the primary objective of testing whether a community-based lifestyle modification programme could serve as a means of primary prevention for type 2 diabetes (T2D) in high-risk individuals (based on the FINDRISC questionnaire). The aim of this study was to examine the impact of a 1-year community-based lifestyle intervention on health-related quality of life (HRQOL) in individuals from four participating European centers (Athens, Barcelona, Krakow, Kaunas), through a post-hoc analysis.

Materials and methods

Each center was allowed to implement different intervention strategies specifically tailored to the needs of their corresponding population sample. Before and after the intervention, participants underwent clinical evaluation, anthropometric measurements, an oral glucose tolerance test and lipid profile measurements. Health-related quality of life was assessed using the validated HRQOL-15D questionnaire. A difference of ±0.015 in the 15D questionnaire score was set as the threshold of clinically meaningful change.

Results

Data from 786 participants (67% females, mean age 59.7±9.4 years, BMI 31.5±4.5 kg/m2) with complete data regarding the HRQOL were analyzed (Athens: 104, Barcelona: 434, Krakow: 175, Kaunas: 70). After 1 year, a significant overall improvement in HRQOL was shown, as depicted by a change of 15D score from baseline value (0.88±0.9) to post-intervention (0.90±0.87, P<0.001), achieving the threshold of clinically meaningful change. A significant weight reduction was also observed (-0.8±4.0 kg, P<0.001). In multivariate analysis, improvement in HRQOL was independently associated with lower 15D score at baseline (P<0.001) and self-reported increase in overall exercise time (P<0.001) as assessed through specifically designed trial questionnaires.

Conclusion

A community-based lifestyle intervention programme aiming at T2D prevention, applied on a heterogeneous population and with varied methods, was shown to improve overall health-related quality of life to a clinically meaningful degree.

Klíčová slova:

Community based intervention – Diabetes mellitus – Physical activity – Quality of life – Questionnaires – Type 2 diabetes – Weight loss – Diabetes prevention


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