Results of a pilot diabetes prevention intervention in East Harlem, New York City: Project HEED

TY - JOUR

T1 - Results of a pilot diabetes prevention intervention in East Harlem, New York City

T2 - Project HEED

AU - Parikh, Punam

AU - Simon, Ellen P.

AU - Fei, Kezhen

AU - Looker, Helen

AU - Goytia, Crispin

AU - Horowitz, Carol R.

PY - 2010

Y1 - 2010

N2 - Objectives. Our community-academic partnership employed community-based participatory research to develop and pilot a simple, peer-led intervention to promote weight loss, which can prevent diabetes and eliminate racial/ethnic disparities in incident diabetes among overweight adults with prediabetes.Methods. We recruited overweight adults at community sites, performed oral glucose tolerance testing to identify persons with blood glucose levels in the prediabetes range, and randomized eligible people to a peer-led lifestyle intervention group or delayed intervention in 1 year. Outcomes, including weight, blood pressure, and health behaviors, were measured at baseline and 3, 6, and 12 months.Results. More than half of those tested (56%, or 99 of 178) had prediabetes and enrolled in the study. Participants were predominantly Spanish-speaking, low-income, undereducated women. The intervention group lost significantly more weight than the control group and maintained weight loss at 12 months (7.2 versus 2.4 pounds; P<.01). One fourth (24 of 99) of participants progressed to diabetes.Conclusions. In underserved minority communities, prediabetes prevalence may be higher than previously reported. Low-cost, community-based interventions can succeed in encouraging weight loss to prevent diabetes. (Am J Public Health. 2010;100:S232-S239. doi:10.2105/AJPH.2009.170910)

AB - Objectives. Our community-academic partnership employed community-based participatory research to develop and pilot a simple, peer-led intervention to promote weight loss, which can prevent diabetes and eliminate racial/ethnic disparities in incident diabetes among overweight adults with prediabetes.Methods. We recruited overweight adults at community sites, performed oral glucose tolerance testing to identify persons with blood glucose levels in the prediabetes range, and randomized eligible people to a peer-led lifestyle intervention group or delayed intervention in 1 year. Outcomes, including weight, blood pressure, and health behaviors, were measured at baseline and 3, 6, and 12 months.Results. More than half of those tested (56%, or 99 of 178) had prediabetes and enrolled in the study. Participants were predominantly Spanish-speaking, low-income, undereducated women. The intervention group lost significantly more weight than the control group and maintained weight loss at 12 months (7.2 versus 2.4 pounds; P<.01). One fourth (24 of 99) of participants progressed to diabetes.Conclusions. In underserved minority communities, prediabetes prevalence may be higher than previously reported. Low-cost, community-based interventions can succeed in encouraging weight loss to prevent diabetes. (Am J Public Health. 2010;100:S232-S239. doi:10.2105/AJPH.2009.170910)

U2 - 10.2105/AJPH.2009.170910

DO - 10.2105/AJPH.2009.170910

M3 - Article

C2 - 20147680

SN - 0090-0036

VL - 100

SP - S232-S239

JO - American Journal of Public Health

JF - American Journal of Public Health

IS - S1

ER -