Effects of a culturally adapted lifestyle intervention on cardio-metabolic outcomes : a randomized controlled trial in Iraqi immigrants to Sweden at high risk for Type 2 diabetes
Siddiqui, Faiza LU ; Kurbasic, Azra LU ; Lindblad, Ulf LU ; Nilsson, Peter M. LU and Bennet, Louise LU
(2017)
In Metabolism, Clinical and Experimental
66.
p.1-13
- Abstract
Background andAims Middle-Eastern immigrants constitute a growing proportion of the Swedish population and are at high risk for Type 2 diabetes. This calls for a more proactive preventive approach for dealing with diabetes risk in this target group. The aim was to test the effect of a culturally adapted lifestyle intervention programme on changes in lifestyle habits and cardio-metabolic outcomes comparing an intervention group with a control group receiving usual care. Methods Citizens of Malmö, Sweden born in Iraq and at high risk for Type 2 diabetes (n = 636) were invited. Participation rate was 15.1%. In all, 96 participants were randomized to the intervention group (n = 50) or to the control group (n = 46). The intervention group... (More)
Background andAims Middle-Eastern immigrants constitute a growing proportion of the Swedish population and are at high risk for Type 2 diabetes. This calls for a more proactive preventive approach for dealing with diabetes risk in this target group. The aim was to test the effect of a culturally adapted lifestyle intervention programme on changes in lifestyle habits and cardio-metabolic outcomes comparing an intervention group with a control group receiving usual care. Methods Citizens of Malmö, Sweden born in Iraq and at high risk for Type 2 diabetes (n = 636) were invited. Participation rate was 15.1%. In all, 96 participants were randomized to the intervention group (n = 50) or to the control group (n = 46). The intervention group was offered seven group sessions addressing healthy diet and physical activity including one cooking class. Changes in body weight, physical activity levels and cardio-metabolic outcomes were evaluated using linear mixed-effects models. Results The mean follow-up time was 3.9 and 3.5 months in the intervention and control groups, respectively. The drop-out rate from baseline to the last visit was 30.0% in the intervention group (n = 15) and 30.4% in the control group (n = 14). The mean insulin sensitivity index increased significantly at follow-up in the intervention group compared to the control group (10.9% per month, p = 0.005). The intervention group also reached a significant reduction in body weight (0.4% per month, p = 0.004), body mass index (0.4% per month, p = 0.004) and LDL-cholesterol (2.1% per month, p = 0.036) compared to the control group. In total, 14.3% in the intervention group reached the goal to lose ≥ 5% of body weight versus none in the control group. Conclusions This culturally adapted lifestyle intervention programme shows a beneficial effect on insulin action, body weight reduction, as well as LDL-cholesterol reduction, in Middle-Eastern immigrants. The programme adapted to resources in primary health care provides tools for improved primary prevention and reduced cardio-metabolic risk in this high-risk group for Type 2 diabetes.
(Less)
- author
- Siddiqui, Faiza
LU
; Kurbasic, Azra
LU
; Lindblad, Ulf
LU
; Nilsson, Peter M.
LU
and Bennet, Louise
LU
- organization
- publishing date
- 2017-01-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Body weight, Immigrants, Insulin sensitivity, Lifestyle, Randomized controlled trial
- in
- Metabolism, Clinical and Experimental
- volume
- 66
- pages
- 1 - 13
- publisher
- Elsevier
- external identifiers
-
- scopus:84994034543
- pmid:27923444
- wos:000391156200001
- ISSN
- 0026-0495
- DOI
- 10.1016/j.metabol.2016.10.001
- project
- Prevention of type 2 diabetes and poor mental health amongst immigrants from the Middle-East to Sweden
- The MEDIM project
- language
- English
- LU publication?
- yes
- id
- 79468b40-3daa-49df-83f2-06888553ec40
- date added to LUP
- 2016-12-05 09:29:42
- date last changed
- 2024-05-31 18:38:17
@article{79468b40-3daa-49df-83f2-06888553ec40,
abstract = {{<p>Background andAims Middle-Eastern immigrants constitute a growing proportion of the Swedish population and are at high risk for Type 2 diabetes. This calls for a more proactive preventive approach for dealing with diabetes risk in this target group. The aim was to test the effect of a culturally adapted lifestyle intervention programme on changes in lifestyle habits and cardio-metabolic outcomes comparing an intervention group with a control group receiving usual care. Methods Citizens of Malmö, Sweden born in Iraq and at high risk for Type 2 diabetes (n = 636) were invited. Participation rate was 15.1%. In all, 96 participants were randomized to the intervention group (n = 50) or to the control group (n = 46). The intervention group was offered seven group sessions addressing healthy diet and physical activity including one cooking class. Changes in body weight, physical activity levels and cardio-metabolic outcomes were evaluated using linear mixed-effects models. Results The mean follow-up time was 3.9 and 3.5 months in the intervention and control groups, respectively. The drop-out rate from baseline to the last visit was 30.0% in the intervention group (n = 15) and 30.4% in the control group (n = 14). The mean insulin sensitivity index increased significantly at follow-up in the intervention group compared to the control group (10.9% per month, p = 0.005). The intervention group also reached a significant reduction in body weight (0.4% per month, p = 0.004), body mass index (0.4% per month, p = 0.004) and LDL-cholesterol (2.1% per month, p = 0.036) compared to the control group. In total, 14.3% in the intervention group reached the goal to lose ≥ 5% of body weight versus none in the control group. Conclusions This culturally adapted lifestyle intervention programme shows a beneficial effect on insulin action, body weight reduction, as well as LDL-cholesterol reduction, in Middle-Eastern immigrants. The programme adapted to resources in primary health care provides tools for improved primary prevention and reduced cardio-metabolic risk in this high-risk group for Type 2 diabetes.</p>}},
author = {{Siddiqui, Faiza and Kurbasic, Azra and Lindblad, Ulf and Nilsson, Peter M. and Bennet, Louise}},
issn = {{0026-0495}},
keywords = {{Body weight; Immigrants; Insulin sensitivity; Lifestyle; Randomized controlled trial}},
language = {{eng}},
month = {{01}},
pages = {{1--13}},
publisher = {{Elsevier}},
series = {{Metabolism, Clinical and Experimental}},
title = {{Effects of a culturally adapted lifestyle intervention on cardio-metabolic outcomes : a randomized controlled trial in Iraqi immigrants to Sweden at high risk for Type 2 diabetes}},
url = {{http://dx.doi.org/10.1016/j.metabol.2016.10.001}},
doi = {{10.1016/j.metabol.2016.10.001}},
volume = {{66}},
year = {{2017}},
}