title: Diabetes prevention in a faith-based setting: results of translational research.
abstract: OBJECTIVE
  The purpose of this study was to translate the National Institutes of Health (NIH)-Diabetes Prevention Program (DPP) into a church-based setting.
  
  
  METHODS
  The lifestyle arm of the NIH-DPP was implemented in an African American Baptist church. Church members 18 years or older completed a risk screen during Sunday service followed by fasting glucose (FG) testing at the church during the week. Persons with prediabetes participated in a 16-session DPP conducted over 4 months. Participation rates, height, weight, blood pressure (BP) and FG were followed for 12 months post-intervention. Fifty participants completed the risk screen, 26 were at risk for diabetes, 16 of 26 received FG testing, and 8 had prediabetes (FG = 100- 125 mg/dL).
  
  
  RESULTS
  The mean participation rate was 10.4 (65%) sessions. Following the intervention, weight, systolic and diastolic BP, and FG decreased by 7.5 lb (3.6%), 16 mm Hg (11.7%), 12 mm Hg (14.0%), and 5 mg/dL (4.8%), respectively (P < .05). In comparison with baseline, significant reductions were evident at 6 and 12 months postintervention for all endpoints.
  
  
  CONCLUSIONS
  This study demonstrated successful translation of the 16-session NIH-DPP into a church-based setting. Future studies should test this intervention in churches of different sizes and denominations.
authors: Department of Family Medicine, Mercer University School of Medicine and the Medical Center of Central Georgia, Macon, Georgia 31206, USA. boltri.john@mccg.org
authors: John Mark
authors: JM
authors: Boltri
authors: Y Monique
authors: YM
authors: Davis-Smith
authors: J Paul
authors: JP
authors: Seale
authors: Sylvia
authors: S
authors: Shellenberger
authors: Ike S
authors: IS
authors: Okosun
authors: Monica E
authors: ME
authors: Cornelius
mesh_terms: D000328:Adult; D001741:Black or African American; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000517:prevention & control*; D015444:Exercise / Q000502:physiology; D005260:Female; D005951:Glucose Tolerance Test; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000458:organization & administration*; D008875:Middle Aged; D009316:National Institutes of Health (U.S.); D010865:Pilot Projects; D011236:Prediabetic State / Q000175:diagnosis* / Q000208:ethnology; D015397:Program Evaluation; D033303:Protestantism; D012068:Religion and Medicine; D015144:Southeastern United States; D014481:United States / Q000453:epidemiology; D014504:Urban Health; D015431:Weight Loss / Q000502:physiology