title: Benefits on quality of life concomitant to metabolic improvement in intervention program for prevention of diabetes mellitus.
abstract: OBJECTIVE
  To evaluate whether an interdisciplinary intervention program on lifestyle results in better quality of life (QoL) and lower frequencies of depression and binge eating disorder (BED) in individuals at risk for type 2 diabetes mellitus.
  
  
  METHODS
  A total of 177 individuals (32.2% men, age 55.4 ± 12.5 years) at risk for diabetes were allocated to a 9-month traditional (TI) or intensive interdisciplinary intervention (II) on dietary habits and physical activity including psychoeducative groups. They were submitted to questionnaires and clinical and laboratory examinations. Predictors of non-adherence were analyzed by logistic regression.
  
  
  RESULTS
  Only individuals submitted to II had blood pressure and plasma glucose levels reduced. Frequencies of depression reduced in both interventions but of BED only in II (28.0-4.0%, P < 0.001). Increments in the scores of SF-36 domains (physical functioning: 11.1 ± 14.0 vs. 5.3 ± 13.0, role-emotional: 20.4 ± 40.2 vs. 6.2 ± 43.8, P = 0.05) were greater in the II than in TI, respectively. Changes in SF-36 correlated with decreases in anthropometry, blood pressure and glucose levels, depression and BED scores. Male gender was independently associated with non-adherence to the II.
  
  
  CONCLUSIONS
  In addition to metabolic benefits, an interdisciplinary approach may induce desirable extrametabolic effects, favoring the control of psychiatric disorders and improving the QoL of individuals at risk for diabetes.
authors.affiliation: Nutrition Department, School of Public Health, University of São Paulo, São Paulo, SP, Brazil. cezaretto@usp.br
authors.forename: Adriana
authors.initials: A
authors.lastname: Cezaretto
authors.forename: Antonela
authors.initials: A
authors.lastname: Siqueira-Catania
authors.forename: Camila Risso
authors.initials: CR
authors.lastname: de Barros
authors.forename: Emanuel Péricles
authors.initials: EP
authors.lastname: Salvador
authors.forename: Sandra Roberta G
authors.initials: SR
authors.lastname: Ferreira
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000378:metabolism* / Q000517:prevention & control*; D001068:Feeding and Eating Disorders / Q000453:epidemiology; D005260:Female; D006293:Health Promotion; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D040242:Risk Reduction Behavior