title: Effectiveness of an Adapted Diabetes Prevention Program Lifestyle Intervention in Older and Younger Adults.
abstract: OBJECTIVE
  To compare participation, self-monitoring behaviors, and weight loss outcomes in older and younger participants in an adapted Diabetes Prevention Program (DPP) lifestyle intervention.
  
  
  METHODS
  Pre- and postevaluation of outcomes in participants enrolled in the Montana Cardiovascular Disease (CVD) and DPP lifestyle intervention from 2008 through 2012.
  
  
  METHODS
  Community.
  
  
  METHODS
  Adults at high risk for CVD and type 2 diabetes mellitus (N = 3,804).
  
  
  METHODS
  Number of core (16 weekly sessions) and postcore (6 monthly sessions) intervention sessions attended, weekly self-monitoring of fat intake and minutes of physical activity, weight loss outcomes and achievement of the weight loss goal, and improvements in CVD-related risk factors.
  
  
  RESULTS
  Participants aged 65 and older were significantly more likely to attend more intervention sessions, self-monitor their fat intake, and achieve the physical activity and weight loss goals than those younger than 65. Older and younger participants experienced significant improvements in CVD-related risk factors.
  
  
  CONCLUSIONS
  Older adults at high risk of CVD and diabetes mellitus participating in an adapted DPP lifestyle intervention had higher participation and self-monitoring rates than younger participants, were more likely to achieve physical activity and weight loss goals, and achieved similar CVD risk reduction.
authors.affiliation: Montana Department of Public Health and Human Services, Helena, Montana.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Brokaw
authors.affiliation: Montana Department of Public Health and Human Services, Helena, Montana.
authors.forename: Dorota
authors.initials: D
authors.lastname: Carpenedo
authors.affiliation: Montana Department of Public Health and Human Services, Helena, Montana.
authors.forename: Paul
authors.initials: P
authors.lastname: Campbell
authors.affiliation: Montana Department of Public Health and Human Services, Helena, Montana.
authors.forename: Marcene K
authors.initials: MK
authors.lastname: Butcher
authors.affiliation: Montana Department of Public Health and Human Services, Helena, Montana.
authors.forename: Ginny
authors.initials: G
authors.lastname: Furshong
authors.affiliation: Montana Department of Public Health and Human Services, Helena, Montana.
authors.forename: Steven D
authors.initials: SD
authors.lastname: Helgerson
authors.affiliation: Montana Department of Public Health and Human Services, Helena, Montana.
authors.forename: Todd S
authors.initials: TS
authors.lastname: Harwell
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D002318:Cardiovascular Diseases / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D015444:Exercise; D005260:Female; D006126:Group Processes; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000706:statistics & numerical data; D040242:Risk Reduction Behavior; D012648:Self Care / Q000379:methods
keywords: Montana; age; lifestyle intervention; prevention; type 2 diabetes mellitus