title: Type 2 diabetes prevention in the community: 12-Month outcomes from the Sydney Diabetes Prevention Program.
abstract: OBJECTIVE
  The Sydney Diabetes Prevention Program (SDPP) was a community-based type 2 diabetes prevention translational research study with screening and recruitment in the primary health care setting. We aimed to investigate the program's effectiveness in reducing risk factors for diabetes as well as the program's reach, adoption and implementation.
  
  
  METHODS
  1238 participants aged 50-65 years at high-risk of developing type 2 diabetes were recruited by primary care physicians in the greater Sydney region. The intervention, delivered by trained allied health professionals, included an initial consultation, three group sessions/individual sessions, three follow-up phone calls, and a final review at 12 months. Biomarkers and behavioural goals were compared between baseline and 12 months.
  
  
  RESULTS
  At baseline, the mean age of those who entered the program was 58.8 ± 4.4 years, 63% female, and the mean body mass index was 31.6 ± 5.2 kg/m(2). There was a significant weight reduction of 2 ± 4.3 kg (p<0.02) in the 850 participants who completed the 12-month follow-up accompanied by improvements in diet (total fat, saturated fat, and fibre intake) and physical activity. There were also significant reductions in waist circumference 2.6 ± 4.7 cm (p<0.001) and total cholesterol -0.2 ± 0.8 mmol/L (p<0.001) but not blood glucose. The diabetes risk reduction was estimated to be 30%, consistent with similar trials.
  
  
  CONCLUSIONS
  This study demonstrates that a community-based lifestyle modification program is effective in reducing important risk factors for diabetes in individuals at high-risk of developing type 2 diabetes.
authors.affiliation: Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Sydney Medical School, University of Sydney, Sydney 2006, NSW, Australia. Electronic address: philip.vita@sydney.edu.au.
authors.forename: Philip
authors.initials: P
authors.lastname: Vita
authors.affiliation: Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney 2006, NSW, Australia; The Simpson Centre for Health Services Research, The University of New South Wales, Sydney, NSW, Australia. Electronic address: m.cardonamorrell@unsw.edu.au.
authors.forename: Magnolia
authors.initials: M
authors.lastname: Cardona-Morrell
authors.affiliation: Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney 2006, NSW, Australia. Electronic address: Adrian.bauman@sydney.edu.au.
authors.forename: Adrian
authors.initials: A
authors.lastname: Bauman
authors.affiliation: Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Sydney Medical School, University of Sydney, Sydney 2006, NSW, Australia. Electronic address: maria.fiataronesingh@sydney.edu.au.
authors.forename: Maria Fiatarone
authors.initials: MF
authors.lastname: Singh
authors.affiliation: Inner West Sydney Medicare Local, Sydney 2131, NSW, Australia. Electronic address: mmoore@iwsml.com.au.
authors.forename: Michael
authors.initials: M
authors.lastname: Moore
authors.affiliation: Sydney South West Medicare Local, Sydney 2560, NSW, Australia. Electronic address: rpennock@swsml.com.au.
authors.forename: Rene
authors.initials: R
authors.lastname: Pennock
authors.affiliation: Sydney South West Medicare Local, Sydney 2560, NSW, Australia. Electronic address: jsnow@swsml.com.au.
authors.forename: Jill
authors.initials: J
authors.lastname: Snow
authors.affiliation: Sydney South West and Sydney Local Health District, Sydney 2170, NSW, Australia. Electronic address: mandy.williams@sswahs.nsw.gov.au.
authors.forename: Mandy
authors.initials: M
authors.lastname: Williams
authors.affiliation: Diabetes NSW, Sydney 2001, NSW, Australia. Electronic address: info@diabetesnsw.com.au.
authors.forename: Lilian
authors.initials: L
authors.lastname: Jackson
authors.affiliation: Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney 2006, NSW, Australia; New South Wales Ministry of Health, Sydney 2060, NSW, Australia. Electronic address: amila@doh.health.nsw.gov.au.
authors.forename: Andrew
authors.initials: A
authors.lastname: Milat
authors.affiliation: Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Sydney Medical School, University of Sydney, Sydney 2006, NSW, Australia. Electronic address: stephen.colagiuri@sydney.edu.au.
authors.forename: Stephen
authors.initials: S
authors.lastname: Colagiuri
mesh_terms: D000368:Aged; D001521:Behavior Therapy / Q000379:methods*; D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009517:New South Wales / Q000453:epidemiology; D011320:Primary Health Care / Q000379:methods*; D015397:Program Evaluation; D012307:Risk Factors; D040242:Risk Reduction Behavior; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose
keywords: Diabetes prevention; Lifestyle modification; Primary health care setting; Research translation