title: A Comprehensive Lifestyle Intervention to Prevent Type 2 Diabetes and Cardiovascular Diseases: the German CHIP Trial.
abstract: The prevalence of type 2 diabetes is continuously increasing. This chronic metabolic disorder is difficult to treat and imposes a considerable economic burden on the healthcare system. In view of the fact that type 2 diabetes is primarily caused by behavioral factors, effective preventive strategies are urgently needed. We examined the effects of a holistic lifestyle intervention on clinical and laboratory parameters as well as on the long-term diabetes risk in patients at risk to develop diabetes. We conducted a randomized controlled trial in a primary care setting in Hannover, Germany, with 83 patients diagnosed as (pre)diabetic or at risk for diabetes. CHIP Germany is a 40-hour coaching lifestyle intervention program for the primary and secondary prevention of type 2 diabetes and cardiovascular diseases. The intervention included a comprehensive nutrition and health educational program based on the American CHIP approach. The primary outcome parameter was the body mass index (BMI). Secondary outcome parameters included body weight, blood pressure, fasting glucose, HbA1c, blood lipids, and the FINDRISK score, which assesses long-term diabetes risk. At the final measurement after 12 months, in the intervention group the BMI was reduced by 1.4 versus 0.2 kg/m(2) in controls (p = .119). The mean sustained weight loss after 12 months was -4.1 kg in the intervention group versus -0.8 kg in controls. Furthermore, we found a trend toward a stronger reduction in blood pressure, fasting glucose, and HbA1c as well as an improved FINDRISK score in the intervention group, compared to controls. Although failing to reach statistical significance at the final assessment, this comprehensive lifestyle intervention showed a noticeable reduction in several cardiometabolic risk factors which may facilitate the prevention of diabetes.
authors.affiliation: Department of Internal Medicine, Vinzenzkrankenhaus Hannover, Lange-Feld-Straße 31, 30559, Hannover, Germany. katharinawennehorst@t-online.de.|Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Luisenstraße 57, 10117, Berlin, Germany. katharinawennehorst@t-online.de.
authors.forename: Katharina
authors.initials: K
authors.lastname: Wennehorst
authors.affiliation: Medical practice Dr. Mildenstein, Gartenstraße 10, 30880, Laatzen, Germany.
authors.forename: Klas
authors.initials: K
authors.lastname: Mildenstein
authors.affiliation: Department of Nutritional Science, University of Applied Sciences Münster, Corrensstraße 25, 48149, Münster, Germany.
authors.forename: Brunhild
authors.initials: B
authors.lastname: Saliger
authors.affiliation: Department of Nutritional Science, University of Applied Sciences Münster, Corrensstraße 25, 48149, Münster, Germany.
authors.forename: Corinna
authors.initials: C
authors.lastname: Tigges
authors.affiliation: Lifestyle Medicine Institute, POB 8/8, Loma Linda, CA, 92354, USA.
authors.forename: Hans
authors.initials: H
authors.lastname: Diehl
authors.affiliation: Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Luisenstraße 57, 10117, Berlin, Germany.|Institute for Clinical Epidemiology and Biometry, University of Würzburg, Sanderring 2, 97070, Würzburg, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Keil
authors.affiliation: Department of Nutritional Science, University of Applied Sciences Münster, Corrensstraße 25, 48149, Münster, Germany.
authors.forename: Heike
authors.initials: H
authors.lastname: Englert
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control*; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D015444:Exercise; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors
keywords: Cardiovascular risk; Empowerment; Health behavior; Lifestyle coaching; Type 2 diabetes