title: A successful lifestyle intervention model replicated in diverse clinical settings.
abstract: Lifestyle interventions can treat metabolic syndrome and prevent type 2 diabetes mellitus, but they remain underutilised in routine practice. In 2010, an LI model was created in a rural primary care practice and spread with few resources to four other rural practices. A retrospective chart review evaluated changes in health indicators in two practice environments by following 372 participants, mainly women (mean age 52 years). Participants had a mean body mass index of 37 kg/m2at baseline and lost an average of 12% of their initial body weight as a result of the intervention. Among participants at the first intervention site for whom cardiometabolic data were available, the prevalence of metabolic syndrome decreased from 58% at baseline to 19% at follow-up. Taken as a whole, our experience suggests that LIs are feasible and deliver meaningful results in routine primary care practice.
authors: Approach Analytics, Nanaimo, British Columbia, Canada. sean_mark@hotmail.com.
authors: Sean
authors: S
authors: Mark
authors: Stefan
authors: S
authors: Du Toit
authors: Timothy D
authors: TD
authors: Noakes
authors: Kim
authors: K
authors: Nordli
authors: Douwette
authors: D
authors: Coetzee
authors: Michael
authors: M
authors: Makin
authors: Shani
authors: S
authors: Van der Spuy
authors: Justin
authors: J
authors: Frey
authors: Jay
authors: J
authors: Wortman
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002170:Canada / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005260:Female; D000070497:Healthy Lifestyle; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D011314:Preventive Health Services / Q000379:methods / Q000592:standards; D011320:Primary Health Care / Q000379:methods / Q000458:organization & administration; D015397:Program Evaluation; D058996:Quality Improvement / Q000458:organization & administration; D012307:Risk Factors; D019035:Rural Health Services / Q000592:standards / Q000706:statistics & numerical data