Evaluation of US Veterans Nutrition Education for Diabetes Prevention.
Evaluate the effectiveness of nutrition education interventions for diabetes prevention.



Retrospective cohort design.



Tertiary-care US Veterans' Hospital, July 2007 to July 2012, using pre-existing database.



Prediabetic, adult veterans (n = 372), mostly men (94.4%, n = 351).



Visits with existing nutrition education classes were collected.







diabetes status; predictors: visits/encounters, age, body mass index, weight change, and hemoglobin A1c.



Cox proportional hazards method, χ(2) test, and logistic regression.



In this sample, prediabetic veterans who received nutrition education were less likely to develop diabetes when compared with prediabetic veterans who did not receive nutrition education (hazard ratio, 0.71; 95% confidence interval, 0.55-0.92; P < .01). This difference remained significant after adjusting for body mass index and weight change.



Nutrition education was significantly associated with preventing the progression from prediabetes to diabetes in US Veterans participating in a nutrition education intervention at the Michael E. DeBakey Veterans Affairs Medical Center.
Texas Woman's University, Houston, TX. Electronic address: Megan.Erickson@sdstate.edu.
Megan
M
Erickson
Texas Woman's University, Houston, TX; Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.
Katie
K
Braun
Nutrition and Food Service, Department of Veterans Affairs, Houston, TX and Hines, IL.
Riesa
R
List
Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.
Anne
A
Utech
Texas Woman's University, Houston, TX.
Carolyn
C
Moore
Section of Gastroenterology and Hepatology, Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, TX; Clinical Epidemiology and Comparative Effectiveness Program, Section of Health Services Research (IQuESt), Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, TX; Texas Medical Center Digestive Disease Center, Houston, TX; Dan L. Duncan Cancer Center at Baylor College of Medicine, Houston, TX; Center for Translational Research on Inflammatory Diseases (CTRID), Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX.
Donna L
DL
White
Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX; Dan L. Duncan Cancer Center at Baylor College of Medicine, Houston, TX; Center for Translational Research on Inflammatory Diseases (CTRID), Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX; Geriatric Research, Education, and Clinical Center, VA Puget Sound Health Care System, Center for Translational Research on Inflammatory Diseases, Michael E. DeBakey Veterans Affairs Medical Center and University of Washington School of Medicine, Seattle, WA; Department of Molecular and Cell Biology and Huffington Center on Aging, Baylor College of Medicine, Houston, TX.
Jose M
JM
Garcia
D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D052756:Nutritional Sciences / Q000193:education*; D009752:Nutritional Status; D012189:Retrospective Studies; D014481:United States; D014728:Veterans / Q000706:statistics & numerical data*
diabetes; nutrition education; prediabetes; veterans