Effectiveness of a Group-Based Culturally Tailored Lifestyle Intervention Program on Changes in Risk Factors for Type 2 Diabetes among Asian Indians in the United States.
This study used an experimental, pretest-posttest control group repeated measures design to evaluate the effectiveness of a community-based culturally appropriate lifestyle intervention program to reduce the risk for type 2 diabetes (T2DM) amongGujaratiAsian Indians (AIs) in an urban community in the US. Participants included 70 adult AIs in the greater Houston metropolitan area. The primary outcomes were reduction in weight and hemoglobin A1c (HbA1c) and improvement in physical activity. Participants were screened for risk factors and randomly assigned to a 12-week group-based lifestyle intervention program (n= 34) or a control group (n= 36) that received standard print material on diabetes prevention. Participants also completed clinical measures and self-reported questionnaires about physical activity, social, and lifestyle habits at 0, 3, and 6 months. No significant baseline differences were noted between groups. While a significant decline in weight and increase in physical activity was observed in all participants, the intervention group lowered their HbA1c (p< 0.0005) and waist circumference (p= 0.04) significantly as compared to the control group. Findings demonstrated that participation in a culturally tailored, lifestyle intervention program in a community setting can effectively reduce weight, waist circumference, and HbA1c amongGujaratiAIs living in the US.
School of Physical Therapy, Texas Woman's University, 6700 Fannin Street, Houston, TX 77030, USA.
Rupal M
0000-0003-3214-9638
RM
Patel
Department of Social & Behavioral Sciences, Room No. 3313A, Robert C Byrd Health Science Center, School of Public Health, West Virginia University, Morgantown, WV 26506-9190, USA.
Ranjita
0000-0001-7314-0184
R
Misra
Department of Public Health, Food Studies and Nutrition, The David B. Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, NY, USA.
Sudha
S
Raj
Department of Medicine, Diabetes, Endocrinology and Metabolism, Baylor College of Medicine, Houston, TX, USA.
Ashok
A
Balasubramanyam
D000328:Adult; D000368:Aged; D001835:Body Weight; D065246:Culturally Competent Care; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000517:prevention & control*; D015444:Exercise; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D015438:Health Behavior; D006801:Humans; D007194:India / Q000208:ethnology; D008019:Life Style; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D016896:Treatment Outcome; D014481:United States; D055105:Waist Circumference / Q000502:physiology; D015431:Weight Loss / Q000502:physiology*
D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human