Minority Health Archive

Pounds Off With Empowerment (POWER): A Clinical Trial of Weight Management Strategies for Black and White Adults With Diabetes Who Live in Medically Underserved Rural Communities

Mayer-Davis, Elizabeth J. and D’Antonio, Angela M. and Smith, Sharon M. and Kirkner, Gregory and Martin, Sarah Levin and Parra-Medina, Deborah and Schultz, Richard (2004) Pounds Off With Empowerment (POWER): A Clinical Trial of Weight Management Strategies for Black and White Adults With Diabetes Who Live in Medically Underserved Rural Communities. American Journal of Public Health, 94 (10). pp. 1736-1742. ISSN 0090-0036

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Abstract

Objectives. We evaluated lifestyle interventions for diabetic persons who live in rural communities. Methods. We conducted a 12-month randomized clinical trial (n = 152) of “intensive-lifestyle” (modeled after the NIH Diabetes Prevention Program) and “reimbursable-lifestyle” (intensive-lifestyle intervention delivered in the time allotted for Medicare reimbursement for diabetes education related to nutrition and physical activity) interventions with usual care as a control. Results. Modest weight loss occurred by 6 months among intensive-lifestyle participants and was greater than the weight loss among usual-care participants (2.6 kg vs 0.4 kg, P<.01). At 12 months, a greater proportion of intensive-lifestyle participants had lost 2 kg or more than usual-care participants (49% vs 25%, P<.05). No differences in weight change were observed between reimbursablelifestyle and usual-care participants. Glycated hemoglobin was reduced among all groups (P<.05) but was not different between groups. Conclusions. Improvement in both weight and glycemia was attainable by lifestyle interventions designed for persons who had type 2 diabetes and lived in rural communities.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: lifestyle interventions; diabetic persons; rural communities; weight loss; type 2 diabetes; black populations
Subjects: Health
Health > Public Health > Chronic Illness & Diseases > Diabetes
Research
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Depositing User: Users 141 not found.
Date Deposited: 21 Apr 2008
Last Modified: 30 Jun 2011 10:26
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/962

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