Lifestyle Changes Observed among Adults Participating in a Family- and Community-Based Intervention for Diabetes Prevention in Europe: The 1st Year Results of the Feel4Diabetes-Study

Yannis Manios, Christina-Paulina Lambrinou, Christina Mavrogianni, Greet Cardon, Jaana Lindström, Violeta Iotova, Tsvetalina Tankova, Imre Rurik, Vicky Van Stappen, Jemina Kivelä, Rocío Mateo-Gallego, Luis Α Moreno, Konstantinos Makrilakis, Odysseas Androutsos, Yannis Manios, Christina-Paulina Lambrinou, Christina Mavrogianni, Greet Cardon, Jaana Lindström, Violeta Iotova, Tsvetalina Tankova, Imre Rurik, Vicky Van Stappen, Jemina Kivelä, Rocío Mateo-Gallego, Luis Α Moreno, Konstantinos Makrilakis, Odysseas Androutsos

Abstract

The Feel4Diabetes intervention was a school and community-based intervention aiming to promote healthy lifestyle and tackle obesity and obesity-related metabolic risk factors for the prevention of type 2 diabetes (T2D) among families at risk of developing this disease. The current study aims to present the results on lifestyle behaviors obtained from parents during the first year of the Feel4Diabetes intervention. This multicomponent intervention had a cluster randomized design and was implemented in Belgium, Bulgaria, Finland, Greece, Hungary and Spain over two years (2016-2018). Standardized protocols and procedures were used by the participating centers in all countries to collect data on parents' lifestyle behaviors (diet, physical activity, sedentary behavior). The Feel4Diabetes intervention was registered at clinicaltrials.gov (registration number: NCT02393872). In total, 2110 high-risk parents participated in the baseline and 12-month follow-up examination measurements. Participants allocated to the intervention group reduced their daily consumption of sugary drinks (p = 0.037) and sweets (p = 0.031) and their daily screen time (p = 0.032), compared with the control group. In addition, participants in the intervention group in Greece and Spain increased their consumption of breakfast (p = 0.034) and fruits (p = 0.029), while in Belgium and Finland they increased their water intake (p = 0.024). These findings indicate that the first year of the Feel4Diabetes intervention resulted in the improvement of certain lifestyle behaviors in parents from high-risk families.

Keywords: families; lifestyle intervention; obesity; type 2 diabetes; vulnerable.

Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. NCD Risk Factor Collaboration (NCD-RisC) Worldwide Trends in Diabetes Since 1980: A Pooled Analysis of 751 Population-Based Studies with 4.4 Million Participants. Lancet. 2016;387:1513–1530.
    1. International Diabetes Federation. 9th ed. IDF Diabetes Atlas; Brussels, Belgium: 2019.
    1. Global Burden of Metabolic Risk Factors for Chronic Diseases Collaboration Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010: A comparative risk assessment. Lancet Diabetes Endocrinol. 2014;2:634–647. doi: 10.1016/S2213-8587(14)70102-0.
    1. Agardh E., Allebeck P., Hallqvist J., Moradi T., Sidorchuk A. Type 2 diabetes incidence and socio-economic position: A systematic review and meta-analysis. Int. J. Epidemiol. 2011;40:804–818. doi: 10.1093/ije/dyr029.
    1. Global Report on Diabetes. World Health Organization; Geneva, Switzerland: 2016.
    1. Manios Y., Mavrogianni C., Lambrinou C.P., Cardon G., Lindström J., Iotova V., Tankova T., Civeira F., Kivelä J., Jancsó Z., et al. Two-stage, school and community-based population screening successfully identifies individuals and families at high-risk for type 2 diabetes: The Feel4Diabetes-study. BMC Endocr. Disord. 2020;20:12. doi: 10.1186/s12902-019-0478-9.
    1. Kivela J., Wikström K., Virtanen E., Georgoulis M., Cardon G., Civeira F., Iotova V., Karuranga E., Ko W., Liatis S., et al. Obtaining evidence base for the development of Feel4Diabetes intervention to prevent type 2 diabetes-a narrative literature review. BMC Endocr. Disord. 2020;20:140. doi: 10.1186/s12902-019-0468-y.
    1. Manios Y., Androutsos O., Lambrinou C.P., Cardon G., Lindstrom J., Annemans L., Mateo-Gallego R., De Sabata M.S., Iotova V., Kivela J., et al. A school- and community-based intervention to promote healthy lifestyle and prevent type 2 diabetes in vulnerable families across Europe: Design and implementation of the Feel4Diabetes-study. Public Health Nutr. 2018;21:3281–3290. doi: 10.1017/S1368980018002136.
    1. Lambrinou C. Effective strategies for childhood obesity prevention via school based, family involved interventions: A critical review for the development of the Feel4Diabetes-study school based component. BMC Endocr. Disord. 2020;20:1–20. doi: 10.1186/s12902-020-0526-5.
    1. Foster G.D. A School-Based Intervention for Diabetes Risk Reduction. N. Engl. J. Med. 2010;363:443–453.
    1. Pyle S.A., Sharkey J., Yetter G., Felix E., Furlong M.J., Poston W.S.C. Fighting an epidemic: The role of schools in reducing childhood obesity. Psychol. Sch. 2006;43:361–376. doi: 10.1002/pits.20146.
    1. Androutsos O., Anastasiou C., Lambrinou C.P., Mavrogianni C., Cardon G., Van Stappen V., Kivelä J., Wikström K., Moreno L.A., Iotova V., et al. Intra- and inter- observer reliability of anthropometric measurements and blood pressure in primary schoolchildren and adults: The Feel4Diabetes-study. BMC Endocr. Disord. 2020;20:27. doi: 10.1186/s12902-020-0501-1.
    1. Anastasiou C.A., Fappa E., Zachari K., Mavrogianni C., Van Stappen V., Kivelä J., Virtanen E., González-Gil E.M., Flores-Barrantes P., Nánási A., et al. Development and reliability of questionnaires for the assessment of diet and physical activity behaviors in a multi-country sample in Europe the Feel4Diabetes Study. BMC Endocr. Disord. 2020;20:135. doi: 10.1186/s12902-019-0469-x.
    1. Wang Y., Cai L., Wu Y., Wilson R.F., Weston C., Fawole O., Bleich S.N., Cheskin L.J., Showell N.N., Lau B.D., et al. What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obes. Rev. 2015;16:547–565.
    1. Tuomilehto J., Lindström J., Eriksson J.G., Valle T.T., Hämäläinen H., Ilanne-Parikka P., Keinänen-Kiukaanniemi S., Laakso M., Louheranta A., Rastas M., et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N. Engl. J. Med. 2001;344:1343–1350. doi: 10.1056/NEJM200105033441801.
    1. Ilanne-Parikka P., Eriksson J.G., Lindström J., Peltonen M., Aunola S., Hämäläinen H., Keinänen-Kiukaanniemi S., Laakso M., Valle T.T., Lahtela J., et al. Effect of lifestyle intervention on the occurrence of metabolic syndrome and its components in the Finnish Diabetes Prevention Study. Diabetes Care. 2008;31:805–807. doi: 10.2337/dc07-1117.
    1. Lindstrom J., Tuomilehto J. The diabetes risk score: A practical tool to predict type 2 diabetes risk. Diabetes Care. 2003;26:725–731. doi: 10.2337/diacare.26.3.725.
    1. The Diabetes Prevention Program Design and methods for a clinical trial in the prevention of type 2 diabetes. Diabetes Care. 1999;22:623–634. doi: 10.2337/diacare.22.4.623.
    1. The Diabetes Prevention Program: Baseline characteristics of the randomized cohort. The Diabetes Prevention Program Research Grou. Diabetes Care. 2000;23:1619–1629.
    1. Knowler W.C., Barrett-Connor E., Fowler S.E., Hamman R.F., Lachin J.M., Walker E.A., Nathan D.M. Diabetes Prevention Program Research Group..Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N. Engl. J. Med. 2002;346:393–403.
    1. Roumen C., Corpeleijn E., Feskens E.J.M., Mensink M., Saris W.H.M., Blaak E.E. Impact of 3-year lifestyle intervention on postprandial glucose metabolism: The SLIM study. Diabet. Med. 2008;25:597–605. doi: 10.1111/j.1464-5491.2008.02417.x.
    1. den Boer A.T., Herraets I.J.T., Stegen J., Roumen C., Corpeleijn E., Schaper N.C., Feskens E., Blaak E.E. Prevention of the metabolic syndrome in IGT subjects in a lifestyle intervention: Results from the SLIM study. Nutr. Metab. Cardiovasc. Dis. 2013;23:1147–1153. doi: 10.1016/j.numecd.2012.12.005.
    1. Conn V.S., Hafdahl A.R., Mehr D.R. Interventions to increase physical activity among healthy adults: Meta-analysis of outcomes. Am. J. Public Health. 2011;101:751–758. doi: 10.2105/AJPH.2010.194381.
    1. Kelly M., Barker M. Why is changing health-related behaviour so difficult? Public Health. 2016;136:109–116. doi: 10.1016/j.puhe.2016.03.030.
    1. Sallis J.F., Cerin E., Kerr J., Adams M.A., Sugiyama T., Christiansen L.B., Schipperijn J., Davey R., Salvo D., Frank L.D., et al. Built Environment, Physical Activity, and Obesity: Findings from the International Physical Activity and Environment Network (IPEN) Adult Study. Annu. Rev. Public Health. 2020;41:119–139. doi: 10.1146/annurev-publhealth-040218-043657.
    1. Gomez Quinonez S., Walthouwer M.J. mHealth or eHealth? Efficacy, Use, and Appreciation of a Web-Based Computer-Tailored Physical Activity Intervention for Dutch Adults: A Randomized Controlled Trial. J. Med Int. Res. 2016;18:e278. doi: 10.2196/jmir.6171.
    1. Muller A.M., Maher C.A. Physical Activity, Sedentary Behavior, and Diet-Related eHealth and mHealth Research: Bibliometric Analysis. J. Med Int. Res. 2018;20:e122. doi: 10.2196/jmir.8954.
    1. Bean C., Sewell K., Jung M.E. A winning combination: Collaborating with stakeholders throughout the process of planning and implementing a type 2 diabetes prevention programme in the community. Health Soc. Care Community. 2020;28:681–689. doi: 10.1111/hsc.12902.
    1. Ravindranath R., Oldenburg B., Balachandran S., Krishnakurup Mini G., Mahat K., Sathish T., Thankappan K.R. Scale-up of the Kerala Diabetes Prevention Program (K-DPP) in Kerala, India: Implementation evaluation findings. Transl. Behav. Med. 2020;10:5–12. doi: 10.1093/tbm/ibz197.
    1. Van Stappen V., Latomme J. Barriers from Multiple Perspectives Towards Physical Activity, Sedentary Behaviour, Physical Activity and Dietary Habits When Living in Low Socio-Economic Areas in Europe. Feel4Diabetes Study. 2018;15:2840. doi: 10.3390/ijerph15122840.

Source: PubMed

赞助者和合作者

医疗条件

药物干预

3
订阅