@Article{Folling_etal2017,
author="Folling, I. S.
and Kulseng, B.
and Midthjell, K.
and Rangul, V.
and Helvik, A-S",
title="Individuals at high risk for type 2 diabetes invited to a lifestyle program: characteristics of participants versus non-participants (the HUNT Study) and 24-month follow-up of participants (the VEND-RISK Study)",
journal="BMJ Open Diabetes Research {\&} Care",
year="2017",
volume="5",
number="1",
pages="e000368",
optkeywords="Findrisc; lifestyle programme; non-participants; primary health care; type 2 diabetes",
abstract="OBJECTIVE: Prevention of type 2 diabetes mellitus is possible through lifestyle programs, but the effect depends on the program{\textquoteright}s content, resources, and setting. Lifestyle programs are often confronted with high rates of non-participation and attrition. This study invited individuals at high risk for type 2 diabetes to a lifestyle program in the Norwegian primary healthcare setting. The aims were to investigate possible differences in characteristics between participants and non-participants and to study the effect of the lifestyle program at 24-month follow-up for participants. RESEARCH DESIGN AND METHODS: Individuals identified at high risk for type 2 diabetes during the third survey of the Nord-Trondelag Health Study (HUNT3) from two municipalities (n=332) were invited to a lifestyle program (the VEND-RISK Study). A cross-sectional design was used to explore if the participants{\textquoteright} characteristics differed from non-participants. A non-randomized, single-arm, pre-post examination was used to examine the effect of the lifestyle program on participants{\textquoteright} characteristics at 24-month follow-up. RESULTS: Of all individuals at high risk for type 2 diabetes invited to the lifestyle program, 86{\%} (287/332) declined to participate. Non-participating women had fewer years of education (p<0.001), compared with participating women. For men, no differences were seen between non-participants and participants. Among all participants (n=45) at 24-month follow-up, none had developed type 2 diabetes, and HbA1c (p<0.001) had decreased significantly. There was a small reduction in mean body mass index from baseline to 24 months that was not statistically significant. For women, waist circumference (-4.0 cm, p<0.001) decreased significantly. CONCLUSIONS: Future research regarding individuals at high risk for type 2 diabetes in the primary healthcare lifestyle program should focus on how to promote recruitment of women with low education. Participants attending this study{\textquoteright}s lifestyle program improved their cardiometabolic markers. CLINICAL TRIALS REGISTRATION: NCT01135901; Results.",
optnote="PMID:28878932; PMCID:PMC5574427",
optnote="exported from refbase (http://vev.medisin.ntnu.no/refbase/show.php?record=1899), last updated on Fri, 02 Feb 2018 15:57:37 +0100",
issn="2052-4897",
doi="10.1136/bmjdrc-2016-000368",
opturl="http://www.ncbi.nlm.nih.gov/pubmed/28878932",
opturl="https://doi.org/10.1136/bmjdrc-2016-000368",
language="English"
}