Evidence map›Paper›PMID 34236004›Full record

ArticleJournal of primary care & community health

The Impact of a Yearlong Diabetes Prevention Program-Based Lifestyle Intervention on Cardiovascular Health Metrics.

Susan M Devaraj, Bonny Rockette-Wagner, Rachel G Miller, Vincent C Arena, Jenna M Napoleone, Molly B Conroy, Andrea M Kriska

Open access · goldAbstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Susan M DevarajUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.ORCID 0000-0002-3702-2874
Bonny Rockette-WagnerUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Rachel G MillerUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Vincent C ArenaUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.ORCID 0000-0002-1634-7207
Jenna M NapoleoneUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Molly B ConroyUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Andrea M KriskaUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
University of Pittsburgh · USUniversity of Utah · US

Funding

TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000181 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 1989 to 2025
$6.2M
Cardiovascular Epidemiology Training ProgramT32HL083825 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AKIRA SEKIKAWA · 2008 to 2026
$6.1M
Physical Activity and Sedentary Behavior Change; Impact on Lifestyle Intervention Effects for Diabetes TranslationR18DK100933 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KRISKA, ANDREA M · 2014 to 2017
$3.0M
Diabetes Prevention Translation Project: the Healthy LIFESTYLE ProjectR18DK081323 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KRISKA, ANDREA M · 2010 to 2013
$2.6M
NHLBI NIH HHS T32 HL083825NIA NIH HHS T32 AG000181NIDDK NIH HHS R18 DK081323NIDDK NIH HHS R18 DK100933
6 · The paper itself

Abstract

introductionThe American Heart Association created "Life's Simple Seven" metrics to estimate progress toward improving US cardiovascular health in a standardized manner. Given the widespread use of federally funded Diabetes Prevention Program (DPP)-based lifestyle interventions such as the Group Lifestyle Balance (DPP-GLB), evaluation of change in health metrics within such a program is of national interest. This study examined change in cardiovascular health metric scores during the course of a yearlong DPP-GLB intervention.

methodsData were combined from 2 similar randomized trials offering a community based DPP-GLB lifestyle intervention to overweight/obese individuals with prediabetes and/or metabolic syndrome. Pre/post lifestyle intervention participation changes in 5 of the 7 cardiovascular health metrics were examined at 6 and 12 months (BMI, blood pressure, total cholesterol, fasting plasma glucose, physical activity). Smoking was rare and diet was not measured.

resultsAmong 305 participants with complete data (81.8% of 373 eligible adults), significant improvements were demonstrated in all 5 risk factors measured continuously at 6 and 12 months. There were significant positive shifts in the "ideal" and "total" metric scores at both time points. Also noted were beneficial shifts in the proportion of participants across categories for BMI, activity, and blood pressure.

conclusionAHA-metrics could have clinical utility in estimating an individual's cardiovascular health status and in capturing improvement in cardiometabolic/behavioral risk factors resulting from participation in a community-based translation of the DPP lifestyle intervention.

Indexed as

Diabetes Mellitus, Type 2Metabolic SyndromePrediabetic StateAdultHumansLife StyleQuality Indicators, Health CareRisk FactorsUnited Statescommunity healthhealth promotionlifestyle changeobesityphysical activityprevention

Identifiers

PMID34236004
PMCPMC8274083
OpenAlexW3179599397

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.