Evidence map›Paper›PMID 34600527›Full record

ArticleBMC public health2021

The role of Sociodemographic factors on goal achievement in a community-based diabetes prevention program behavioral lifestyle intervention.

Susan M Devaraj, Jenna M Napoleone, Rachel G Miller, Bonny Rockette-Wagner, Vincent C Arena, Chantele Mitchell-Miland, Mohammed Bu Saad, Andrea M Kriska

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT01050205 nacompletednot on this map

Diabetes Prevention Translation Project: the Healthy Lifestyle Project

TypeinterventionalSponsorUniversity of PittsburghRan2010 to 2015Enrolled223ConditionsDiabetes, Cardiovascular Risk FactorArmsCurrent Intervention, Delayed Intervention
NCT02467881 nacompletednot on this map

Physical Activity and Sedentary Behavior Change; Impact on Lifestyle Intervention Effects for Diabetes Translation

TypeinterventionalSponsorUniversity of PittsburghRan2015 to 2019Enrolled308ConditionsSedentary Lifestyle, Physical ActivityArmsPhysical Activity Increase (GLB-MOD), Sedentary Time Decrease (GLB-SED), 6-month delayed (DELAYED)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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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

8 authors at 1 institution in 1 country.

Susan M DevarajDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, 5135 Public Health, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
Jenna M NapoleoneDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, 5135 Public Health, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
Rachel G MillerDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, 5135 Public Health, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
Bonny Rockette-WagnerDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, 5135 Public Health, 130 De Soto Street, Pittsburgh, PA, 15261, USA. bjr26@pitt.edu.ORCID 0000-0002-4096-917X
Vincent C ArenaDepartment of Biostatistics, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA.
Chantele Mitchell-MilandDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, 5135 Public Health, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
Mohammed Bu SaadDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, 5135 Public Health, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
Andrea M KriskaDepartment of Epidemiology, University of Pittsburgh Graduate School of Public Health, 5135 Public Health, 130 De Soto Street, Pittsburgh, PA, 15261, USA.
University of Pittsburgh · 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

backgroundThe Diabetes Prevention Program (DPP) behavioral lifestyle intervention was effective among a diverse sample of adults with prediabetes. Demonstrated effectiveness in translated versions of the DPP lifestyle intervention (such as Group Lifestyle Balance, DPP-GLB) led to widescale usage with national program oversight and reimbursement. However, little is known about the success of these DPP-translation programs across subgroups of sociodemographic factors. This current effort investigated potential disparities in DPP-translation program primary goal achievement (physical activity and weight) by key sociodemographic factors.

methodsData were combined from two 12-month community-based DPP-GLB trials among overweight/obese individuals with prediabetes and/or metabolic syndrome. We evaluated change in weight (kilograms and percent) and activity (MET-hrs/week) and goal achievement (yes/no; ≥5% weight loss and 150 min per week activity) after 6 and 12 months of intervention within and across subgroups of race/ethnicity (non-Hispanic white, non-Hispanic black), employment status, education, income, and gender.

resultsAmong 240 participants (85%) with complete data, most sociodemographic subgroups demonstrated significant weight loss. However, non-Hispanic white lost more weight at both 6 and 12 months compared to non-Hispanic black participants [median weight loss (IQR), 6 months: 5.7% (2.7-9.0) vs. 1.5% (1.2-7.5) p = .01 and 12 months: 4.8% (1.1-9.6) vs. 1.1% (- 2.0-3.7) p = .01, respectively]. In addition, a larger percentage of non-Hispanic white demonstrated a 5% weight loss at 6 and 12 months. Employment was significantly related to 12-month weight loss, with retired participants being the most successful. Men, participants with graduate degrees, and those with higher income were most likely to meet the activity goal at baseline and 12 months. Differences in physical activity goal achievement across gender, education, and income groups were significant at baseline, attenuated after 6 months, then re-emerged at 12 months.

conclusionsThe DPP-GLB was effective in promoting weight loss and helped to alleviate disparities in physical activity levels after 6 months. Despite overall program success, differences in weight loss achievement by race/ethnicity were found and disparities in activity re-emerged after 12 months of intervention. These results support the need for intervention modification providing more tailored approaches to marginalized groups to maximize the achievement and maintenance of DPP-GLB behavioral goals.

trial registrationNCT01050205 , NCT02467881 .

Indexed as

Diabetes Mellitus, Type 2Prediabetic StateAdultGoalsHumansLife StyleMaleWeight LossDiabetes mellitusEducationExerciseHealthcare disparitiesHealth disparitiesIncomeMetabolic syndromeWeight loss and weight gain

Identifiers

PMID34600527
PMCPMC8487523
OpenAlexW3202255305

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.