期刊
DIABETES CARE
卷 33, 期 10, 页码 2146-2151出版社
AMER DIABETES ASSOC
DOI: 10.2337/dc10-0410
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- Hospital district of Pirkanmaa
- Finnish National Public Health Institute
- Finnish Diabetes Association
- Ministry of Social Affairs and Health in Finland
- Machine Association
- Academy of Finland [129293]
- Commission of the European Communities, Directorate C-Public Health [2004310]
- Hospital district of Southern Ostrobodmia
- Hospital district of Northern Ostrobothnia
- Hospital district of Central Finland
- Hospital district of Northern Savo
OBJECTIVE - To investigate 1-year outcomes of a national diabetes prevention program in Finland. RESEARCH DESIGN AND METHODS - Altogether 10,149 individuals at high risk for diabetes were identified with the Finnish Diabetes Risk Score (FINDRISC; scoring >= 15 points), by a history of impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), cardiovascular disease, or gestational diabetes mellitus in 400 primary health care centers. One-year follow-up data were available for 2,798 participants who were nondiabetic at baseline (919 men and 1,879 women, aged 56.0 +/- 9.9 and 54.0 +/- 10.7 years [mean +/- SD] with BMI 30.9 +/- 4.6 and 31.6 +/- 5.4 kg/m(2)). RESULTS The incidence of diabetes was 2.0 and 1.2% in men and women with normal glucose tolerance at baseline, 13.5 and 7.4% in those with IFG, and 16.1 and 11.3% in those with IGT, respectively. Altogether 17.5% of the subjects lost >= 5% weight with no sex difference. The relative risk of diabetes was 0.31 (95% CI 0.16-0.59) in the group who lost >= 5% weight, 0.72 (0.46-1.13) in the group who lost 2.5-4.9% weight, and 1.10 (0.77-1.58) in the group who gained >= 2.5% compared with the group who maintained weight. CONCLUSIONS - The FIN-D2D was the first national effort to implement the prevention of in a primary health care setting. Methods for recruiting high-risk subjects were simple and easy to use. Moderate weight loss in this very high-risk group was especially effective in reducing risk of diabetes among those participating in the program.
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