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Impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial

AIM: There is little evidence of the impact of diabetes risk scores on individual diabetes risk factors, motivation for behaviour changes and mental health. The aim of this study was to investigate the effect of applying a noninvasive diabetes risk score in primary care as component of routine healt...

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Autores principales: Seidel-Jacobs, Esther, Kohl, Fiona, Tamayo, Miguel, Rosenbauer, Joachim, Schulze, Matthias B., Kuss, Oliver, Rathmann, Wolfgang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9098381/
https://www.ncbi.nlm.nih.gov/pubmed/35551495
http://dx.doi.org/10.1007/s00592-022-01895-y
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author Seidel-Jacobs, Esther
Kohl, Fiona
Tamayo, Miguel
Rosenbauer, Joachim
Schulze, Matthias B.
Kuss, Oliver
Rathmann, Wolfgang
author_facet Seidel-Jacobs, Esther
Kohl, Fiona
Tamayo, Miguel
Rosenbauer, Joachim
Schulze, Matthias B.
Kuss, Oliver
Rathmann, Wolfgang
author_sort Seidel-Jacobs, Esther
collection PubMed
description AIM: There is little evidence of the impact of diabetes risk scores on individual diabetes risk factors, motivation for behaviour changes and mental health. The aim of this study was to investigate the effect of applying a noninvasive diabetes risk score in primary care as component of routine health checks on physical activity and secondary outcomes. METHODS: Cluster randomised trial, in which primary care physicians (PCPs), randomised (1:1) by minimisation, enrolled participants with statutory health insurance without known diabetes, ≥ 35 years of age with a body mass index ≥ 27.0 kg/m(2). The German Diabetes Risk Score was applied as add-on to the standard routine health check, conducted in the controls. Primary outcome was the difference in participants’ physical activity (International Physical Activity Questionnaire) after 12 months. Secondary outcomes included body mass index, perceived health, anxiety, depression, and motivation for lifestyle change. Analysis was by intention-to-treat principle using mixed models. RESULTS: 36 PCPs were randomised; remaining 30 PCPs (intervention: n = 16; control: n = 14) recruited 315 participants (intervention: n = 153; controls: n = 162). A slight increase in physical activity was observed in the intervention group with an adjusted mean change of 388 (95% confidence interval: − 235; 1011) metabolic equivalents minutes per week. There were no relevant changes in secondary outcomes. CONCLUSIONS: The application of a noninvasive diabetes risk score alone is not effective in promoting physical activity in primary care. Clinical Trial Registration: ClinicalTrials.gov (NCT03234322, registration date: July 31, 2017). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00592-022-01895-y.
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spelling pubmed-90983812022-05-13 Impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial Seidel-Jacobs, Esther Kohl, Fiona Tamayo, Miguel Rosenbauer, Joachim Schulze, Matthias B. Kuss, Oliver Rathmann, Wolfgang Acta Diabetol Original Article AIM: There is little evidence of the impact of diabetes risk scores on individual diabetes risk factors, motivation for behaviour changes and mental health. The aim of this study was to investigate the effect of applying a noninvasive diabetes risk score in primary care as component of routine health checks on physical activity and secondary outcomes. METHODS: Cluster randomised trial, in which primary care physicians (PCPs), randomised (1:1) by minimisation, enrolled participants with statutory health insurance without known diabetes, ≥ 35 years of age with a body mass index ≥ 27.0 kg/m(2). The German Diabetes Risk Score was applied as add-on to the standard routine health check, conducted in the controls. Primary outcome was the difference in participants’ physical activity (International Physical Activity Questionnaire) after 12 months. Secondary outcomes included body mass index, perceived health, anxiety, depression, and motivation for lifestyle change. Analysis was by intention-to-treat principle using mixed models. RESULTS: 36 PCPs were randomised; remaining 30 PCPs (intervention: n = 16; control: n = 14) recruited 315 participants (intervention: n = 153; controls: n = 162). A slight increase in physical activity was observed in the intervention group with an adjusted mean change of 388 (95% confidence interval: − 235; 1011) metabolic equivalents minutes per week. There were no relevant changes in secondary outcomes. CONCLUSIONS: The application of a noninvasive diabetes risk score alone is not effective in promoting physical activity in primary care. Clinical Trial Registration: ClinicalTrials.gov (NCT03234322, registration date: July 31, 2017). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00592-022-01895-y. Springer Milan 2022-05-13 2022 /pmc/articles/PMC9098381/ /pubmed/35551495 http://dx.doi.org/10.1007/s00592-022-01895-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Seidel-Jacobs, Esther
Kohl, Fiona
Tamayo, Miguel
Rosenbauer, Joachim
Schulze, Matthias B.
Kuss, Oliver
Rathmann, Wolfgang
Impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial
title Impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial
title_full Impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial
title_fullStr Impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial
title_full_unstemmed Impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial
title_short Impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial
title_sort impact of applying a diabetes risk score in primary care on change in physical activity: a pragmatic cluster randomised trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9098381/
https://www.ncbi.nlm.nih.gov/pubmed/35551495
http://dx.doi.org/10.1007/s00592-022-01895-y
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