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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Milan
2022
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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. |
format | Online Article Text |
id | pubmed-9098381 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Milan |
record_format | MEDLINE/PubMed |
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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