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Reversing Type 2 Diabetes in a Primary Care-Anchored eHealth Lifestyle Coaching Programme in Denmark: A Randomised Controlled Trial
| Content Provider | MDPI |
|---|---|
| Author | Jens, Søndergaard Christensen, Jeanette Reffstrup Laursen, Ditte Hjorth Lauridsen, Jørgen Trankjær Hesseldal, Laura Jakobsen, Pernille Ravn Nielsen, Jesper Bo Brandt, Carl J. |
| Copyright Year | 2022 |
| Description | The goal of this trial was to investigate whether an eHealth lifestyle coaching programme led to significant weight loss and decreased Haemoglobin A1c (HbA1c) in patients with type 2 diabetes. In an RCT, 170 patients were enrolled from 2018 to 2019 for intervention or control. Inclusion criteria were diagnosed with type 2 diabetes, BMI 30–45 $kg/m^{2}$, and aged 18–70 years. Exclusion criteria were lacks internet access, pregnant or planning a pregnancy, or has a serious disease. Primary and secondary outcomes were a reduction in body weight and HbA1c. At six months, 75 (75%) patients in the intervention group and 53 (76%) patients in the control group remained in the trial. The mean body weight loss was 4.2 kg (95% CI, −5.49; −2.98) in the intervention group and 1.5 kg (95% CI, −2.57; −0.48) in the control group (p = 0.005). In the intervention group, 24 out of 62 patients with elevated HbA1c at baseline (39%) had a normalized HbA1c < 6.5% at six months, compared to 8 out of 40 patients with elevated HbA1c at baseline (20%) in the control group (p = 0.047). The eHealth lifestyle coaching programme can lead to significant weight loss and decreased HbA1c among patients with type 2 diabetes, compared to standard care. |
| Starting Page | 3424 |
| e-ISSN | 20726643 |
| DOI | 10.3390/nu14163424 |
| Journal | Nutrients |
| Issue Number | 16 |
| Volume Number | 14 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2022-08-19 |
| Access Restriction | Open |
| Subject Keyword | Nutrients Medical Informatics Digital Behavioural Coaching Health Behaviour Change Interactive Advice Lifestyle Change Mobile Intervention Obesity Quality of Life Participant Engagement Telemedicine |
| Content Type | Text |
| Resource Type | Article |
