NDLI: Community-Based Culturally Preferred Physical Activity Intervention Targeting Populations at High Risk for Type 2 Diabetes: Results and Implications.

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Community-Based Culturally Preferred Physical Activity Intervention Targeting Populations at High Risk for Type 2 Diabetes: Results and Implications.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rowan, Chip P. Riddell, Michael C. Gledhill, Norman Jamnik, Veronica K.
Description	Country affiliation: Canada Author Affiliation: Rowan CP ( School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada.); Riddell MC ( School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada); Gledhill N ( School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada.); Jamnik VK ( School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada. Electronic address: ronij@yorku.ca.)
Abstract	OBJECTIVES: In Canada, an ageing population, obesity rates and high risk among certain ethnocultural populations are driving diabetes prevalence. Given the burden associated with type 2 diabetes and its link to modifiable risk factors, this study aimed to implement culturally preferred physical activities at the community level, targeting individuals at high risk for type 2 diabetes. Glycated hemoglobin (A1C) levels were used to detect potential improvements in glycemic control. METHODS: Participants were screened for diabetes risk using a questionnaire and capillary point-of-care A1C blood testing. Participants were offered community-based physical activity classes 2 to 3 times per week for 6 months. A subset of participants (n=84) provided additional measurements. RESULTS: In total, 718 subjects were reached during recruitment. Substantial participant dropout took place, and 487 participants were exposed to the intervention. Among those who participated in the physical activity and provided follow up, mean A1C levels were reduced by 0.17 (p=0.002) after 3 months (n=84) and by 0.06 (p=0.35; n=49) after 6 months. The homeostatic model assessment (HOMA-beta) showed a significant improvement of 23.6% after 3 months (n=20; p=0.03) and 45.2% after 6 months (n=12; p=0.02). Resting systolic blood pressure and diastolic blood pressure plus combined hand-grip strength improved after 6 months (n=12). CONCLUSIONS: Implementation of this community-based, culturally preferred physical activity program presented several challenges and was associated with significant participant dropout. After considering participant dropout, the relatively small group who participated and provided follow-up measures showed improvements various physiologic measures. Despite efforts to enhance accessibility, it appears that several barriers to physical activity participation remain and need to be explored to enhance the success of future programs.
File Format	HTM / HTML
ISSN	14992671
Issue Number	6
Journal	Canadian Journal of Diabetes
Volume Number	40
e-ISSN	23523840
Language	English
Publisher	Elsevier
Publisher Date	2016-12-01
Publisher Place	Canada
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Endocrinology
Content Type	Text
Resource Type	Article
Subject	Endocrinology, Diabetes and Metabolism Internal Medicine Endocrinology

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