Cited by 251Diabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and ResearchRetinal Diseases and Treatments

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Long-term effects of a randomised trial of a 6-year lifestyle intervention in impaired glucose tolerance on diabetes-related microvascular complications: the China Da Qing Diabetes Prevention Outcome Study

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Gong, Q., Gregg, E. W., Wang, J., An, Y., Zhang, P., Yang, W., Li, H., Li, H., Jiang, Y., Shuai, Y., Zhang, B., Zhang, J., Gerzoff, R. B., Roglic, G., Hu, Y., Li, G., Bennett, P. H.·2011·Diabetologia

DOI 10.1007/s00125-010-1948-9

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Abstract

Aims/hypothesis We determined the effects of 6 years of lifestyle intervention in persons with impaired glucose tolerance (IGT) on the development of retinopathy, nephropathy and neuropathy over a 20 year period.Methods In 1986, 577 adults with IGT from 33 clinics in Da Qing, China were randomly assigned by clinic to a control group or one of three lifestyle intervention groups (diet, exercise, and diet plus exercise). Active intervention was carried out from 1986 to 1992. In 2006 we conducted a 20 year follow-up study of the original participants to compare the incidence of microvascular complications in the combined intervention group vs the control group.Results Follow-up information was obtained on 542 (94%) of the 577 original participants. The cumulative incidence of severe retinopathy was 9.2% in the combined intervention group and 16.2% in the control group (p = 0.03, log-rank test). After adjusting for clinic and age, the incidence of severe retinopathy was 47% lower in the intervention group than the control group (hazard rate ratio 0.53, 95% CI 0.29-0.99, p = 0.048). No significant differences were found in the incidence of severe nephropathy (hazard rate ratio 1.05, 95% CI 0.16-7.05, intervention vs control, p = 0.96) or in the prevalence of neuropathy (8.6% vs 9.1%, p = 0.89) among the 20 year survivors.Conclusions/interpretation Lifestyle intervention for 6 years in IGT was associated with a 47% reduction in the incidence of severe, vision-threatening retinopathy over a 20 year interval, primarily due to the reduced incidence of diabetes in the intervention group. However, similar benefits were not seen for nephropathy or neuropathy.

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Background
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The association between offspring birthweight and future risk of maternal diabetes: A population‐based study
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Authors: Gong, Q., Gregg, E. W., Wang, J., An, Y., Zhang, P., Yang, W., Li, H., Li, H., Jiang, Y., Shuai, Y., Zhang, B., Zhang, J., Gerzoff, R. B., Roglic, G., Hu, Y., Li, G., & Bennett, P. H.
Affiliations: China-Japan Friendship Hospital (CN)
Centers for Disease Control and Prevention (US)
Daqing Oilfield General Hospital (CN)
National Institutes of Health (US)
Corresponding author: Li, G.
ORCID: Gong, Q.
Gregg, E. W.
Yang, W.
Jiang, Y.
Zhang, B.
Gerzoff, R. B.
Bennett, P. H.
Venue: Diabetologia
Publisher: Springer Science and Business Media LLC
Published: 2010-11-03
Volume: 54
Issue: 2
Pages: 300-307
ISSN: 0012-186X (ISSN-L)
1432-0428
DOI: 10.1007/s00125-010-1948-9
OpenAlex: W2067941747
Cited by: 251
References: 32
Citations by year: 2026: 7 · 2025: 13 · 2024: 14 · 2023: 12 · 2022: 15 · 2021: 11 · 2020: 12 · 2019: 16 · 2018: 20 · 2017: 17 · 2016: 18 · 2015: 29 · 2014: 25 · 2013: 22 · 2012: 14
FWCI: 10.13
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
Locations: Diabetologia (publishedVersion)
PubMed (publishedVersion)
Spiral (Imperial College London) (submittedVersion)
Funders: American Diabetes Association
Centers for Disease Control and Prevention (U58/CCU424123‐01‐02)
U.S. Public Health Service (U58/CCU424123-01-02)
China-Japan Friendship Hospital
National Institute of Diabetes and Digestive and Kidney Diseases
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
Keywords: impaired glucose tolerance, lifestyle intervention, diabetes prevention, diabetic retinopathy, diabetic nephropathy, diabetic neuropathy, microvascular complications, diet and exercise, long-term follow-up
MeSH terms: Adult, Diabetes Mellitus, Diabetic Nephropathies, Diabetic Neuropathies, Female, Humans, Life Style, Male, Middle Aged, Glucose Intolerance, Diabetes Complications

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Long-term effects of a randomised trial of a 6-year lifestyle intervention in impaired glucose tolerance on diabetes-related microvascular complications: the China Da Qing Diabetes Prevention Outcome Study

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