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Cited by 59Diabetes, Cardiovascular Risks, and LipoproteinsIndigenous Health and EducationIndigenous Health, Education, and Rights

Two-year results from a community-wide diabetes prevention intervention in a high risk indigenous community: The Ngati and Healthy project

Coppell, Kirsten J., Tipene-Leach, David C., Pahau, Helen L.R., Williams, Sheila M., Abel, Sally, Iles, Mark, Hindmarsh, Jennie Harré, Mann, Jim I.·2009·Diabetes Research and Clinical Practice
DOI 10.1016/j.diabres.2009.05.009
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Abstract

We describe changes in markers and prevalence of glucose metabolism disorders following a 2-year community-wide intervention aimed at reducing insulin resistance (IR) prevalence in a high risk community. Surveys were undertaken before and 2 years after implementation of a community developed and led diabetes prevention program. Proportions and means were calculated and compared by sex and age groups: 25-49 years and 50+ years. A process evaluation contributed to interpretation of results. Response rates were around 50% and demographic characteristics similar in both surveys. Overall, IR prevalence decreased markedly from 35.5% to 25.4% (p=0.003). Most changes were observed amongst 25-49 years old women for whom there was a significant change in prevalences of IR and glucose metabolism disorders (p=0.015), largely due to reduced IR prevalence (38.2-25.6%). In 2006, 60.3% achieved minimum recommended exercise levels and 65.4% ate wholegrain bread compared with 45.1% (p=0.002) and 42.2% (p=0.044), respectively, in 2003. Participation in a community diabetes prevention intervention appeared to reduce IR prevalence after 2 years in those with the highest level of participation and most marked lifestyle changes.

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  • Fourteen articles were not included in the meta-analysis because they provided insufficient data for analyses or because they reported outcomes from a trial already included in the analysis but with data from other follow-up times.

    “Fourteen articles were not included in the meta-analysis because they provided insufficient data for analyses (i.e., did not report SEs for outcomes and authors did not respond to requests for these data) (23–27) or because these articles reported outcomes from a trial already included in the analysis but with data from other follow-up times (28–36).”

    From Global diabetes prevention interventions: A systematic review and network meta-analysis of the real-world impact on incidence, weight, and glucose (2018) · cites this paper as [23]

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Authors
Coppell, K. J., Tipene-Leach, D. C., Pahau, H. L. R., Williams, S. M., Abel, S., Iles, M., Hindmarsh, J. H., & Mann, J. I.
Affiliations
University of Otago (NZ)
Corresponding author
Coppell, Kirsten J.
ORCID
Venue
Diabetes Research and Clinical Practice
Publisher
Elsevier BV
Published
2009-08
Volume
85
Issue
2
Pages
220-227
ISSN
0168-8227 (ISSN-L)
DOI
10.1016/j.diabres.2009.05.009
OpenAlex
W2073152035
Cited by
59
References
6
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 10 · 2020: 4 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 5 · 2013: 4 · 2012: 1
FWCI
1.94
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Diabetes Research and Clinical Practice (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
  • Social Sciences › Health › Indigenous Health, Education, and Rights
Keywords
diabetes prevention, insulin resistance, glucose metabolism disorders, indigenous peoples, community-based intervention, lifestyle intervention, physical activity, women, vulnerable populations
MeSH terms
Adult, Aged, Diabetes Mellitus, Type 2, Diet, Dietary Carbohydrates, Female, Health Surveys, Humans, Insulin Resistance, Life Style, Male, Middle Aged, New Zealand, Exercise, Prevalence, Metabolic Syndrome

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