Effectiveness of a community-directed ‘healthy lifestyle’ program in a remote Australian Aboriginal community
Open accessAbstract
Objective To assess the sustainability and effectiveness of a community-directed program for primary and secondary prevention of obesity, diabetes and cardiovascular disease in an Aboriginal community in north-west Western Australia. Method Evaluation of health outcomes (body mass index, glucose tolerance, and plasma insulin and triglyceride concentrations) in a cohort of high-risk individuals (n = 49, followed over two years) and cross-sectional community samples (n = 200 at baseline, 185 at two-year and 132 at four-year follow-ups), process (interventions and their implementation) and impact (diet and exercise behaviour). Results For the high-risk cohort, involvement in diet and/or exercise strategies was associated with protection from increases in plasma glucose and triglycerides seen in a comparison group; however, sustained weight loss was not achieved. At the community level, significant reductions were observed in fasting insulin concentration but no change in prevalence of diabetes, overweight or obesity. Weight gain remained a problem among younger people. Sustainable improvements were observed for dietary intake and level of physical activity. These changes were related to supportive policies implemented by the community council and store management. Conclusions Community control and ownership enabled embedding and sustainability of program, in association with social environmental policy changes and long-term improvements in important risk factors for chronic dise…
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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 [26]
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Lantz, P. M., House, J. S., Lepkowski, J. M., Williams, D. R., Mero, R. P., & Chen, J. (1998) · JAMA · doi:10.1001/jama.279.21.1703 · Cited by 1,514 · see citing works
A Prospective Study of Exercise and Incidence of Diabetes Among US Male Physicians
Manson, J. E. (1992) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1992.03490010065031 · Cited by 778 · see citing works
Dowse, G. K., Gareeboo, H., Alberti, K. G. M. M., Zimmet, P., Tuomilehto, J., Purran, A., Fareed, D., Chitsono, P., Collins, V. R., & Hemraj, F. (1995) · BMJ · doi:10.1136/bmj.311.7015.1255 · Cited by 241 · see citing works
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Sustainability science: an integrated approach for health-programme planning
Gruen, R. L., Elliott, J. H., Nolan, M. L., Lawton, P. D., Parkhill, A., McLaren, C. J., & Lavis, J. N. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61659-1 · Cited by 395 · see citing works
Galaviz, K. I., Weber, M. B., Straus, A., Haw, J. S., Narayan, K. M. V., & Ali, M. K. (2018) · Diabetes Care · doi:10.2337/dc17-2222 · Cited by 289 · see citing works
“Just One Thing after Another”: Recursive Cascades and Chronic Conditions
Manderson, L., & Warren, N. (2016) · Medical Anthropology Quarterly · doi:10.1111/maq.12277 · Cited by 101 · see citing works
Vincze, L., Barnes, K., Somerville, M., Littlewood, R., Atkins, H., Rogany, A., & Williams, L. T. (2021) · International Journal for Equity in Health · doi:10.1186/s12939-021-01462-x · Cited by 62 · see citing works
Francis, L., Dunt, D., & Cadilhac, D. A. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010944 · Cited by 24 · see citing works
DreamTel; diabetes risk evaluation and management tele-monitoring study protocol
Tobe, S. W., Wentworth, J., Ironstand, L., Hartman, S., Hoppe, J., Whiting, J., Kennedy, J., McAllister, C., Kiss, A., Perkins, N., et al. (2009) · BMC Endocrine Disorders · doi:10.1186/1472-6823-9-13 · Cited by 2 · see citing works
- Authors
- Rowley, K. G., Daniel, M., Skinner, K., Skinner, M., White, G. A., & O'Dea, K.
- Affiliations
- Monash Medical Centre (AU)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Rowley, Kevin G.
- Venue
- Australian and New Zealand Journal of Public Health
- Publisher
- Elsevier BV
- Published
- 2000-04
- Volume
- 24
- Issue
- 2
- Pages
- 136-144
- ISSN
- 1326-0200 (ISSN-L)
- OpenAlex
- W2006024954
- Cited by
- 207
- References
- 3
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 13 · 2020: 7 · 2019: 9 · 2018: 8 · 2017: 7 · 2016: 16 · 2015: 6 · 2014: 14 · 2013: 17 · 2012: 11
- FWCI
- 5.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Australian and New Zealand Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- Department of Health, Government of Western Australia
- Medical Research Council
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- Aboriginal Australians, obesity prevention, diabetes prevention, cardiovascular disease prevention, healthy lifestyle intervention, program sustainability, dietary intake, physical activity, fasting insulin, plasma glucose, triglycerides, body mass index, remote communities
- MeSH terms
- Adult, Cardiovascular Diseases, Community Health Services, Cross-Sectional Studies, Diabetes Mellitus, Female, Health Promotion, Health Surveys, Humans, Life Style, Longitudinal Studies, Male, Middle Aged, Obesity, Western Australia, Program Evaluation, Rural Health Services, Native Hawaiian or Other Pacific Islander
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