Cited by 201Diabetes Management and EducationDiabetes, Cardiovascular Risks, and LipoproteinsObesity, Physical Activity, Diet

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Outcomes of a Latino Community-Based Intervention for the Prevention of Diabetes: The Lawrence Latino Diabetes Prevention Project

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Ockene, Ira S., Tellez, Trinidad L., Rosal, Milagros C., Reed, George W., Mordes, John, Merriam, Philip A., Olendzki, Barbara C., Handelman, Garry, Nicolosi, Robert, Ma, Yunsheng·2012·American Journal of Public Health

DOI 10.2105/ajph.2011.300357PMC PMC3483988

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Abstract

OBJECTIVES: We tested the effectiveness of a community-based, literacy-sensitive, and culturally tailored lifestyle intervention on weight loss and diabetes risk reduction among low-income, Spanish-speaking Latinos at increased diabetes risk. METHODS: Three hundred twelve participants from Lawrence, Massachusetts, were randomly assigned to lifestyle intervention care (IC) or usual care (UC) between 2004 and 2007. The intervention was implemented by trained Spanish-speaking individuals from the community. Each participant was followed for 1 year. RESULTS: The participants' mean age was 52 years; 59% had less than a high school education. The 1-year retention rate was 94%. Compared with the UC group, the IC group had a modest but significant weight reduction (-2.5 vs 0.63 lb; P = .04) and a clinically meaningful reduction in hemoglobin A1c (-0.10% vs -0.04%; P = .009). Likewise, insulin resistance improved significantly in the IC compared with the UC group. The IC group also had greater reductions in percentage of calories from total and saturated fat. CONCLUSIONS: We developed an inexpensive, culturally sensitive diabetes prevention program that resulted in weight loss, improved HbA1c, and improved insulin resistance in a high-risk Latino population.

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Authors: Ockene, I. S., Tellez, T. L., Rosal, M. C., Reed, G. W., Mordes, J., Merriam, P. A., Olendzki, B. C., Handelman, G., Nicolosi, R., & Ma, Y.
Affiliations: University of Massachusetts Chan Medical School (US)
ORCID: Rosal, Milagros C.
Reed, George W.
Mordes, John
Olendzki, Barbara C.
Handelman, Garry
Ma, Yunsheng
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2012-02
Volume: 102
Issue: 2
Pages: 336-342
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.2011.300357
PMC: PMC3483988
OpenAlex: W2114205894
Cited by: 201
References: 29
Citations by year: 2026: 7 · 2025: 12 · 2024: 11 · 2023: 4 · 2022: 7 · 2021: 18 · 2020: 15 · 2019: 13 · 2018: 12 · 2017: 19 · 2016: 24 · 2015: 20 · 2014: 26 · 2013: 10 · 2012: 3
FWCI: 10.22
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
Funders: American Heart Association
University of Massachusetts
National Heart, Lung, and Blood Institute (R01HL094575)
National Institute of Diabetes and Digestive and Kidney Diseases (R18DK067549, DK 32520, R18DK065985, 5 P30 DK 32520, P30DK032520)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: diabetes prevention, Spanish-speaking Latinos, low-income adults, weight loss, HbA1c, insulin resistance, dietary fat intake
MeSH terms: Adult, Aged, Community Health Services, Diabetes Mellitus, Type 2, Diet, Health Promotion, Glycated Hemoglobin, Hispanic or Latino, Humans, Insulin Resistance, Life Style, Massachusetts, Middle Aged, Poverty, Socioeconomic Factors, Weight Loss, Health Behavior, Exercise, Outcome Assessment, Health Care, Cultural Competency

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Outcomes of a Latino Community-Based Intervention for the Prevention of Diabetes: The Lawrence Latino Diabetes Prevention Project

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