A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study
Abstract Type 2 diabetes (T2D) is a common metabolic disorder in which only 25% of patients meet management targets. While the primary care setting is positioned to provide lifestyle management education, studies are lacking which integrate behavior interventions in this setting utilizing clinic sta...
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| Format: | Article |
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Wiley
2025-01-01
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| Series: | Physiological Reports |
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| Online Access: | https://doi.org/10.14814/phy2.70163 |
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| author | Nathan R. Weeldreyer Mindy L. McEntee Matthew P. Martin Chong D. Lee Farshad Fani Marvasti Glenn A. Gaesser Rodger Kessler Siddhartha S. Angadi |
| author_facet | Nathan R. Weeldreyer Mindy L. McEntee Matthew P. Martin Chong D. Lee Farshad Fani Marvasti Glenn A. Gaesser Rodger Kessler Siddhartha S. Angadi |
| author_sort | Nathan R. Weeldreyer |
| collection | DOAJ |
| description | Abstract Type 2 diabetes (T2D) is a common metabolic disorder in which only 25% of patients meet management targets. While the primary care setting is positioned to provide lifestyle management education, studies are lacking which integrate behavior interventions in this setting utilizing clinic staff. Thus, we evaluated a 90‐day lifestyle intervention for management of glycemia at a family practice clinic administered by clinic medical assistants. Twenty patients with non‐insulin‐dependent T2D completed a 90‐day intervention driven by patient choices of nutrition and physical activity. Medical assistants were trained by members of the study team and administered the intervention under nurse practitioner supervision. HbA1c trended toward significant reduction 8.59 ± 0.9% to 8.15 ± 1.2% (p = 0.051, 95% CI: −0.88 to 0.003). Modest reductions were observed for waist circumference (115.5 ± 12.6 vs. 112.5 ± 15.2 cm; p = 0.014, 95% CI: −5.66 to −0.26), body weight (97.7 ± 21.9 vs. 95.6 ± 23.9 kg; p = 0.016. 95% CI: −3.84 to −0.31), and BMI (33.7 ± 7.2 vs. 32.8 ± 7.5 kg/m2; p = 0.028, 95% CI: −1.29 to −0.12). This 90‐day, patient choice‐intervention was successful at lowering HbA1c in patients with T2D. Our study is limited by a lack of control group, and results should be interpreted as such. These data have implications for team‐based care models in clinic settings to improve health outcomes in patients with T2D. |
| format | Article |
| id | doaj-art-a137a650558e4938b602c743b4d0f7b8 |
| institution | Kabale University |
| issn | 2051-817X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Physiological Reports |
| spelling | doaj-art-a137a650558e4938b602c743b4d0f7b82025-01-27T13:49:52ZengWileyPhysiological Reports2051-817X2025-01-01132n/an/a10.14814/phy2.70163A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility studyNathan R. Weeldreyer0Mindy L. McEntee1Matthew P. Martin2Chong D. Lee3Farshad Fani Marvasti4Glenn A. Gaesser5Rodger Kessler6Siddhartha S. Angadi7Department of Kinesiology, School of Education and Human Development University of Virginia Charlottesville Virginia USACollege of Health Solutions Arizona State University Phoenix Arizona USACollege of Health Solutions Arizona State University Phoenix Arizona USACollege of Health Solutions Arizona State University Phoenix Arizona USACollege of Medicine University of Arizona Phoenix Arizona USACollege of Health Solutions Arizona State University Phoenix Arizona USADepartment of Family Medicine University of Colorado School of Medicine Denver Colorado USADepartment of Kinesiology, School of Education and Human Development University of Virginia Charlottesville Virginia USAAbstract Type 2 diabetes (T2D) is a common metabolic disorder in which only 25% of patients meet management targets. While the primary care setting is positioned to provide lifestyle management education, studies are lacking which integrate behavior interventions in this setting utilizing clinic staff. Thus, we evaluated a 90‐day lifestyle intervention for management of glycemia at a family practice clinic administered by clinic medical assistants. Twenty patients with non‐insulin‐dependent T2D completed a 90‐day intervention driven by patient choices of nutrition and physical activity. Medical assistants were trained by members of the study team and administered the intervention under nurse practitioner supervision. HbA1c trended toward significant reduction 8.59 ± 0.9% to 8.15 ± 1.2% (p = 0.051, 95% CI: −0.88 to 0.003). Modest reductions were observed for waist circumference (115.5 ± 12.6 vs. 112.5 ± 15.2 cm; p = 0.014, 95% CI: −5.66 to −0.26), body weight (97.7 ± 21.9 vs. 95.6 ± 23.9 kg; p = 0.016. 95% CI: −3.84 to −0.31), and BMI (33.7 ± 7.2 vs. 32.8 ± 7.5 kg/m2; p = 0.028, 95% CI: −1.29 to −0.12). This 90‐day, patient choice‐intervention was successful at lowering HbA1c in patients with T2D. Our study is limited by a lack of control group, and results should be interpreted as such. These data have implications for team‐based care models in clinic settings to improve health outcomes in patients with T2D.https://doi.org/10.14814/phy2.70163exerciseHbA1cnutritiontype 2 diabetes |
| spellingShingle | Nathan R. Weeldreyer Mindy L. McEntee Matthew P. Martin Chong D. Lee Farshad Fani Marvasti Glenn A. Gaesser Rodger Kessler Siddhartha S. Angadi A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study Physiological Reports exercise HbA1c nutrition type 2 diabetes |
| title | A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study |
| title_full | A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study |
| title_fullStr | A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study |
| title_full_unstemmed | A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study |
| title_short | A patient choice‐driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study |
| title_sort | patient choice driven lifestyle intervention lowers hba1c in type 2 diabetes a feasibility study |
| topic | exercise HbA1c nutrition type 2 diabetes |
| url | https://doi.org/10.14814/phy2.70163 |
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