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FINDRISK in practical test: An interventional study on diabetes prevention

Diabetologe, ISSN: 1860-9724, Vol: 11, Issue: 7, Page: 579-586
2015
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Background: Due to the worldwide increase in the number of people with diabetes, the prevention of type 2 diabetes is of major importance. Despite many studies addressing this issue, comprehensive prevention programs are still lacking; therefore, the prevention program GLICEMIA was developed in accordance with guideline recommendations. The aim of the study was the evaluation of the program GLICEMIA with emphasis on the risk score FINDRISK. Methods: The program consisted of 8 interventional sessions within 12 months (3 individual counseling sessions and 5 group-based sessions) and was conducted in community pharmacies. The evaluation was carried out within the framework of a cluster randomized controlled trial. The control group took part in three assessments and received written standard information. Results: In total, the data of 1092 participants from 40 community pharmacies were analyzed. During the participation in the prevention program GLICEMIA the risk for type 2 diabetes in the intervention group showed a statistically significant reduction compared with the control group according to the FINDRISK score (adjusted effect size −0.74 points, 95 % confidence interval −1.04 points to −0.42 points). The risk reduction was attributed to improvements in the risk factors waist circumference, physical activity, high-fiber diet and body mass index. Conclusion: The evaluation of the GLICEMIA program was the first large-scale diabetes prevention study in community pharmacies. As a result, a significant reduction in the risk for type 2 diabetes according to the FINDRISK score was determined. Despite the limitation of being a self-reporting procedure, the questionnaire is a suitable tool for this low-threshold prevention program. Clinical trial register: German Clinical Trials Register DRKS00006585

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