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Outcomes monitoring of health, behavior, and quality of life after nutrition intervention in adults with type 2 diabetes.
J Am Diet Assoc. 2004 Dec; 104(12):1805-15.JA

Abstract

OBJECTIVES

To examine changes in health and lifestyle indicators over 6 months in persons with type 2 diabetes mellitus receiving nutrition counseling from a registered dietitian, and to promote dietetics professionals' participation in outcomes monitoring and research.

DESIGN

Prospective, noncontrolled descriptive study.

SUBJECTS

Two hundred forty-four physician-referred adults with type 2 diabetes mellitus from 31 sites who received usual and customary nutrition counseling, and 83 registered dietitians.

MAIN OUTCOME MEASURES

Glycemic control, coronary heart disease risk, self-management behaviors, and quality of life were measured at baseline, 3 months, and 6 months. Dietitians' perceptions of the study were also measured.

STATISTICAL ANALYSIS

Repeated-measures analysis of variance, paired t test, Wilcoxon signed rank test, sign test, Spearman correlation, and chi 2 analysis were conducted.

RESULTS

Weight and glycemic control, coronary heart disease risk, and self-management behaviors improved significantly between baseline and 3 months and baseline and 6 months. Weight, body mass index, and glycosylated hemoglobin value also improved significantly between 3 months and 6 months. Increased time and/or number of sessions with the registered dietitian were associated with weight loss and reduced glycosylated hemoglobin, fasting plasma glucose, total cholesterol, and triglyceride levels. Self-perceived health status and missed workdays were significantly improved at 6 months. Difficulty obtaining current laboratory values, lack of time, and inability to reach subjects for follow-up presented the greatest obstacles for the dietitians.

CONCLUSIONS

Positive outcomes were observed in adults receiving nutrition intervention for type 2 diabetes. Clinical improvements were greatest between baseline and 3 months, with stabilization between 3 months and 6 months, suggesting ongoing intervention is needed to support continued clinical progress. Dietitians found participation in this state affiliate-coordinated research project rewarding.

Authors+Show Affiliations

Department of Human Biology, University of Wisconsin-Green Bay, WI, USA. ralemon@wisc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15565074

Citation

Lemon, Christina C., et al. "Outcomes Monitoring of Health, Behavior, and Quality of Life After Nutrition Intervention in Adults With Type 2 Diabetes." Journal of the American Dietetic Association, vol. 104, no. 12, 2004, pp. 1805-15.
Lemon CC, Lacey K, Lohse B, et al. Outcomes monitoring of health, behavior, and quality of life after nutrition intervention in adults with type 2 diabetes. J Am Diet Assoc. 2004;104(12):1805-15.
Lemon, C. C., Lacey, K., Lohse, B., Hubacher, D. O., Klawitter, B., & Palta, M. (2004). Outcomes monitoring of health, behavior, and quality of life after nutrition intervention in adults with type 2 diabetes. Journal of the American Dietetic Association, 104(12), 1805-15.
Lemon CC, et al. Outcomes Monitoring of Health, Behavior, and Quality of Life After Nutrition Intervention in Adults With Type 2 Diabetes. J Am Diet Assoc. 2004;104(12):1805-15. PubMed PMID: 15565074.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes monitoring of health, behavior, and quality of life after nutrition intervention in adults with type 2 diabetes. AU - Lemon,Christina C, AU - Lacey,Karen, AU - Lohse,Barbara, AU - Hubacher,Diane Olson, AU - Klawitter,Bridget, AU - Palta,Mari, PY - 2004/11/27/pubmed PY - 2005/1/19/medline PY - 2004/11/27/entrez SP - 1805 EP - 15 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 104 IS - 12 N2 - OBJECTIVES: To examine changes in health and lifestyle indicators over 6 months in persons with type 2 diabetes mellitus receiving nutrition counseling from a registered dietitian, and to promote dietetics professionals' participation in outcomes monitoring and research. DESIGN: Prospective, noncontrolled descriptive study. SUBJECTS: Two hundred forty-four physician-referred adults with type 2 diabetes mellitus from 31 sites who received usual and customary nutrition counseling, and 83 registered dietitians. MAIN OUTCOME MEASURES: Glycemic control, coronary heart disease risk, self-management behaviors, and quality of life were measured at baseline, 3 months, and 6 months. Dietitians' perceptions of the study were also measured. STATISTICAL ANALYSIS: Repeated-measures analysis of variance, paired t test, Wilcoxon signed rank test, sign test, Spearman correlation, and chi 2 analysis were conducted. RESULTS: Weight and glycemic control, coronary heart disease risk, and self-management behaviors improved significantly between baseline and 3 months and baseline and 6 months. Weight, body mass index, and glycosylated hemoglobin value also improved significantly between 3 months and 6 months. Increased time and/or number of sessions with the registered dietitian were associated with weight loss and reduced glycosylated hemoglobin, fasting plasma glucose, total cholesterol, and triglyceride levels. Self-perceived health status and missed workdays were significantly improved at 6 months. Difficulty obtaining current laboratory values, lack of time, and inability to reach subjects for follow-up presented the greatest obstacles for the dietitians. CONCLUSIONS: Positive outcomes were observed in adults receiving nutrition intervention for type 2 diabetes. Clinical improvements were greatest between baseline and 3 months, with stabilization between 3 months and 6 months, suggesting ongoing intervention is needed to support continued clinical progress. Dietitians found participation in this state affiliate-coordinated research project rewarding. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/15565074/Outcomes_monitoring_of_health_behavior_and_quality_of_life_after_nutrition_intervention_in_adults_with_type_2_diabetes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002822304015718 DB - PRIME DP - Unbound Medicine ER -