Feasibility of group lifestyle intervention for diabetes prevention in Arab Americans

Diabetes Res Clin Pract. 2011 Mar;91(3):307-15. doi: 10.1016/j.diabres.2010.11.032. Epub 2010 Dec 17.

Abstract

Aims: To assess the feasibility and acceptability of a community-based, culturally-specific, Diabetes Prevention Program (DPP)-adapted, group lifestyle intervention in Arab-Americans.

Methods: Overweight (BMI ≥ 27 kg/m(2)) Arab-Americans aged ≥ 30 years and without a history of diabetes were recruited to participate in a 24-week group lifestyle intervention. The DPP core-curriculum was culturally rewritten, translated into Arabic, and delivered in weekly sessions over a 12-week period. Follow-up was performed at week-24. The primary goals were to achieve ≥ 7% weight loss and ≥ 150 min/week of physical activity. An intent-to-treat analysis was performed.

Results: Of the 71 participants (mean age ± SD 47 ± 10 years, 38% males), 44% achieved ≥ 7% weight loss, 59% achieved ≥ 5% reduction in weight, and 78% reached the physical activity goal of ≥ 150-min/week. The mean ± SD weight loss was 5.2 ± 4.4 kg at week-24 (p<0.0001), Marked reduction in body measurements, daily energy and fat intake were noted. Retention was high with 86% completing the intervention.

Conclusions: This trial demonstrates that a culturally-specific, DPP-adapted, group lifestyle intervention implemented in a community setting is feasible and effective in Arab-Americans.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Arabs*
  • Body Mass Index
  • Diabetes Mellitus / ethnology
  • Diabetes Mellitus / prevention & control*
  • Ethnic Groups
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Life Style / ethnology*
  • Male
  • Middle Aged
  • Overweight / therapy*
  • Patient Education as Topic*
  • United States
  • Weight Loss