|
1
|
Alustiza E, Perales A, Mateo-Abad M, Ozcoidi I, Aizpuru G, Albaina O, Vergara I. Tackling risk factors for type 2 diabetes in adolescents: PRE-STARt study in Euskadi. An Pediatr (Barc) 2021; 95:186-196. [PMID: 34384737 DOI: 10.1016/j.anpede.2020.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 11/05/2020] [Indexed: 10/20/2022] Open
Abstract
INTRODUCTION Obesity in the child population and its effect in the development of metabolic diseases are a public health issue. One of the aims of the European Project in a health system, is the evaluation of the effectiveness of a multidisciplinary health promotion program directed at adolescents with risk factors associated with the development of type 2 Diabetes Mellitus (T2DM). PATIENTS AND METHODS Randomised clinical trial with two groups of 12-14 year-old overweight adolescents. The intervention group took part in a multidisciplinary program for 24 months. This program was based on 11 group sessions (8 main sessions and 3 additional support ones) for adolescents and their guardians. The control group received usual care at primary care level. Longitudinal regression models were adjusted to assess the evolution of anthropometric measures and living habits at baseline, 3, 6, 12, and 24 months in both groups. RESULTS There were 92 participants, equally distributed by group. Statistically significant differences were observed between intervention and control groups in several results: evolution of the body mass index; increase in the consumption of fruits and vegetables; decrease in the consumption of snacks and sweetened drinks; and increase in the number of days per week with more than one hour of physical activity. CONCLUSIONS The results confirm the effectiveness of this multidisciplinary program, both in the evolution of the body mass index, and in the improvement of the eating and physical activity habits, all of them risk factors for the future development of metabolic diseases, such as T2DM.
Collapse
Affiliation(s)
- Elena Alustiza
- Osakidetza, Centro de Salud de Egia, Donostia-San Sebastián, Gipuzkoa, Spain
| | - Amaia Perales
- Consulta de Asesoramiento en Alimentación y Salud, Beasain, Gipuzkoa, Spain
| | - Maider Mateo-Abad
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barakaldo, Bizkaia, Spain.
| | - Irene Ozcoidi
- Osakidetza, Centro de Salud de Amara Berri, Donostia-San Sebastián, Gipuzkoa, Spain
| | - Garbiñe Aizpuru
- Consulta de Dietética y Asesoramiento Nutricional, Donostia-San Sebastián, Gipuzkoa, Spain
| | - Olatz Albaina
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, Spain
| | - Itziar Vergara
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, Spain; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barakaldo, Bizkaia, Spain; Instituto de Investigación Sanitaria Biodonostia, Grupo de Atención Primaria, Donostia-San Sebastián, Gipuzkoa, Spain
| | | |
Collapse
|
|
2
|
Harrington DM, Brady EM, Weihrauch-Bluher S, Edwardson CL, Gray LJ, Hadjiconstantinou M, Jarvis J, Khunti K, Vergara I, Erreguerena I, Ribeiro RT, Troughton J, Vazeou A, Davies MJ. Development of an Interactive Lifestyle Programme for Adolescents at Risk of Developing Type 2 Diabetes: PRE-STARt. CHILDREN-BASEL 2021; 8:children8020069. [PMID: 33494347 PMCID: PMC7912284 DOI: 10.3390/children8020069] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Revised: 01/12/2021] [Accepted: 01/14/2021] [Indexed: 12/26/2022]
Abstract
Background: Type 2 diabetes (T2D) is increasing in young people. Reporting on the processes used when developing prevention interventions is needed. We present the development of a family-based interactive lifestyle intervention for adolescents with risk factors for T2D in the future. Method: A multidisciplinary team in the UK site led the intervention development process with sites in Portugal, Greece, Germany and Spain. Potential programme topics and underpinning theory were gathered from literature and stakeholders. A theoretical framework based on self-efficacy theory and the COM-B (capability, opportunity, motivation, behaviour) model was developed. Sessions and supporting resources were developed and refined via two iterative cycles of session and resource piloting, feedback, reflection and refinement. Decision on delivery and content were made by stakeholders (young people, teachers, parents, paediatricians) and all sites. Materials were translated to local languages. Site-specific adaptations to the language, content and supporting resources were made. Results: The “PRE-STARt” programme is eight 90-min interactive sessions with supporting curriculum and resources. Iterative development work provided valuable feedback on programme content and delivery. Conclusion: Reporting on the intervention development process, which includes stakeholder input, could yield a flexible approach for use in this emerging ‘at risk’ groups and their families.
Collapse
Affiliation(s)
- Deirdre M. Harrington
- Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; (C.L.E.); (M.H.); (K.K.)
- School of Psychological Sciences and Health, University of Strathclyde, Glasgow G1 1QE, UK
- Correspondence: ; Tel.: +44-078-4776-5092
| | - Emer M. Brady
- Cardiovascular Sciences, University of Leicester, Leicester LE3 9QP, UK;
- Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester LE5 4PW, UK; (J.J.); (J.T.); (M.J.D.)
| | - Susann Weihrauch-Bluher
- Integrated Research and Treatment Center (IFB) Adiposity Diseases, University of Leipzig, 04103 Leipzig, Germany;
- Department for Operative and Nonoperative Pediatric and Adolescent Medicine, University HospitalHalle (Saale), 06120 Halle (Saale), Germany
| | - Charlotte L. Edwardson
- Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; (C.L.E.); (M.H.); (K.K.)
| | - Laura J. Gray
- Department of Health Sciences, University of Leicester, Leicester LE1 7RH, UK;
| | | | - Janet Jarvis
- Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester LE5 4PW, UK; (J.J.); (J.T.); (M.J.D.)
| | - Kamlesh Khunti
- Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; (C.L.E.); (M.H.); (K.K.)
| | - Itziar Vergara
- Instituto de Investigación en Servicios de Salud Kronikgune, 48902 Barakaldo (Bizkaia), Spain; (I.V.); (I.E.)
- Red de Investigación en Servicios de Salud en Enfermedades Crónicas-REDISSEC, 48902 Barakaldo (Bizkaia), Spain
| | - Irati Erreguerena
- Instituto de Investigación en Servicios de Salud Kronikgune, 48902 Barakaldo (Bizkaia), Spain; (I.V.); (I.E.)
| | - Rogério T. Ribeiro
- Education and Research Department (ERC), APDP-Portuguese Diabetes Association, 1250-189 Lisbon, Portugal;
| | - Jacqui Troughton
- Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester LE5 4PW, UK; (J.J.); (J.T.); (M.J.D.)
| | - Andriani Vazeou
- Diabetes Center, Department of Pediatrics, P&A Kyriakou Children’s Hospital, 115 27 Athens, Greece;
| | - Melanie J. Davies
- Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester LE5 4PW, UK; (J.J.); (J.T.); (M.J.D.)
- NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK
| |
Collapse
|
|
3
|
Alustiza E, Perales A, Mateo-Abad M, Ozcoidi I, Aizpuru G, Albaina O, Vergara I. [Tackling risk factors for type 2 diabetes in adolescents: PRE-STARt study in Euskadi]. An Pediatr (Barc) 2020. [PMID: 33388268 DOI: 10.1016/j.anpedi.2020.11.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION Obesity in the child population and its effect in the development of metabolic diseases are a public health issue. One of the aims of the European Project PRE-STARt in Euskadi, is the evaluation of the effectiveness of a multidisciplinary health promotion program directed at adolescents with risk factors associated with the development of type 2 Diabetes Mellitus (T2DM). PATIENTS AND METHODS Randomised clinical trial with two groups of 12-14 year-old overweight adolescents. The intervention group took part in a multidisciplinary program for 24 months. This program was based on 11 group sessions (8 main sessions and 3 additional support ones) for adolescents and their guardians. The control group received usual care at primary care level. Longitudinal regression models were adjusted to assess the evolution of anthropometric measures and living habits at baseline, 3, 6, 12, and 24 months in both groups. RESULTS There were 92 participants, equally distributed by group. Statistically significant differences were observed between intervention and control groups in several results: evolution of the body mass index; increase in the consumption of fruits and vegetables; decrease in the consumption of snacks and sweetened drinks; and increase in the number of days per week with more than one hour of physical activity. CONCLUSIONS The results confirm the effectiveness of this multidisciplinary program, both in the evolution of the body mass index, and in the improvement of the eating and physical activity habits, all of them risk factors for the future development of metabolic diseases, such as T2DM.
Collapse
Affiliation(s)
- Elena Alustiza
- Osakidetza, Centro de Salud de Egia, Donostia-San Sebastián, Gipuzkoa, España
| | - Amaia Perales
- Consulta de Asesoramiento en Alimentación y Salud, Beasain, Gipuzkoa, España
| | - Maider Mateo-Abad
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barakaldo, Bizkaia, España.
| | - Irene Ozcoidi
- Osakidetza, Centro de Salud de Amara Berri, Donostia-San Sebastián, Gipuzkoa, España
| | - Garbiñe Aizpuru
- Consulta de Dietética y Asesoramiento Nutricional, Donostia, San-Sebastián, Gipuzkoa, España
| | - Olatz Albaina
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, España
| | - Itziar Vergara
- Instituto de Investigación en Servicios de Salud Kronikgune, Barakaldo, Bizkaia, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Barakaldo, Bizkaia, España; Instituto de Investigación Sanitaria Biodonostia, Grupo de Atención Primaria, Donostia-San Sebastián, Gipuzkoa, España
| | | |
Collapse
|