Comparative Effectiveness of 2 Diabetes Prevention Lifestyle Programs in the Workplace: The City and County of San Francisco Diabetes Prevention Trial
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Comparative Effectiveness of 2 Diabetes Prevention Lifestyle Programs in the Workplace: The City and County of San Francisco Diabetes Prevention Trial

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  • English
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    • Alternative Title:
      Prev Chronic Dis
    • Personal Author:
    • Description:
      Introduction

      Data on the comparative effectiveness of Diabetes Prevention Programs (DPPs) in the workplace are limited.

      Methods

      Between September 2015 and July 2016, employees of the City and County of San Francisco who were at risk for type 2 diabetes (N = 158) were randomly assigned to one of 2 DPP-derived programs recognized by the Centers for Disease Control and Prevention: an in-person YMCA-DPP (n = 78) or an online virtual lifestyle management DPP (VLM-DPP) offered through Canary Health (n = 80). The primary outcome was change in body weight assessed at 6 and 12 months. Follow-up ended in August 2017.

      Results

      Both the YMCA-DPP and VLM-DPP yielded a significant reduction in percentage body weight at 6 months. For the YMCA-DPP, mean percentage change at 6 months was −2.70% (95% confidence interval [CI], −3.91% to −1.48%) and at 12 months was −2.46% (95% CI, −4.24% to −0.68%). For the VLM-DPP, mean percentage change at 6 months was −2.41% (95% CI, −4.07% to −0.77%) and at 12 months was −1.59% (95% CI, −3.51% to 0.33%). The mean between-condition difference at 6 months was −0.25% (95% CI, −2.04% to 1.55%) and at 12 months was −0.84% (95% CI, −3.03% to 1.34%). No significant differences were observed between conditions.

      Conclusion

      Both the YMCA-DPP and VLM-DPP yielded weight loss at 6 months, which was maintained at 12 months in the YMCA-DPP. The workplace may be an effective setting to offer DPPs.

    • Subjects:
    • Source:
      Prev Chronic Dis. 2020; 17
    • Pubmed ID:
      32463786
    • Pubmed Central ID:
      PMC7279062
    • Document Type:
      Journal Article
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