A family-based lifestyle programme to reduce the risk of developing Type 2 Diabetes in the future (PRE-STARt): A pilot randomised controlled trial (RCT)
ISPAH ePoster Library. Edwardson C. Oct 16, 2018; 225236; 218
Charlotte Edwardson
Charlotte Edwardson
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Abstract Introduction:<\b>
Younger populations are being diagnosed with type 2 diabetes (T2DM) due to increases in obesity and physical inactivity. Early intervention is needed. PRE-STARt is a lifestyle programme for young people at risk of T2DM and their parents/guardians. The aim was to conduct a pilot RCT of the PRE-STARt programme. . Methods:<\b>
Families were recruited from the community in Leicester, UK. PRE-STARt involved 8x90 minute group workshops (what it means to be healthy, physical activity, sitting, a balanced diet, healthier breakfast, snacks, treats and fast food). A physical activity tracker (Garmin Vivofit3) was provided to self-monitor activity. Demographics, biomedical, anthropometrics and lifestyle behaviour (including objectively measured physical activity) were measured at baseline, 3 and 6 months. Results:<\b>
54 families were recruited (27 intervention, 27 control; adolescent mean age: 13.15±0.73 years, 52% female, 37% white; 61% overweight and obese). 33% families attended all workshops, 63% attended half and 22% did not attend any. 67% and 60% of families were assessed at 3 and 6 months respectively. ≥93% of participants provided ≥ 4 valid days of accelerometer data at each time point. This study was not powered to detect differences in outcomes but there were trends towards differences between groups in moderate-to-vigorous physical activity (MVPA), sitting time, snack and fruit and vegetable consumption. Attendance data for change in MVPA indicated a dose response. Conclusion:<\b>
Young people and their families can be recruited but workshop attendance and retention was challenging. The data point to trends in positive changes in health behaviours. External funding details European Commission
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