Early lifestyle interventions in people with impaired glucose tolerance in northern Colombia: The DEMOJUAN project

Noël C. Barengo, Tania Acosta, Astrid Arrieta, Carlos Ricaurte, Dins Smits, Karen Florez, Jaakko O. Tuomilehto

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The objective of the demonstration project for type 2 diabetes prevention in the Barranquilla and Juan Mina (DEMOJUAN) study was to investigate the extent to which it is possible to reach normal glucose metabolism with early lifestyle interventions in people at high risk of type 2 diabetes (prediabetes), compared with those who receive standard usual care. Methods: DEMOJUAN was a randomized controlled trial conducted in Juan Mina and Barranquilla, Northern Colombia. Eligible participants were randomized into one of three groups (control group, initial nutritional intervention, and initial physical activity intervention). The duration of the intervention was 24 months. The main study outcome in the present analysis was reversion to normoglycemia. Relative risks and their corresponding 95% confidence intervals were calculated for reversal to normoglycemia and T2D incidence. Results: There was no statistically significant association between the intervention groups and reversion to normoglycemia. The relative risk of reversion to normoglycemia was 0.88 (95% CI 0.70-1.12) for the initial nutritional intervention group participants and 0.95 (95% CI 0.75-1.20) for the initial physical activity intervention group participants. Conclusions: Our study did not find any statistically significant differences in reversion to normoglycemia or the development of type 2 diabetes between the intervention groups and the control group in this population.

Original languageEnglish
Article number1403
JournalInternational Journal of Environmental Research and Public Health
Volume16
Issue number8
DOIs
Publication statusPublished - 2 Apr 2019

Keywords

  • Field trial
  • Glucose metabolism disorders
  • Population
  • Primary prevention
  • South america

Field of Science

  • 3.3 Health sciences

Publication Type

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

Fingerprint Dive into the research topics of 'Early lifestyle interventions in people with impaired glucose tolerance in northern Colombia: The DEMOJUAN project'. Together they form a unique fingerprint.

Cite this