Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2006-7-14
pubmed:abstractText
The aim of this study was to examine the effects of a 6-month intensive lifestyle modification intervention on metabolic parameters and carotid intima-media thickness (IMT) in patients with type 2 diabetes mellitus. Fifty-eight subjects with type 2 diabetes mellitus were randomly assigned to the intervention group or the control group. The subjects in the intervention group participated in a 16-week intensive lifestyle modification program and subsequent monthly meetings during the 6-month study period. Control subjects received basic dietary education and usual care. Anthropometric data, metabolic parameters, and carotid IMT were examined before the intervention and after 6 months. Lifestyle modification intervention group patients showed a significant reduction in HbA1c (-1.0% +/- 1.3% vs +0.1% +/- 1.2%, P = .002), fasting blood glucose (-1.6 +/- 1.5 vs +0.3 +/- 2.5 mmol/L, P = .001), and 2-hour postprandial plasma glucose (-2.1 +/- 2.5 vs +0.8 +/- 4.4 mmol/L, P = .003) compared with control patients after 6 months. Body weight (-2.0 +/- 2.6 vs +0.2 +/- 1.7 kg, P = .001), body mass index (-0.8 +/- 1.0 vs 0.0 +/- 0.8 kg/m2, P = .003), and systolic blood pressure (-8.2 +/- 15.9 vs +0.4 +/- 14.1 mm Hg, P = .041) were significantly decreased in the intervention group. A significantly reduced carotid mean IMT progression was seen in the intervention group after 6 months (-0.040 +/- 0.136 vs +0.083 +/- 0.167 mm, P = .007). Changes in HbA1c (r = 0.34, P = .028), fasting plasma glucose (r = 0.31, P = .045), and 2-hour postprandial plasma glucose (r = 0.37, P = .015) correlated with the mean carotid IMT change after adjustment for age and sex. In conclusion, a 6-month intensive lifestyle modification intervention in patients with type 2 diabetes mellitus resulted in improved glycemic control and decreased progression of carotid IMT.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0026-0495
pubmed:author
pubmed:issnType
Print
pubmed:volume
55
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1053-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16839841-Aged, pubmed-meshheading:16839841-Anthropometry, pubmed-meshheading:16839841-Behavior Therapy, pubmed-meshheading:16839841-Blood Glucose, pubmed-meshheading:16839841-Blood Pressure, pubmed-meshheading:16839841-Body Weight, pubmed-meshheading:16839841-Carotid Arteries, pubmed-meshheading:16839841-Diabetes Mellitus, Type 2, pubmed-meshheading:16839841-Diet, pubmed-meshheading:16839841-Dyslipidemias, pubmed-meshheading:16839841-Echocardiography, pubmed-meshheading:16839841-Exercise, pubmed-meshheading:16839841-Female, pubmed-meshheading:16839841-Humans, pubmed-meshheading:16839841-Hypoglycemic Agents, pubmed-meshheading:16839841-Life Style, pubmed-meshheading:16839841-Male, pubmed-meshheading:16839841-Middle Aged, pubmed-meshheading:16839841-Obesity, pubmed-meshheading:16839841-Patient Compliance, pubmed-meshheading:16839841-Treatment Outcome
pubmed:year
2006
pubmed:articleTitle
Effects of lifestyle modification on metabolic parameters and carotid intima-media thickness in patients with type 2 diabetes mellitus.
pubmed:affiliation
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
pubmed:publicationType
Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't