Primary analysis of the Mandarin-speaking sub-study within the Sydney diabetes prevention program

Cecilia Y Taing; Alice A Gibson; Stephen Colagiuri; Philip Vita; Magnolia Cardona-Morrell; Adrian Bauman; Michael Moore; Mandy Williams; Andrew Milat; Jacky Hony; Sophia Lin; Melissa Gwizd; Maria A Fiatarone Singh

doi:10.1016/j.diabres.2017.07.032

Primary analysis of the Mandarin-speaking sub-study within the Sydney diabetes prevention program

Diabetes Res Clin Pract. 2017 Oct:132:118-126. doi: 10.1016/j.diabres.2017.07.032. Epub 2017 Aug 7.

Authors

Affiliations

¹ The University of Sydney, Exercise, Health and Performance Faculty Research Group, Lidcombe, NSW 2141, Australia. Electronic address: ctai5110@uni.sydney.edu.au.
² The University of Sydney, The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Sydney, NSW 2006, Australia; The University of Sydney, Charles Perkins Centre, Sydney, NSW 2006, Australia.
³ The University of Sydney, The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Sydney, NSW 2006, Australia.
⁴ The University of New South Wales, The Simpson Centre for Health Services Research, South Western Sydney Clinical School, Sydney, NSW 1466, Australia.
⁵ The University of Sydney, Charles Perkins Centre, Sydney, NSW 2006, Australia; The University of Sydney, Prevention Research Collaboration, School of Public Health, Sydney, NSW 2006, Australia.
⁶ Inner West Sydney Medicare Local, Ashfield, NSW 2131, Australia.
⁷ South Western Sydney Local Health District, Liverpool, NSW 2170, Australia.
⁸ New South Wales Ministry of Health, North Sydney, NSW 2060, Australia; The University of Sydney, Sydney Medical School, Sydney, NSW 2006, Australia.
⁹ The University of Sydney, Exercise, Health and Performance Faculty Research Group, Lidcombe, NSW 2141, Australia; The University of Sydney, Charles Perkins Centre, Sydney, NSW 2006, Australia; The University of Sydney, Sydney Medical School, Sydney, NSW 2006, Australia; Hebrew SeniorLife and Jean Mayer USDA Human Nutrition Center on Aging at Tufts University, Boston, MA 02111, USA.

PMID: 28834772
DOI: 10.1016/j.diabres.2017.07.032

Abstract

Aim: There is strong and consistent evidence from large scale randomised controlled trials that type 2 diabetes can be prevented or delayed through lifestyle modification which improves diet quality, increases physical activity and achieves weight loss in people at risk. Worldwide, the prevalence of type 2 diabetes is increasing in individuals of Chinese descent. Culturally tailored programs are required to address the risk in the Chinese population. This paper analyses effectiveness of a culturally tailored community-based lifestyle modification program (Sydney Diabetes Prevention Program (SDPP)) targeting Mandarin speakers. The SDPP was a 12 month translational study aiming to promote increased physical activity and dietary changes. Effectiveness was assessed through the improvement of anthropometric, metabolic, physical activity and dietary outcomes and number of goals met.

Methods: Seventy-eight Mandarin-speaking participants at a high risk (Australian Diabetes Risk, AUSDRISK≥15) of developing diabetes were recruited for this study.

Results: In this cohort, waist circumference, total cholesterol and fat intake significantly improved at the 12-month review. In comparison to the English-speaking stream, the Mandarin-speaking stream achieved fewer improvements in outcomes and goals.

Conclusion: The SDPP was not effective in reducing the risk factors associated with developing type 2 diabetes in this cohort of high risk Mandarin-speaking individuals living in Sydney.

Keywords: Diabetes prevention; Lifestyle modification; Primary health care setting; Translational study.

MeSH terms

Aged
Australia
Diabetes Mellitus, Type 2 / epidemiology
Diabetes Mellitus, Type 2 / prevention & control*
Healthy Lifestyle*
Humans
Language
Male
Middle Aged
Risk Factors