PMID- 31517599
OWN - NLM
STAT- MEDLINE
DCOM- 20200702
LR  - 20200702
IS  - 1545-1151 (Electronic)
IS  - 1545-1151 (Linking)
VI  - 16
DP  - 2019 Sep 12
TI  - Putting the National Diabetes Prevention Program to Work: Predictors of Achieving 
      Weight-Loss Goals in an Employee Population.
PG  - E125
LID - 10.5888/pcd16.190053 [doi]
LID - E125
AB  - INTRODUCTION: Differences in eligibility criteria and intervention 
      characteristics have limited the generalizability of findings from studies of 
      worksite translations of the National Diabetes Prevention Program (DPP). The 
      objective of our study was to identify factors associated with achievement of the 
      DPP's 5% weight-loss goal in the Vanderbilt University Medical Center (VUMC) 
      Faculty and Staff Health and Wellness DPP from 2014 to 2017. METHODS: We analyzed 
      data from a DPP worksite translation that adhered to national standards for 
      program quality and intervention fidelity. We compared baseline characteristics 
      and program metrics for participants who did and did not achieve the program's 5% 
      weight-loss goal, and we developed a multivariable logistic regression model to 
      identify independent predictors of achieving this goal. RESULTS: Of the 165 
      employees enrolled in the DPP from 2014 to 2017, 43.6% (n = 72) met the 5% 
      weight-loss goal. Mean (standard deviation) percentage weight loss for the 
      program was 5.2% (6.0%), or 4.8 (6.0) kg. The median (interquartile range) body 
      mass index at baseline was lower among participants who achieved the 5% 
      weight-loss goal than among those who did not (31.6 [29.4-37.4] vs 34.7 
      [31.5-39.2], P = .009), and participants who achieved the goal reported more 
      physical activity minutes per week (166.0 [135.2-223.0] min vs 128.5 [83.2-169.8] 
      min, P < .001). Session attendance was greater for participants achieving the 5% 
      weight-loss goal (23 [21-25]) sessions vs 18 [12-21] sessions, P < .001). In the 
      adjusted analysis, physical activity and session attendance remained significant 
      predictors of achieving the 5% weight-loss goal. CONCLUSION: Session attendance 
      and physical activity independently predicted achievement of the 5% weight-loss 
      goal in this worksite translation of the DPP. Strategies designed to improve 
      these metrics may increase DPP success rates.
FAU - Chakkalakal, Rosette J
AU  - Chakkalakal RJ
AD  - Department of Medicine, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
AD  - Center for Diabetes Translation Research, Vanderbilt University Medical Center, 
      Nashville, Tennessee.
AD  - Vanderbilt Health and Wellness, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
AD  - Division of General Internal Medicine and Public Health, Department of Medicine, 
      Vanderbilt University Medical Center, 2525 West End Ave, Ste 450, Nashville, TN 
      37232. Email: rosette.j.chakkalakal@vumc.org.
FAU - Connor, Lisa R
AU  - Connor LR
AD  - Vanderbilt Health and Wellness, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - Rolando, Lori A
AU  - Rolando LA
AD  - Department of Medicine, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
AD  - Vanderbilt Health and Wellness, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - Huang, Yi
AU  - Huang Y
AD  - Department of Biostatistics, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - Byrne, Daniel W
AU  - Byrne DW
AD  - Vanderbilt Health and Wellness, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
AD  - Department of Biostatistics, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - Awalt, Bradley M
AU  - Awalt BM
AD  - Vanderbilt Health and Wellness, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - McGown, Paula W
AU  - McGown PW
AD  - Vanderbilt Health and Wellness, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - Aliyu, Muktar H
AU  - Aliyu MH
AD  - Vanderbilt Health and Wellness, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
AD  - Department of Health Policy, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
FAU - Yarbrough, Mary I
AU  - Yarbrough MI
AD  - Department of Medicine, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
AD  - Vanderbilt Health and Wellness, Vanderbilt University Medical Center, Nashville, 
      Tennessee.
LA  - eng
GR  - P30 DK092986/DK/NIDDK NIH HHS/United States
GR  - UL1 TR000445/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20190912
PL  - United States
TA  - Prev Chronic Dis
JT  - Preventing chronic disease
JID - 101205018
SB  - IM
MH  - Diabetes Mellitus/*epidemiology/*prevention & control
MH  - Humans
MH  - *National Health Programs
MH  - *Occupational Health
MH  - Program Evaluation
MH  - United States/epidemiology
MH  - Weight Loss
MH  - *Weight Reduction Programs
PMC - PMC6818132
EDAT- 2019/09/14 06:00
MHDA- 2020/07/03 06:00
PMCR- 2019/01/01
CRDT- 2019/09/14 06:00
PHST- 2019/09/14 06:00 [entrez]
PHST- 2019/09/14 06:00 [pubmed]
PHST- 2020/07/03 06:00 [medline]
PHST- 2019/01/01 00:00 [pmc-release]
AID - E125 [pii]
AID - 19_0053 [pii]
AID - 10.5888/pcd16.190053 [doi]
PST - epublish
SO  - Prev Chronic Dis. 2019 Sep 12;16:E125. doi: 10.5888/pcd16.190053.