Objectives: Although clinicians do not routinely screen for diabetic retinopathy in non-diabetic patients, previous studies have shown that diabetic retinopathy can occur in patients with prediabetes. However, due to the limitations of glycated hemoglobin (HbA1c) in overweight/obese subjects, African-Americans and older adults, little is known about the correlation between HbA1c and diabetic retinopathy in non-diabetic older overweight/obese African-Americans. The aims of this study were to determine the association between HbA1c and diabetic retinopathy, and the optimal diagnostic threshold of HbA1c that predicts diabetic retinopathy in non-diabetic older overweight/obese African-Americans.
View Article and Find Full Text PDFHighlights: The combined use of fasting plasma glucose and hemoglobin A1c test is associated with significantly higher diagnostic rates of prediabetes across age, race/ethnicity, and BMI than using only one test.Combined use of fasting plasma glucose, hemoglobin A1c, and oral glucose tolerance test do not improve the overall and gender-specific prediabetes prevalence beyond what is observed using a combination fasting plasma glucose and hemoglobin A1c test.A redefined hemoglobin A1c test that incorporates racial/ethnic, gender, age, and BMI differences may provide a better way to use hemoglobin A1c test in population-based and clinical settings.
View Article and Find Full Text PDFObjectives: Developing community-based and culturally congruent weight loss maintenance programs is an important component of weight reduction interventions in high-risk populations. This qualitative investigation was conducted to guide development of faith-based weight maintenance programs for African American church members.
Design: Twenty African American church members who previously participated in a church-based group weight loss program were recruited to participate in focus groups.
Background: The purpose of this study is to determine: (i) the concordance between a combination of hemoglobin A(1c) (Hb(A1c)) and fasting plasma glucose (FPG) (Hb(A1c) + FPG) and a combination of FPG and 2-h plasma glucose (2hPG) (FPG + 2hPG); and (ii) whether substituting FPG + 2hPG with Hb(A1c) + FPG can enhance the detection of prediabetes in diabetes-free non-Hispanic Whites, non-Hispanic Blacks, and Mexican-Americans adults.
Methods: Data (n = 1376) from the 2007 to 2008 U.S.
Aim: To characterize trends and clustering of cardiometabolic risk factors in 12-17-year-old non-Hispanic white, non-Hispanic black (NHB), Mexican-American (MA), and multiracial American (MRA) adolescents.
Methods: Data from the 1999-2000 to 2007-2008 U.S.
Purpose: The purpose of this study was to examine whether diabetes free healthy non-Hispanic Whites (NHW), non-Hispanic Blacks (NHB), and Mexican-Americans (MA) who are told of their diabetes risk were more likely to adopt healthy lifestyle behavior defined as current weight control, physical activity and reduced fat/calories intake than those who were not told that they were at increased risk.
Methods: A nationally representative data (n=5073) from the 2007-2008 U.S.
Objective: To translate the Diabetes Prevention Program (DPP) for delivery in African American churches.
Methods: Two churches participated in a 6-week church-based DPP and 3 churches participated in a 16-week church-based DPP, with follow-up at 6 and 12 months. The primary outcomes were changes in fasting glucose and weight.
Purpose: Although continuous values of metabolic syndrome risk scores (cMetS) has been suggested for modeling the association between potential risk factors and metabolic syndrome (MetS) in young people, the construct validity of cMetS has not been sufficiently examined in a representative sample of youngsters. This study examined: (i) sex and race/ethnic-specific optimal cut-off points of cMetS that are associated with MetS and (ii) the construct validity of cMetS in 12- to 19-year old non-Hispanic white (NHW), non-Hispanic black (NHB), and Mexican-American (MA) subjects.
Methods: Data (n = 1239) from the 2003 to 2004 and 2005 to 2006 National Health and Nutrition Examination Surveys were used in this study.
The objective of this study was to determine independent and joint association of body mass index (BMI) percentile and leisure time physical activity (LTPA) with continuous metabolic syndrome (cMetS) risk score in 12- to 17-year-old American children. The 2003 to 2004 US National Health and Nutrition Examination Survey data were used for this investigation. LTPA was determined by self-report.
View Article and Find Full Text PDFPurpose: This study explored church members' perspectives regarding implementation of a church-based diabetes prevention program (CBDPP) within African American churches.
Methods: Qualitative exploration of themes associated with planning for program implementation and good program outcomes was conducted using a series of four focus groups in churches located in the southeastern United States. Three of these focus groups were conducted with church leaders during the planning phases of program initiation and one focus group involved program participants who had realized the most weight loss and decrease in fasting glucose.
J Public Health Manag Pract
February 2008
Aim: The purpose of this study was to translate the National Institutes of Health (NIH)-Diabetes Prevention Program (DPP) into a church-based setting.
Methods: The lifestyle arm of the NIH-DPP was implemented in an African American Baptist church. Church members 18 years or older completed a risk screen during Sunday service followed by fasting glucose (FG) testing at the church during the week.
Objective: To demonstrate how simple screening methods can be used to define modifiable lifestyle risk factors in primary care settings and educate clinicians regarding ethnic and gender differences in risk factor profiles.
Design: Observational study
Participants: 3286 patients (1613 African Americans, 1673 non-Hispanic Whites)
Intervention: Lifestyle risk factor assessment using nine-question health habits questionnaire and vital signs measurement.
Main Outcome Measures: Rates of tobacco use, risky drinking, obesity, and inactivity
Results: 29.
Objectives: The purpose of this study was to determine the feasibility of implementing a diabetes prevention program (DPP) in a rural African-American church.
Methods: A six-session DPP, modeled after the successful National Institutes of Health (NIH) DPP, was implemented in a rural African-American church. Adult members of the church identified as high risk for diabetes, based on results of a risk questionnaire, were screened with a fasting glucose.
Diabetes Res Clin Pract
October 2007
Objective: Previous research has determined that nurse-based diabetes risk assessment increases screening and preventive services for patients at risk for type 2 diabetes. This pilot study tested the impact of a diabetes risk assessment completed by patients without nursing assistance.
Research Design And Methods: Patients from a family medicine residency clinic completed an American Diabetes Association Risk Assessment questionnaire.
Diabetes Res Clin Pract
January 2007
Objective: To determine the impact of a simple nurse-based prompt on fasting glucose screening and counseling regarding diet, exercise and weight loss to persons at increased risk for type 2 diabetes.
Research Design And Methods: Patients at risk for diabetes were recruited from 10 primary care practices. Nurses were trained to score a diabetes risk assessment and prompt providers concerning all high-risk subjects.
Purpose: Although the prevalence of diabetes among various racial/ethnic groups has been well studied, little is known about the racial/ ethnic differences in Hemoglobin A1c (HbA1c) in diagnosed and undiagnosed diabetes. HbA1c correlates with morbidity and mortality in diabetes. Knowledge of the racial/ethnic differences in HbA1c would impact screening and intervention in primary care settings.
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