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Open AccessArticle

Socio-Demographic Characteristics and Body Weight Perceptions of Study Participants Benefitting Most from the Feel4Diabetes Program Based on Their Anthropometric and Glycaemic Profile Changes

1
Department of Dietetics, Nutrition and Sport, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia
2
Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17671 Athens, Greece
3
National and Kapodistrian University of Athens Medical School, 11527 Athens, Greece
4
Department of Public Health Solutions, Finnish Institute for Health and Welfare, 00271 Helsinki, Finland
5
Growth, Exercise, Nutrition and Development (GENUD) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Universidad de Zaragoza, 50009 Zaragoza, Spain
6
Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, 28029 Madrid, Spain
7
Department of Paediatrics, Medical University Varna, 9002 Varna, Bulgaria
8
Clinical Center of Endocrinology, Department of Diabetology, Medical University Sofia, 1431 Sofia, Bulgaria
9
Hungarian Society of Nutrition, 1088 Budapest, Hungary
10
Department of Movement and Sports Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Gent, Belgium
*
Author to whom correspondence should be addressed.
Nutrients 2020, 12(10), 3117; https://doi.org/10.3390/nu12103117
Received: 10 September 2020 / Revised: 7 October 2020 / Accepted: 8 October 2020 / Published: 13 October 2020
The Feel4Diabetes program was comprised of a community-based screening and a two-year intervention phase aiming to prevent type 2 diabetes (T2D) in families at risk for diabetes across Europe. The current work aimed to identify the socio-demographic characteristics and body weight perceptions of participants who benefitted the most, achieving at least a 5% reduction in body weight, waist circumference and glycaemic indices (fasting plasma glucose, insulin, glycosylated haemoglobin levels), over two-year period. Following a two-stage screening procedure, 2294 high-risk parents were randomly allocated to standard care or more intensive intervention. The participants who benefitted most were living in Southern (OR 2.39–3.67, p < 0.001) and Eastern Europe (OR 1.55–2.47, p < 0.05), received more intensive intervention (OR 1.53–1.90, p = 0.002) and were younger (<40 years old) adults (OR 1.48–1.51, p < 0.05). Furthermore, individuals with tertiary education (OR 2.06, p < 0.001), who were unemployed (OR 1.62–1.68, p < 0.05) and perceived their body weight to be higher than normal (OR 1.58–3.00, p < 0.05) were more likely to benefit from the program. Lastly, males were more likely to show improvements in their glycaemic profiles compared to females (OR 1.40, p = 0.024). These findings point out the regions in Europe and the sociodemographic profile of individuals that benefitted the most in the current study, highlighting the need to prioritise regions in greater need for such interventions and also tailor future interventions to the characteristics and perceptions of the target populations. View Full-Text
Keywords: Feel4Diabetes; lifestyle intervention; prevention; type 2 diabetes; obesity; glycaemic indices; glucose; community; school; families Feel4Diabetes; lifestyle intervention; prevention; type 2 diabetes; obesity; glycaemic indices; glucose; community; school; families
MDPI and ACS Style

Moschonis, G.; Karatzi, K.; Apergi, K.; Liatis, S.; Kivelä, J.; Wikström, K.; Ayala-Marín, A.M.; Mateo-Gallego, R.; Tsochev, K.; Chakarova, N.; Antal, E.; Rurik, I.; Iotova, V.; Cardon, G.; Lindstrom, J.; Moreno, L.A.; Makrilakis, K.; Manios, Y., on behalf of the Feel4Diabetes-Study Group; Socio-Demographic Characteristics and Body Weight Perceptions of Study Participants Benefitting Most from the Feel4Diabetes Program Based on Their Anthropometric and Glycaemic Profile Changes. Nutrients 2020, 12, 3117.

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