Table 2 Results of the primary and secondary endpoints after 6 and 12 months
Parameters | Mean (s.d.; n) | Difference between lifestyle intervention and usual care | ||||
---|---|---|---|---|---|---|
Lifestyle intervention | Usual care | |||||
Visit | Change from baseline | Visit | Change from baseline | Mean (95% CI; n) | P value | |
HbA1c (%) | ||||||
Baseline | 6.79 (0.89; 248) | – | 6.92 (0.97; 248) | – | – | – |
6 months | 6.68 (0.85; 200) | −0.13 (0.61; 197) | 6.78 (0.78; 193) | 0.00 (0.59; 193) | −0.13 (−0.25 to −0.01; 390) | 0.04 |
12 months | 6.84 (0.86; 180) | 0.03 (0.72; 178) | 6.85 (0.84; 174) | 0.04 (0.67; 174) | −0.01 (−0.16 to 0.14; 352) | 0.90 |
Body weight (kg) | ||||||
Baseline | 92.2 (17.4; 251) | – | 91.4 (15.9; 248) | – | – | – |
6 months | 90.0 (17.3; 201) | −2.2 (3.7; 201) | 91.2 (15.5; 196) | −0.8 (3.2; 196) | −1.4 (−2.1 to −0.8; 397) | <0.001 |
12 months | 89.4 (17.5; 187) | −2.2 (4.9; 187) | 90.5 (15.8; 183) | −1.5 (4.3; 183) | −0.8 (−1.7 to 0.2; 370) | 0.12 |
Waist circumference (cm) | ||||||
Baseline | 107.8 (13.0; 243) | – | 108.0 (11.9; 237) | – | – | – |
6 months | 106.3 (13.2; 189) | −1.5 (5.0; 187) | 107.5 (12.0; 192) | −0.7 (5.3; 184) | −0.7 (−1.8 to 0.3; 371) | 0.18 |
12 months | 106.8 (13.0; 174) | −0.6 (5.5; 169) | 107.1 (12.6; 171) | −1.4 (6.1; 165) | 0.8 (−0.4 to 2.1; 334) | 0.20 |
Systolic blood pressure (mm Hg) | ||||||
Baseline | 137 (17; 251) | – | 138 (18; 248) | – | – | – |
6 months | 133 (17; 201) | −5 (16; 201) | 135 (17; 195) | −2 (18; 195) | −2 (−6 to 1; 396) | 0.17 |
12 months | 136 (19; 180) | −1.2 (18.4; 180) | 135 (16; 175) | −2 (18; 175) | 1 (−3 to 4; 355) | 0.77 |
Diastolic blood pressure (mm Hg) | ||||||
Baseline | 78 (10; 251) | – | 80 (10; 248) | – | – | – |
6 months | 78 (9; 201) | 0 (10; 201) | 78 (10; 195) | −1 (11; 195) | 0 (−2 to 3; 396) | 0.63 |
12 months | 79 (10; 180) | 1 (11; 180) | 78 (10; 175) | −1 (11; 175) | 2 (−1 to 4; 355) | 0.14 |
HDL cholesterol (mg dl−1) | ||||||
Baseline | 48 (14; 250) | – | 47 (12; 248) | – | – | – |
6 months | 49 (14; 200) | 1 (12; 199) | 46 (12; 194) | 0 (8; 194) | 2 (0–4; 393) | 0.12 |
12 months | 49 (12; 179) | 0 (10; 179) | 46.9 (11.8; 175) | 0.6 (6.6; 175) | −0.4 (−2.2 to 1.4; 354) | 0.64 |
LDL cholesterol (mg dl−1) | ||||||
Baseline | 91 (36; 250) | – | 93 (32; 246) | – | – | – |
6 months | 84 (30; 200) | −5 (23; 199) | 87 (34; 194) | −6 (26; 192) | 1 (−4 to 6; 391) | 0.69 |
12 months | 78 (28; 179) | −10 (31; 179) | 85.7 (34.6; 175) | −8.3 (29.9; 173) | −1.6 (−8.0 to 4.7; 352) | 0.61 |
Triglycerides (mg dl−1) | ||||||
Baseline | 177 (101; 249) | – | 188 (98; 248) | – | – | – |
6 months | 158 (84; 200) | −22 (72; 198) | 178 (109; 194) | −10 (79; 194) | −12 (−27 to 3; 392) | 0.12 |
12 months | 157 (85; 178) | −15 (74; 177) | 176 (115; 174) | −11 (89; 174) | −4 (−21 to 14; 351) | 0.68 |
SF-36 physical component score (QoL)a | ||||||
Baseline | 43.9 (10.2; 202) | – | 45.1 (9.3; 191) | – | – | – |
6 months | 46.5 (9.4; 157) | 0.9 (8.3; 133) | 46.9 (9.2; 163) | 1.4 (6.2; 128) | −0.5 (−2.3 to 1.3; 261) | 0.58 |
12 months | 46.7 (9.3; 150) | 2.0 (8.3; 123) | 45.6 (10.2; 147) | 0.7 (8.0; 121) | 1.3 (−0.7 to 3.4; 244) | 0.20 |
SF-36 mental component score (QoL)a | ||||||
Baseline | 52.0 (9.3; 202) | – | 52.5 (9.0; 191) | – | – | – |
6 months | 53.0 (8.6; 157) | 1.0 (8.2; 133) | 51.1 (9.3; 163) | −1.6 (7.3; 128) | 2.7 (0.8–4.6; 261) | 0.006 |
12 months | 51.4 (10.4; 150) | −0.6 (8.7; 123) | 51.3 (10.0; 147) | −1.9 (8.8; 121) | 1.3 (−0.9 to 3.5; 244) | 0.23 |
HLS-EU-Q16—health literacyb | ||||||
Baseline | 12.2 (3.6; 232) | – | 12.6 (3.0; 227) | – | – | – |
6 months | 12.5 (3.5; 181) | 0.5 (3.1; 171) | 12.5 (3.0; 177) | −0.1 (2.6; 166) | 0.6 (0.0–1.2; 337) | 0.04 |
12 months | 12.6 (3.2; 167) | 0.5 (3.1; 158) | 12.7 (3.2; 156) | 0.0 (2.8; 147) | 0.5 (−0.2 to 1.2; 305) | 0.14 |
TFEQ—cognitive restraint of eatingc | ||||||
Baseline | 7.6 (4.1; 232) | – | 7.8 (3.7; 225) | – | – | – |
6 months | 8.9 (4.4; 185) | 1.2 (3.3; 175) | 7.6 (3.7; 176) | 0.2 (3.5; 161) | 1.1 (0.3–1.8; 336) | 0.005 |
12 months | 8.4 (4.2; 169) | 0.9 (3.4; 159) | 7.8 (3.9; 159) | 0.2 (3.1; 147) | 0.7 (0.0–1.4; 306) | 0.06 |
TFEQ—disinhibitiond | ||||||
Baseline | 4.4 (2.9; 234) | – | 4.7 (3.0; 228) | – | – | – |
6 months | 4.2 (2.7; 188) | −0.4 (1.9; 178) | 4.5 (2.9; 178) | −0.1 (2.0; 166) | −0.2 (−0.6 to 0.2; 344) | 0.32 |
12 months | 4.0 (2.7; 169) | −0.5 (1.9; 159) | 4.1 (2.7; 161) | −0.5 (2.1; 151) | −0.1 (−0.5 to 0.4; 310) | 0.81 |
TFEQ—hungere | ||||||
Baseline | 3.5 (2.9; 235) | – | 3.9 (3.0; 228) | – | – | – |
6 months | 3.2 (2.7; 189) | −0.5 (2.0; 180) | 3.5 (3.0; 179) | −0.6 (2.0; 166) | 0.1 (−0.3 to 0.5; 346) | 0.61 |
12 months | 3.2 (2.7; 169) | −0.6 (2.1; 160) | 3.2 (2.9; 161) | −0.6 (2.1; 151) | 0.1 (−0.4 to 0.5; 311) | 0.80 |
IPAQ—MET min | ||||||
Baseline | 3,922 (2,964; 109) | – | 3,173 (2,869; 119) | – | – | – |
6 months | 5,364 (3,592; 98) | 1,447 (2,997; 56) | 4,240 (3,568; 100) | 1,129 (3,652; 56) | 317 (−934 to 1,568; 112) | 0.62 |
12 months | 5,092 (3,899; 98) | 808 (4,060; 54) | 3,906 (3,048; 97) | 925 (2,781; 54) | −117 (−1,445 to 1,211; 108) | 0.86 |
Daily steps | ||||||
Baseline | 5,617 (3,195; 179) | – | 5,761 (3,131; 151) | – | – | – |
6 months | 6,112 (3,320; 151) | 270 (2,726; 136) | 5,833 (3,668; 144) | −49 (2,861; 119) | 319 (−370 to 1,009; 255) | 0.36 |
12 months | 5,987 (3,298; 105) | −132 (2,971; 92) | 5,540 (3,581; 118) | −241 (3,003; 95) | 109 (−753 to 971; 187) | 0.80 |