Shanghai Community Prediabetes Standardized Management Project

Shanghai 6th People's Hospital2,500 enrolled

Overview

Participants with prediabetes is the key targets for diabetes prevention. So, in order to further strengthen and standardize the management of participants with prediabetes in the communities, the investigators start this project of standardized management of participants with prediabetes in communities of Shanghai. Explore the standardized management model for prediabetes participants within primary healthcare settings in Shanghai, to reduce the risk factors of diabetes, improve the blood glucose control, and the quality of life of participants with prediabetes. Through the collaboration the Shanghai Municipal Center for Disease Control \& Prevention network, this investigators will implement prediabetes screening and lifestyle intervention in around 50 community health service centers in Shanghai. Life-style interventions including exercise and diet, and diabetes prevention knowledge will be integrated into "train-the-trainers" workshops. Trainings will be provided to community health service staff and peer supporters or social workers.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

2,500

Conditions

PreDiabetes

Interventions

Healthy diet, regular exercises and peer supportBEHAVIORAL

After assessing the exercise and nutritional status of the participants, health staff in community health centers implemented personalized healthy diet and regular exercises intervention, including coaching on healthy exercises and developing personalized dietary prescriptions for participants. Besides, peer support is implemented as a self management strategy in community health service centers or community self management groups to enhance the behavioral change support for these participants.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 99 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Chinese residents * Adult age ≥ 18 years old, 35-75 years old preferred * Participants receiving prediabetes management of the basic public health services package in community health centers * BMI≥24 kg/m2 or central obesity (Waist circumference≥90 cm in males，Waist circumference≥85 cm in females) or Hypertension (SBP≥140 mmHg and/or DBP≥90 mmHg) preferred * Signed informed consents and willing to participate Exclusion Criteria: * With serious chronic diseases, tumors, acute and chronic infectious diseases, limb movement disorders, and any mental illnesses * Women during pregnancy or breastfeeding * With excessive drinking or illicit drug use * Unwilling to participate in the project * Histories of severe cardiovascular events (myocardial infarction, stroke, acute coronary syndrome, or transient ischemic attack (TIA))

Locations (53)

Outcomes

Primary Outcomes

Change of BMI from baseline at 12 months

body mass index, using the examination results of height (cm) and weight (kg)

Time frame: Baseline, 12 months

Secondary Outcomes

Change of HbA1c from baseline at 12 months

hemoglobin A1c (%)

Time frame: Baseline, 12 months

Change of Waist circumference from baseline at 12 months

Waist circumference (cm)

Time frame: Baseline, 12 months

Change of Fasting Plasma Glucose from baseline at 12 months

fasting plasma glucose (mmol/L)

Time frame: Baseline, 12 months

Change of Blood Pressure from baseline at 12 months

Blood pressure including systolic blood pressure and diastolic blood pressure (mmHg)

Time frame: Baseline, 12 months

Change of Total Cholesterol from baseline at 12 months

total cholesterol (mmol/L)

Time frame: Baseline, 12 months

Change of Triglyceride from baseline at 12 months

Triglyceride (mmol/L)

Time frame: Baseline, 12 months

Change of High density lipoprotein cholesterol from baseline at 12 months

High density lipoprotein-Cholesterol (mmol/L)

Time frame: Baseline, 12 months

Data from ClinicalTrials.gov

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Anting community health service center