Objective The purpose of this study is to examine the association between delivery of healthcare provider’s advice about lifestyle management and lifestyle behavioural change in pre-diabetes management in adults who ...Objective The purpose of this study is to examine the association between delivery of healthcare provider’s advice about lifestyle management and lifestyle behavioural change in pre-diabetes management in adults who were overweight or obese.Design This cross-sectional study included adults with body mass index(BMI)≥25 kg/m^(2)and reporting pre-diabetes in USA.Outcomes included the prevalence of receiving provider’s advice on lifestyle management and patterns of practicing lifestyle change.The association between delivery of provider’s advice and lifestyle-related behavioural change in pre-diabetes management was examined.Setting US Continuous National Health and Nutrition Examination Survey(2013-2018).Participants A total of 1039 adults with BMI≥25 kg/m^(2)reported pre-diabetes.Results Of eligible adults with pre-diabetes,76.8%received provider’s advice about lifestyle change.The advice group showed higher proportions of ongoing lifestyle change than no advice group,including weight reduction/control(80.1%vs 70.9%,p=0.018),exercise(70.9%vs 60.9%,p=0.013)and diet modifications(83.8%vs 61.8%,p<0.001).After adjustment,those receiving provider’s advice were more likely to increase exercise(OR 1.63,95%CI 1.12 to 2.38)and modify diet(OR 3.0,95%CI 1.82 to 4.96).Conclusion Over 75%of US adults who were overweight or obese and reported pre-diabetes received healthcare provider’s advice about reducing the risk of diabetes through lifestyle change.Provider’s advice increased the likelihood of lifestyle-related behavioural change to exercise and diet.展开更多
文摘Objective The purpose of this study is to examine the association between delivery of healthcare provider’s advice about lifestyle management and lifestyle behavioural change in pre-diabetes management in adults who were overweight or obese.Design This cross-sectional study included adults with body mass index(BMI)≥25 kg/m^(2)and reporting pre-diabetes in USA.Outcomes included the prevalence of receiving provider’s advice on lifestyle management and patterns of practicing lifestyle change.The association between delivery of provider’s advice and lifestyle-related behavioural change in pre-diabetes management was examined.Setting US Continuous National Health and Nutrition Examination Survey(2013-2018).Participants A total of 1039 adults with BMI≥25 kg/m^(2)reported pre-diabetes.Results Of eligible adults with pre-diabetes,76.8%received provider’s advice about lifestyle change.The advice group showed higher proportions of ongoing lifestyle change than no advice group,including weight reduction/control(80.1%vs 70.9%,p=0.018),exercise(70.9%vs 60.9%,p=0.013)and diet modifications(83.8%vs 61.8%,p<0.001).After adjustment,those receiving provider’s advice were more likely to increase exercise(OR 1.63,95%CI 1.12 to 2.38)and modify diet(OR 3.0,95%CI 1.82 to 4.96).Conclusion Over 75%of US adults who were overweight or obese and reported pre-diabetes received healthcare provider’s advice about reducing the risk of diabetes through lifestyle change.Provider’s advice increased the likelihood of lifestyle-related behavioural change to exercise and diet.
