Impact of Skills for Change Program on metabolic control, diet and physical activity levels in adults with type 2 diabetes: A cluster randomized trial Article Swipe
Habiba I. Ali
,
Latifa Baynouna AlKetbi
,
Carine Platat
,
Hanan Abdl El Baki
,
Fadima Elmi
,
Wissam H. Ibrahim
,
Taoufik Zoubeidi
,
Ayesha S. Al Dhaheri
,
Leila Cheikh Ismail
,
Maryam Naveed Muhammad Tariq
,
Usama Souka
,
Javed Yasin
,
Lily Stojanovska
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0304639
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pone.0304639
Background Type 2 diabetes mellitus is highly prevalent in the Arab Gulf countries. Despite this, limited culturally-adapted lifestyle intervention studies have been conducted in this region. Methods In this culturally adapted 12-month cluster randomized trial, 382 patients with type 2 diabetes, aged 20–70 years were recruited from 6 public healthcare centers (3 interventions and 3 controls) in Al Ain, United Arab Emirates. The primary outcome of this study was a change in hemoglobin A1c (HbA1c). The secondary outcomes were Body Mass Index (BMI), low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides, total cholesterol, dietary intake, and physical activity levels. A diet and physical activity intervention, guided by the social cognitive theory, was delivered individually and in group format to the intervention group. The control group continued receiving only their usual diabetes management care. The data were collected at baseline and 1 year after participation. Results The mean baseline HbA1c levels of the control and the intervention groups were 7.45 ± 0.11% and 7.81 ± 0.11%, respectively. At the end of the 12-month intervention, there was no significant difference in the changes of mean HbA1c between the intervention and the control groups. On the other hand, BMI and daily caloric intake were significantly decreased in the intervention compared to the control group by 1.18 kg/m2 (95% CI: -1.78 − -0.60) and 246 kcal (95% CI: -419.52 − -77.21), respectively, after controlling for age, gender, education, marital status, duration since diabetes diagnosis, diabetes treatment, treatment clinic, and baseline values. Sitting time during the week-end was significantly lower, difference 52.53 minutes (95% CI: 93.93 − -11.14). Conclusions This community-based lifestyle intervention for patients with baseline HbA1c <8% did not result in a significant decrease of HbA1c but reduced caloric intake, body weight, and weekend inactivity after controlling for the covariates. Trial registration This trial was registered on February 11, 2020 with Clinicaltrials.gov ( NCT04264793 ).
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pone.0304639
- https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0304639&type=printable
- OA Status
- gold
- Cited By
- 2
- References
- 49
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399204130
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4399204130Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1371/journal.pone.0304639Digital Object Identifier
- Title
-
Impact of Skills for Change Program on metabolic control, diet and physical activity levels in adults with type 2 diabetes: A cluster randomized trialWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-31Full publication date if available
- Authors
-
Habiba I. Ali, Latifa Baynouna AlKetbi, Carine Platat, Hanan Abdl El Baki, Fadima Elmi, Wissam H. Ibrahim, Taoufik Zoubeidi, Ayesha S. Al Dhaheri, Leila Cheikh Ismail, Maryam Naveed Muhammad Tariq, Usama Souka, Javed Yasin, Lily StojanovskaList of authors in order
- Landing page
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https://doi.org/10.1371/journal.pone.0304639Publisher landing page
- PDF URL
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https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0304639&type=printableDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0304639&type=printableDirect OA link when available
- Concepts
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Type 2 diabetes, Randomized controlled trial, Physical activity, Metabolic control analysis, Cluster (spacecraft), Diabetes mellitus, Cluster randomised controlled trial, Medicine, Gerontology, Biology, Physical therapy, Internal medicine, Endocrinology, Computer science, Programming languageTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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49Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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