Prediabetic State Clinical Trial
Official title:
Evaluation of a Community Health Program for the Prevention of Type 2 Diabetes and Other Cardio-metabolic Risk Factors in Adults: Districts of Barranquilla and Bogota, Colombia - January 2017 - December 2019
The main aim of this study is to evaluate the feasibility and effectiveness of a program for
modifying lifestyles for diabetes prevention type 2 and control cardio-metabolic risk factors
in adults with different categories of risk from the primary health care strategy.
The project will show the effect of these interventions for the first time in people With
different risk of developing type 2 diabetes throughout the life in populations living in
Colombia Located in 2 different cities, one of them in the interior of the country (districts
of Bogota) and another in the north coast (districts of Barranquilla) .
Cardiovascular disease (CVD) and type 2 diabetes (T2D) are currently the public health
problems fastest growing globally. According to the International Diabetes Federation (IDF)
is estimated to have diabetes approximately 382 million people in the world. It is shown that
early interventions in lifestyle can reduce the burden of type 2 diabetes and factors of
cardiovascular modifiable risk.
This is an intervention study in cluster. 36-month integrated into 4 phases:
1. Design and adaptation of educational intervention
2. Population Screening
3. Stepwise intervention program
4. Evaluation results.
For population screening test FINDRISC validated for the Latin American population will be
employed and a score of 12 will be considered as a cutoff to all who have a score equal to or
greater than 12 (moderate or high risk) they perform a test oral glucose tolerance (OGTT)
according to the results 3 groups will be established
- High risk group: Subjects with FINDRISC score ≥12 and impaired glucose tolerance (IGT)
- Moderate risk group: Subjects with FINDRISC score ≥12 and impaired fasting glucose or
norm tolerant
- Low risk group: Subjects with FINDRISC score <12.
Intervention program: One year of duration, 3 types of programs are established.
- Lifestyle Intervention program_ Communitarian: Intervention program at Community level
with Low risk group.
- Lifestyle Intervention program_ Informative: Program information intervention for the
group with moderate risk.
- Lifestyle Intervention program_ structured: intervention program for members of
high-risk group.
An evaluation of the different variables are studied at baseline and the final of the
intervention in the three groups established.
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