Prediabetic State & High Risk Individuals on the Basis of Diabetes Risk Score
Conditions
Keywords
IFG, IGTT
Brief summary
The Karachi-based Pakistan Diabetes Prevention Study aims to address key issues in the prevention of type 2 diabetes. Approximately 20,000 people From four communities will be screened for diabetes risk factors using a non-invasive diabetes risk-score system. Those found to be at increased risk will be given an oral glucose tolerance test. People who, after the oral glucose tolerance test, are identified as having prediabetes or normal but with risk factors such as raised BMI and/or history of hypertension will have the opportunity to take part in the Pakistan Diabetes Prevention Study lifestyle intervention. This consists of culturally adjusted preventive strategies focusing on diet and physical activity in real-life settings. Another important aspect of this trial will be to assess the impact of urban planning on the prevalence of obesity and diabetes.
Detailed description
The aim of this study is to translate the life style intervention project to prevent diabetes into real life settings in Karachi, Pakistan, home to one sixth of the world's population.
Interventions
BEHAVIORALLife style intervention
The main goals of intervention will focus mainly on: Weight reduction ≥ 5% , moderate intensity physical activity ≥ 30 min daily, dietary fat \<30 proportion of total energy, saturated fat \<10%, Fiber ≥ 15g/1,000 kcal There will be 9 sessions during the two years course of follow-up
Sponsors
International Diabetes Federation
University of Helsinki
Aga Khan University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Intervention versus Control
Eligibility
Sex/Gender
ALL
Age
30 Years to 64 Years
Healthy volunteers
Yes
Inclusion criteria
-Adult men and women between 30-64 years of age
Exclusion criteria
* Diagnosed type 1 or type 2 diabetes * Pregnancy or presence of chronic disease rendering survival for three years unlikely * Any psychological or physical disability to interfere with participation in the study * Ischemic heart disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Type 2 Diabetes | 2 yrs | Incidence of type 2 diabetes based on OGTT, diagnosed by WHO criteria at interim and end of an intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Components of Metabolic syndrome | 2 years | To assess the difference in incidence of components of metabolic syndrom which includes waist circumference, dyslipidimia, blood pressure etc between control and intervention arm after 2 years of lifestyle intervention. |
| The impact of city planning on prevalence of obesity and type 2 diabetes | 2 years | The communities will be divided according to number and accessibility of parks. The community with large number of parks will be compared with community with no parks and then change in incidence of diabetes and obesity after 2 years of lifestyle intervention will be assessed and compared between two communities. By this it would be feasible to convince local authorities to incorporate this into their agenda for future urban design. |
Countries
Pakistan
Outcome results
None listed