Adherence
A community-based lifestyle intervention program (standard care or intensive) improves lipidemic profiles (cholesterol, triglycerides, HDL) in adults at high risk for type 2 diabetes, with greater effectiveness observed in women, those with higher socioeconomic status, and residents of Southeastern Europe.
If you are at high risk for diabetes, a simple annual health check and counseling session can significantly improve your cholesterol and triglycerides, often matching the results of more intensive programs. However, if you are overweight, live in a region with fewer resources, or struggle with emotional eating and underestimating your weight, you may need more targeted support to see these benefits.
Women, people living in Southeastern Europe, coming from two-parent families, having higher financial security, educational level and better diet quality were associated with a 27–64% higher likelihood for benefiting from the program regarding one or more of their lipidemic profile indices.
Why this rating
Large sample size (n=1773), multi-center RCT design, but relies on self-reported behavioral data for some covariates.
Source
Lipidemic Profile Changes over a Two-Year Intervention Period: Who Benefited Most from the Feel4Diabetes Program?
Kalliopi Karatzi et al. · Nutrients · 2020
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