Predicting changes in lifestyle and clinical outcomes in preventing diabetes: The Greater Green Triangle Diabetes Prevention Project

Laatikainen, T; Philpot, B; Hankonen, N; Sippola, R; Dunbar, JA; Absetz, P; Reddy, P; Davis-Lameloise, N; Vartiainen, E

Predicting changes in lifestyle and clinical outcomes in preventing diabetes: The Greater Green Triangle Diabetes Prevention Project

Laatikainen, T Philpot, B Hankonen, N Sippola, R Dunbar, JA Absetz, P Reddy, P

Davis-Lameloise, N Vartiainen, E

Permalink

Publication Type:: Journal Article
Citation:: Preventive Medicine, 2012, 54 (2), pp. 157 - 161
Issue Date:: 2012-02-01

Closed Access

	Filename	Description	Size
	1-s2.0-S0091743511005135-main.pdf	Submitted Version	396 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Laatikainen, T	en_US
dc.contributor.author	Philpot, B	en_US
dc.contributor.author	Hankonen, N	en_US
dc.contributor.author	Sippola, R	en_US
dc.contributor.author	Dunbar, JA	en_US
dc.contributor.author	Absetz, P	en_US
dc.contributor.author	Reddy, P https://orcid.org/0000-0002-0709-9352	en_US
dc.contributor.author	Davis-Lameloise, N	en_US
dc.contributor.author	Vartiainen, E	en_US
dc.date.available	2011-12-17	en_US
dc.date.issued	2012-02-01	en_US
dc.identifier.citation	Preventive Medicine, 2012, 54 (2), pp. 157 - 161	en_US
dc.identifier.issn	0091-7435	en_US
dc.identifier.uri	http://hdl.handle.net/10453/115262
dc.description.abstract	Objectives: To analyse how psychosocial determinants of lifestyle changes targeted in the Greater Green Triangle Diabetes Prevention Project conducted in Southeast Australia in 2004-2006 predict changes in dietary behaviour and clinical risk factors. Methods: A longitudinal pre-test and post-test study design was used. The group program was completed by 237 people at high risk of type 2 diabetes. Associations between changes in the variables were examined by structural equation modelling using a path model in which changes in psychological determinants for lifestyle predicted changes in dietary behaviours (fat and fibre intake), which subsequently predicted changes in waist circumference and other clinical outcomes. Standardised regression weights are presented, with β = ± 0.1 and β = ± 0.3 representing small and medium associations, respectively. Results: Improvements in coping self-efficacy and planning predicted improvements in fat (β = - 0.15, p<0.05 and β = - 0.32, p<0.001, respectively) and fibre intake (β = 0.15, p<0.05 and β = 0.23, p<0.001, respectively) which in turn predicted improvements in waist circumference (β = 0.18, p<0.01 and β = - 0.16, p<0.05, respectively). Improvements in waist circumference predicted improvements in diastolic blood pressure (β = 0.13, p<0.05), HDL (β = - 0.16, p<0.05), triglycerides (β = 0.17, p<0.01), and fasting glucose (β = 0.15, p<0.05). Conclusions: Psychological changes predicted behaviour changes, resulting in 12-month biophysical changes. The findings support the theoretical basis of the interventions. © 2011 Elsevier Inc.	en_US
dc.relation.ispartof	Preventive Medicine	en_US
dc.relation.isbasedon	10.1016/j.ypmed.2011.12.015	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Diabetes Mellitus, Type 2	en_US
dc.subject.mesh	Obesity	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Diet	en_US
dc.subject.mesh	Feeding Behavior	en_US
dc.subject.mesh	Life Style	en_US
dc.subject.mesh	Longitudinal Studies	en_US
dc.subject.mesh	Nutritional Status	en_US
dc.subject.mesh	Program Development	en_US
dc.subject.mesh	Program Evaluation	en_US
dc.subject.mesh	Psychological Theory	en_US
dc.subject.mesh	Self Efficacy	en_US
dc.subject.mesh	Statistics as Topic	en_US
dc.title	Predicting changes in lifestyle and clinical outcomes in preventing diabetes: The Greater Green Triangle Diabetes Prevention Project	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	54	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1106 Human Movement and Sports Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Business/Management Discipline
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	54	en_US

Abstract:

Objectives: To analyse how psychosocial determinants of lifestyle changes targeted in the Greater Green Triangle Diabetes Prevention Project conducted in Southeast Australia in 2004-2006 predict changes in dietary behaviour and clinical risk factors. Methods: A longitudinal pre-test and post-test study design was used. The group program was completed by 237 people at high risk of type 2 diabetes. Associations between changes in the variables were examined by structural equation modelling using a path model in which changes in psychological determinants for lifestyle predicted changes in dietary behaviours (fat and fibre intake), which subsequently predicted changes in waist circumference and other clinical outcomes. Standardised regression weights are presented, with β = ± 0.1 and β = ± 0.3 representing small and medium associations, respectively. Results: Improvements in coping self-efficacy and planning predicted improvements in fat (β = - 0.15, p<0.05 and β = - 0.32, p<0.001, respectively) and fibre intake (β = 0.15, p<0.05 and β = 0.23, p<0.001, respectively) which in turn predicted improvements in waist circumference (β = 0.18, p<0.01 and β = - 0.16, p<0.05, respectively). Improvements in waist circumference predicted improvements in diastolic blood pressure (β = 0.13, p<0.05), HDL (β = - 0.16, p<0.05), triglycerides (β = 0.17, p<0.01), and fasting glucose (β = 0.15, p<0.05). Conclusions: Psychological changes predicted behaviour changes, resulting in 12-month biophysical changes. The findings support the theoretical basis of the interventions. © 2011 Elsevier Inc.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/115262