Population-level effects of the national diabetes prevention programme (FIN-D2D) on the body weight, the waist circumference, and the prevalence of obesity

BMC Public Health

Research Article

Leo Niskanen¹  Markku Peltonen²  Jaakko Tuomilehto³  Matti Uusitupa⁴  Tapani Ebeling⁵  Heikki Oksa⁶  Titta M Salopuro⁷  Timo Saaristo⁸  Hannu Puolijoki⁹  Mauno Vanhala^1,10 

[1] Department of Medicine, Kuopio University Hospital, Hospital District of Northern Savo, Kuopio, Finland;Diabetes Prevention Unit, Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland;Diabetes Prevention Unit, Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland;Department of Public Health, University of Helsinki, Helsinki, Finland;Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland;Research Unit, Kuopio University Hospital, Kuopio, Finland;Oulu University Hospital, Northern Ostrobothnia Hospital District, Oulu, Finland;Pirkanmaa Hospital District, Tampere, Finland;Pirkanmaa Hospital District, Tampere, Finland;Diabetes Prevention Unit, Department of Chronic Disease Prevention, National Institute for Health and Welfare, Helsinki, Finland;Pirkanmaa Hospital District, Tampere, Finland;Finnish Diabetes Association, Tampere, Finland;South Ostrobothnia Hospital District, Seinäjoki, Finland;Unit of Family Practice, Central Finland Hospital District, Jyväskylä, Finland;Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland;Unit of Primary Health Care, Kuopio University Hospital, Kuopio, Finland;

关键词: Obesity;    Waist Circumference;    Morbid Obesity;    Hospital District;    Control Area;   

DOI  :  10.1186/1471-2458-11-350

 received in 2010-09-27, accepted in 2011-05-19,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe implementation project of the national diabetes prevention programme in Finland, FIN-D2D, was carried out in primary health care in the area of five hospital districts during 2003-2007.MethodsThe population strategy of FIN-D2D was primarily aimed at increasing the awareness of type 2 diabetes and preventing obesity. To investigate the effects of this strategy, we studied the changes in the prevalence of obesity, overweight, and central obesity among a random independent sample of individuals aged 45-74 years in the FIN-D2D area; and assessed whether they differed from a sample of individuals in the control area, which consisted of four geographical areas not participating in FIN-D2D (FINRISK study). Data was obtained for 5850/ 6406 (in the beginning/ in the end) individuals. The duration of the observation period varied from three to five years.ResultsThe mean body weight decreased from 78.7 to 78.1 kg (p = 0.041) in the FIN-D2D area, and from 78.7 to 78.0 kg (p = NS) in the control area. The prevalence of obesity (BMI ≥30 kg/m2) decreased in the FIN-D2D area (26.5% vs. 24.4%, p = 0.015), and in the control area (28.4% vs. 25.2%, p = 0.005). The prevalence of morbid obesity (BMI ≥40 kg/m2) remained unchanged in the FIN-D2D area, but increased in the control area (1.2% vs. 2.3%, p = 0.007). The mean waist circumference remained unchanged in the FIN-D2D area, but increased in the control area (92.8 vs. 94.0 cm, p = 0.005).ConclusionsThe prevalence of obesity may be decreasing among 45-74 year old Finns. We still need a longer time perspective and future studies to see whether this favourable trend can be sustained in Finland. The actions of this implementation project can at least partly explain the differences in the mean waist circumference and the prevalence of morbid obesity between the intervention and control areas.

【 授权许可】

CC BY   
© Salopuro et al; licensee BioMed Central Ltd. 2011