Factors Related to Weight Reduction and Glycemic Success in a Chronic Disease Prevention Program for Border Hispanic Population

• Activity Number: 79
• Type: Contributed
• Date/Time: Sunday, July 31, 2011 : 4:00 PM to 5:50 PM
• Sponsor: Section on Statistical Consulting
• Author(s): Xiaohui Wang*+ and Suad Ghaddar and Cynthia Brown and José A. Pagán and Marvelia Balboa
• Companies: The University of Texas Pan American and The University of Texas Pan American and The University of Texas Pan American and University of North Texas and The University of Texas Pan American
• Keywords: Weight reduction ; HbA1c ; Diabetes ; Prevention ; Chronic Diseases

Abstract

We examined the factors related to success in achieving weight reduction and glycemic control in Alliance for a Healthy Border (AHB), a chronic disease prevention program implemented from 2006 to 2009 through 12 federally qualified community health centers serving primarily Hispanics in communities located along the U.S.-Mexico border region. We analyzed data from Phase I of AHB using logistic regression to examine the determinants of success in achieving weight reduction and glycemic control among the participants in AHB programs. We found the AHB interventions were more successful in reducing participants' HbA1c level than BMI. In addition to socio-demographic factors, participants with better baseline health conditions, including participants without diabetes, normal BMI, former smokers, and without a family history of diabetes, were more likely to achieve success after the interventions. Out of four features of different practices, session type and program duration were associated with success. Within a relative short period, physical activity improvements had a stronger effect on weight reduction and glycemic success than dietary habits improvements. Diabetes and cardiovascula