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001-es BibID:	BIBFORM084101
Első szerző:	Kivelä, Jemina
Cím:	Obtaining evidence base for the development of Feel4Diabetes intervention to prevent type 2 diabetes : a narrative literature review / Kivelä Jemina, Wikström Katja, Virtanen Eeva, Georgoulis Michael, Cardon Greet, Civeira Fernando, Iotova Violeta, Karuranga Ernest, Ko Winne, Liatis Stavros, Makrilakis Konstantinos, Manios Yannis, Mateo-Gallego Rocío, Nanasi Anna, Rurik Imre, Tankova Tsvetalina, Tsochev Kaloyan, Van Stappen Vicky, Lindström Jaana, Feel4Diabetes research Group
Dátum:	2020
ISSN:	1472-6823
Megjegyzések:	Abstract BACKGROUND: Feel4Diabetes was a school and community based intervention aiming to promote healthy lifestyle and tackle obesity for the prevention of type 2 diabetes among families in 6 European countries. We conducted this literature review in order to guide the development of evidence-based implementation of the Feel4Diabetes intervention. We focused on type 2 diabetes prevention strategies, including all the phases from risk identification to implementation and maintenance. Special focus was given to prevention among vulnerable groups and people under 45?years. METHODS: Scientific and grey literature published between January 2000 and January 2015 was searched for relevant studies using electronic databases. To present the literature review findings in a systematic way, we used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. A complementary literature search from February 2015 to December 2018 was also conducted. RESULTS: The initial review included 27 studies with a follow-up ?12?months and 9 studies with a follow-up ?6?months and with a participant mean age?<?45?years. We found out that interventions should be targeted at people at risk to improve recruiting and intervention effectiveness. Screening questionnaires (primarily Finnish Diabetes Risk Score FINDRISC) and blood glucose measurement can both be used for screening; the method does not appear to affect intervention effectiveness. Screening and recruitment is time-consuming, especially when targeting lower socioeconomic status and age under 45?years. The intervention intensity is more important for effectiveness than the mode of delivery. Moderate changes in several lifestyle habits lead to good intervention results. A minimum of 3-year follow-up seemed to be required to show a reduction in diabetes risk in high-risk individuals. In participants <?45?years, the achieved results in outcomes were less pronounced. The complementary review included 12 studies, with similar results regarding intervention targets and delivery modes, as well as clinical significance. CONCLUSION: This narrative review highlighted several important aspects that subsequently guided the development of the Feel4Diabetes high-risk intervention. Research on diabetes prevention interventions targeted at younger adults or vulnerable population groups is still relatively scarce. Feel4Diabetes is a good example of a project aiming to fill this research gap.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Families Lifestyle intervention Prevention Risk factors Type 2 diabetes Vulnerable
Megjelenés:	BMC Endocrine Disorders. - 20 : Suppl. 1 (2020), p. 1-24. -
További szerzők:	Wikström, Katja Virtanen, Eeva Georgoulis, Michael Cardon, Greet Civeira, Fernando Iotova, Violeta Karuranga, Ernest Ko, Winne Liatis, Stavros Makrilakis, Konstantinos Manios, Yannis Mateo-Gallego, Rocío Nánási Anna (1995-) (háziorvos) Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus) Tankova, Tsvetalina Tsochev, Kaloyan Van Stappen, Vicky Lindström, Jaana Kolozsvári László Róbert (1977-) (háziorvos) Ungvári Tímea Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Semánová Csilla (1991-) (PhD hallgató) Feel4Diabetes-Study Group
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001-es BibID:	BIBFORM084099
Első szerző:	Manios, Yannis
Cím:	Two-stage, school and community-based population screening successfully identifies individuals and families at high-risk for type 2 diabetes : the Feel4Diabetes-study / Yannis Manios, Christina Mavrogianni, Christina-Paulina Lambrinou, Greet Cardon, Jaana Lindström, Violeta Iotova, Tsvetalina Tankova, Fernando Civeira, Jemina Kivelä, Zoltán Jancsó, Samyah Shadid, Kaloyan Tsochev, Rocío Mateo-Gallego, Sándorné Radó, George Dafoulas, Konstantinos Makrilakis, Odysseas Androutsos, Kolozsvári László, Feel4Diabetes-study group
Dátum:	2020
ISSN:	1472-6823
Megjegyzések:	Abstract Background: The implementation of population screening and early prevention strategies targeting individuals at high-risk for type 2 diabetes (T2D) seems to be a public health priority. The current work aimed to describe the screening procedure applied in the Feel4Diabetes-study and examine its effectiveness in identifying individuals and families at high risk, primarily for T2D and secondarily for hypertension, among vulnerable populations in low to middle-income countries (LMICs) and high-income countries (HICs) across Europe. Methods: A two-stage screening procedure, using primary schools as the entry-point to the community, was applied in low socioeconomic status (SES) regions in LMICs (Bulgaria-Hungary), HICs (Belgium-Finland) and HICs under austerity measures (Greece-Spain). During the first-stage screening via the school-setting, a total of 20,501 parents (mothers and/or fathers) of schoolchildren from 11,396 families completed the Finnish Diabetes Risk Score (FINDRISC) questionnaire, while their children underwent anthropometric measurements in the school setting. Parents from the identified "high-risk families" (n = 4484) were invited to participate in the second-stage screening, including the measurement of fasting plasma glucose (FPG) and blood pressure (BP). In total, 3153 parents participated in the second-stage screening (mean age 41.1 ? 5.6 years, 65.8% females). Results: Among parents who attended the second-stage screening, the prevalence of prediabetes (as defined by impaired fasting glucose; FPG 100-125 mg/dl) and T2D (FPG > 126 mg/dl) was 23.2 and 3.0% respectively, and it was found to be higher in the higher FINDRISC categories. The percentage of undiagnosed T2D among the participants identified with T2D was 53.5%. The prevalence of high normal BP (systolic BP 130-139mmHg and/ or diastolic BP 85- 89mmHg) and hypertension (systolic BP ? 140mmHg and/ or diastolic BP ? 90mmHg) was 14 and 18.6% respectively, which was also higher in the higher FINDRISC categories. The percentage of cases not receiving antihypertensive treatment among the participants identified with hypertension was 80.3%.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Hypertension School-based Screening Type 2 diabetes Vulnerable groups
Megjelenés:	BMC Endocrine Disorders. - 20 : S1 (2020), p. 1-12. -
További szerzők:	Mavrogianni, Christina Lambrinou, Christina-Paulina Cardon, Greet Lindström, Jaana Iotova, Violeta Tankova, Tsvetalina Civeira, Fernando Kivelä, Jemina Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Shadid, Samyah Tsochev, Kaloyan Mateo-Gallego, Rocío Radó Sándor Istvánné (1976-) (diplomás ápoló) Dafoulas, George Makrilakis, Konstantinos Androutsos, Odysseas Kolozsvári László Róbert (1977-) (háziorvos) Feel4Diabetes-Study Group
Pályázati támogatás:	The Feel4Diabetes-intervention is registered at https://clinicaltrials.gov/ (NCT02393872; date of trial registration: March 20, 2015). Egyéb
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