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RESEARCH PRODUCT
Is sense of coherence a predictor of lifestyle changes in subjects at risk for type 2 diabetes?
Frode GallefossVegard NilsenGudrun-elin RohdePer Bakkesubject
AdultMaleRiskQuality of lifemedicine.medical_specialtyType 2 diabetes:Midical sciences: 700::Health sciences: 800::Community medicine social medicine: 801 [VDP]:Medisinske fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801 [VDP]Quality of lifeWeight lossBehavior TherapySurveys and QuestionnairesWeight LossType 2 diabetes mellitusMedicineHumansVDP::Medisinske fag: 700::Helsefag: 800::Samfunnsmedisin sosialmedisin: 801ObesityLife StyleVDP::Midical sciences: 700::Health sciences: 800::Community medicine social medicine: 801Exercise Tolerancebusiness.industryPreventionPublic Health Environmental and Occupational HealthType 2 Diabetes MellitusGeneral MedicineOdds ratioMiddle Agedmedicine.diseaseLifestyleObesityConfidence intervalTreatment OutcomeDiabetes Mellitus Type 2Sense of coherencePhysical therapyFemalesense organsmedicine.symptombusinessBody mass indexFollow-Up Studiesdescription
Objective: To determine whether the sense of coherence (SOC) could predict the outcome of an 18-month lifestyle intervention program for subjects at risk of type 2 diabetes. Methods: Subjects at high risk of type 2 diabetes mellitus were recruited to a low-intensity lifestyle intervention program by their general practitioners. Weight reduction ≥5% and improvement in exercise capacity of ≥10% from baseline to follow-up indicated a clinically significant lifestyle change. SOC was measured using the 13-item SOC questionnaire. Results: The study involved 213 subjects with a mean body mass index of 37 (SD ± 6). Complete follow-up data were obtained for 131 (62%). Twenty-six participants had clinically significant lifestyle changes. There was a 21% increase in the odds of a clinically significant lifestyle change for each point increase in the baseline SOC score (odds ratio = 1.21; confidence interval = 1.11-1.32). The success rate was 14 times higher in the highest SOC score tertile group compared with the lowest. Conclusion: High SOC scores were good predictors of successful lifestyle change in subjects at risk of type 2 diabetes. SOC-13 can be used in daily practice to increase clinical awareness on the impact of mastery on the outcome of life-style intervention programs. publishedVersion
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2015-02-01 | Public Health |