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Lifestyle Changes Reducing Type 2 Diabetes Risk Among Arab Canadian Muslim Women.

Not Applicable
Completed
Conditions
Lifestyle Risk Reduction
Type2 Diabetes
Interventions
Behavioral: Lifestyle intervention
Other: Placebo - Control
Registration Number
NCT04708574
Lead Sponsor
Western University, Canada
Brief Summary

Aim: The purpose was to investigate whether modifiable risk factors for type 2 diabetes can be reduced by an intensive healthy lifestyle intervention designed for Arab Muslim women.

Methods: Women were assigned randomly to either an Exercise and Nutrition Group (ENG) or a Control Group (CG). The ENG attended a women-only supervised exercise program that presented Arabic music and traditional Lebanese Dabka steps three times/week in the Mosque Gym for 12 weeks. A nutritionist was available one hour/week for nutrition education. The CG followed their typical day.

Detailed Description

Women were assigned randomly using a computer-generated random numbers table to either an Exercise and Nutrition Group (ENG) or a Control Group (CG). The women received step-by-step instructions on how to complete a consecutive 3-day food record (including two week-days and one weekend day) and an exercise log for 7 days using a pedometer (YAMAX SW-200 Digi-Walker) to determine steps/day. The information and instruction were delivered to the women in English or Arabic. Body weight and height were measured to the nearest 0.1 kg and 0.1 cm, respectively. Women came to the lab after a 12 hour fast and a blood sample was drawn. Waist and hip measurements were taken along with resting blood pressure. Estimated fitness levels was measured by a trained kinesiologist using a Step Test (Siconolfi et al. 1985). All baseline measurements, including the 3-day food intake record and the 7-day pedometer step count log were repeated at the end of the 12-week intervention in both groups. The ENG group attended a supervised women-only exercise program that presented Arabic music and traditional dance steps (the Lebanese Dabka) three times a week in the London Muslim Mosque Gym and received nutrition education over the 12 weeks, one session per week.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
60
Inclusion Criteria
  • family history of type 2 diabetes (at least one parent),
  • overweight or obese,
  • been in Canada more than 10 years,
  • mild hypertension,
  • impaired glucose tolerance, or previous gestational diabetes (including giving birth to babies 4.0 kg or more),
  • a sedentary lifestyle
Exclusion Criteria
  • uncontrolled hypertension,
  • unstable angina,
  • pulmonary and metabolic disease,
  • severe arthritis or rheumatologic problems,
  • already engaged in regular exercise training,
  • pregnancy,
  • menopause,
  • already enrolled in a clinical research trial

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
InterventionLifestyle interventionThe intervention group attended a supervised exercise program for women only that presented Arabic music and traditional dance steps (the Lebanese Dabka) three times a week in the London Muslim Mosque Gym. The intervention lasted 12 weeks. There was also a nutrition education component that occurred once per week for the duration of the intervention. The lifestyle intervention group was instructed to walk 10,000 steps per day for the 12 weeks of the program. They were given instructions to take a 30-min walk on days when no formal exercise sessions were offered.
ControlPlacebo - ControlThe control group participants followed their typical work and leisure routines during the weeks of investigation. The women in the control group were offered the same intervention at the end of the 12 weeks.
Primary Outcome Measures
NameTimeMethod
Change from baseline to post intervention for estimated fitness assessment testBaseline and at the end of the 12 weeks

Step test

Change in nutrition assessment from baseline to post interventionBaseline and at the end of the 12 weeks

From a 3-day food intake record

Secondary Outcome Measures
NameTimeMethod
Change in blood pressure (systolic and diastolic) values from baseline to post interventionBaseline and at the end of the 12 weeks

Seated

Change in blood glucose values from baseline to post interventionBaseline and at the end of the 12 weeks

Fasted

Change in steps per day from baseline to post interventionbaseline (7 days) and at the end of the 12 weeks (7 days)

pedometer

Change in waist to hip ratio from baseline to post interventionBaseline and at the end of the 12 weeks

Waist and hip measurements to calculate waist to hip ratio

Trial Locations

Locations (1)

Exercise and Pregnancy Lab, 2245, 3-M Centre - University of Western Ontario

🇨🇦

London, Ontario, Canada

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