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- W1992631402 abstract "<h2>Abstract</h2> <b>LEARNING OUTCOME:</b> To examine the cost effectiveness of providing a weight reduction and exercise intervention program to achieve glycemic control in a group of older African Americans with non-insulin dependent diabetes mellitus. A randomized controlled trial of weight reduction and exercise was designed and implemented to improve glycemic control in older African Americans who were 55 to 79 years of age. Glycosylated hemoglobin (HbA<sub>1c</sub>) was used as the measure for glycemic control. For the intervention group, the first 3 months included 12, weekly group sessions with 8 to 10 participants (60 minutes of nutrition education followed by 30 minutes devoted to exercising). Six 60 minute biweekly group sessions were offered during the subsequent three months. The biweekly follow-up sessions provided additional information and support in a format with less didactic instruction and more sharing and problem solving among participants compared to the initial weekly sessions. Each participant received an individualized weight reduction diet using the American Diabetes Association and the American Dietetic Association diabetic exchange lists for meal planning. The control group received one group session and two mailings of nutrition education materials. Cost-effectiveness of the intervention compared with the control group was calculated using per-patient costs and HbA<sub>1c</sub> outcome for the 6 months of the study. Per-patient costs included salary for one registered dietitian and one exercise physiologist with fringe benefits, one support staff, overhead cost, HbA<sub>1c</sub>, and supplies/educational materials. Per-patient cost for the intervention was $175. Mean change in % HbA<sub>1c</sub> at 6 months of follow up was a decrease of 1.1 (intervention) and an increase of 1.4 (control group). The % HbA<sub>1c</sub> net decrease (intervention minus control) was 2.4. The cost-effectiveness ratio was calculated as cost per unit of improvement in % HbA<sub>1c</sub> levels and net % HbA1c. The cost effectiveness ratio for the intervention was $159. The net cost-effectiveness ratio was $70. These findings suggest that a weight reduction and exercise intervention given in an outpatient group setting can provide improvements in glycemic control within reasonable cost." @default.
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- W1992631402 date "1997-09-01" @default.
- W1992631402 modified "2023-09-23" @default.
- W1992631402 title "Cost Effectiveness in Providing a Weight Reduction and Exercise Program to African Americans With Non-insulin Dependent Diabetes Mellitus" @default.
- W1992631402 doi "https://doi.org/10.1016/s0002-8223(97)00661-5" @default.
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