Preventive medicine
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Preventive medicine · Dec 2020
Disability incidence from 2003-2015: Longitudinal analysis of the contributions of excess BMI and cigarette smoking.
Downward trends in U. S. disability levels are stagnating. Assessing the key contributors to U. ⋯ S. disability incidence. Obesity and smoking are key contributors to disability, accounting for 17-38% of incident disability in U. S. adults.
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Preventive medicine · Dec 2020
A model exploring the relationship between nutrition knowledge, behavior, diabetes self-management and outcomes from the dining with diabetes program.
To examine the relationship between changes in participant's knowledge, beliefs, dietary behavior, diabetes self-management and program outcomes in West Virginia Dinning with Diabetes (DWD) program. We used a longitudinal pre-test and post-test study design and data from 2745 individuals with diabetes who participated from 2007 to 2012. The DWD was offered in community-based settings across the state as an educational program (five classes over a 3-month period). ⋯ Diabetes self-management mediated the relationship between knowledge, dietary behavior and program outcomes. The indexes of fit for the tested model indicated a good fit [TLI =0.99, CFI = 0.95, and Root Mean Square Error of Approximation (RMSEA) =0.05]. Results indicate DWD group sessions can be effective in supporting individuals with diabetes to change knowledge, dietary behaviors, adherence to self-management and follow-up provider visits for diabetes care.