Acceptability of a Self-Regulation Theory-Based mHealth Behavior Intervention for Older Adults with Type 2 Diabetes and Obesity

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 826-P
Author(s):  
YAGUANG ZHENG ◽  
KATIE WEINGER ◽  
MATT C. GREGAS ◽  
JORDAN GREENBERG ◽  
ZHUOXIN LI ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Self Regulation ◽  
Behavior Intervention ◽  
Regulation Theory ◽  
Régulation Theory ◽  
Diabetes And Obesity

Acceptability of Self-regulation Theory based mHealth Behaviorial Intervention for Older Adults with Type 2 Diabetes and Obesity (Preprint)

2019 ◽  
Author(s):  
Yaguang Zheng ◽  
Katie Weinger ◽  
Jordan Greenberg ◽  
Lora E. Burke ◽  
Susan M. Sereika ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Weight Loss ◽  
Self Regulation ◽  
Self Monitoring ◽  
Regulation Theory ◽  
Régulation Theory ◽  
The Mean ◽  
Diabetes And Obesity

BACKGROUND Mobile health (mHealth) is routinely used in younger adults with diabetes for weight loss. However, it is not known if older adult can use mHealth successfully in making lifestyle changes. OBJECTIVE The aim of the study was to examine the acceptability of a self-regulation theory-based mHealth behaviorial intervention for older adults with type 2 diabetes and obesity. METHODS This was a one-group intervention study. Participants received an 8-week self-regulation theory-based intervention consisting of 5 group sessions. They also used the Lose It! App for daily self-monitoring of food intake, a Fitbit, Bluetooth-enabled glucose meters, and weighing scales. At the end of the 8-week intervention, participants were asked to continue use of these devices for daily self-monitoring for 4 more weeks, without additional group sessions. RESULTS The sample (N=9) was White (88.9%) and female (44.4%), with mean 76.4±6.0 years of age (range: 69-89), 15.7±2.0 years of education, 33.3±3.1 kg/m2 for BMI and 7.4%±0.8 for HbA1c. Mild cognitive impairment was observed in 44.4% of sample. Over the 84 days of self-monitoring, the mean % days of using the Lose It!, Fitbit, blood glucose meter, and scale were 82.7±17.6, 85.2±19.7, 65.3±30.1, and 53.0±34.5, respectively. The mean percent weight loss from baseline was 4.92%±0.25. The dose of oral hypoglycemic agents or insulin was reduced in 55.6% of participants. CONCLUSIONS Older adults are able to use mHealth to improve their lifestyle behaviors and clinical outcomes. CLINICALTRIAL NCT03398590

Diabetes and obesity in older adults: a call to action

2009 ◽  
Vol 19 (2) ◽  
pp. 135-147 ◽  
Author(s):  
Emily J. Edson ◽  
Justo Sierra-Johnson ◽  
Bradley Curtis
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Treatment Strategies ◽  
Special Population ◽  
Older Population ◽  
Call To Action ◽  
The Metabolic Syndrome ◽  
Weight Loss Interventions ◽  
Diabetes And Obesity

SummaryThe world's older population is projected to rise to some two billion people in the next 50 years. The health of older adults deteriorates with increasing age and creates greater demand for healthcare resources. Prevalence of the metabolic syndrome in older adults is causing concern due to its interplay between type 2 diabetes, obesity and associated morbidity and mortality. This call to action discusses comorbidities associated with type 2 diabetes and obesity in the older population and its impact on patients. We cover several topics to consider when designing prevention and treatment strategies for older adults and areas for improvement in our care of this special population are discussed. We know that dietary, exercise and weight-loss interventions are effective. However, these strategies require effort by both patient and physician. If all parties responsible in patient care take action, a change in lifestyle can lead to longer, healthier lives in older adults.

1975-P: Effects of Bariatric Surgery on the Incidence of Heart Failure and Atrial Fibrillation in Patients with Type 2 Diabetes and Obesity: A Nationwide, Matched, Observational Cohort Study

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1975-P
Author(s):  
GUDRUN HÖSKULDSDOTTIR ◽  
NAVEED SATTAR ◽  
MERVETE MIFTARAJ ◽  
INGMAR NASLUND ◽  
JOHAN R. OTTOSSON ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Cohort Study ◽  
Observational Cohort Study ◽  
Observational Cohort ◽  
Diabetes And Obesity
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