Population-level effects of the national diabetes prevention programme (FIN-D2D) on the body weight, the waist circumference, and the prevalence of obesity

Salopuro, Titta M.; Saaristo, Timo; Oksa, Heikki; Puolijoki, Hannu; Vanhala, Mauno; Ebeling, Tapani; Niskanen, Leo; Tuomilehto, Jaakko; Uusitupa, Matti; Peltonen, Markku
January 2011
BMC Public Health;2011 Supplement 4, Vol. 11 Issue Suppl 4, p350
Academic Journal
Background: The implementation project of the national diabetes prevention programme in Finland, FIN-D2D, was carried out in primary health care in the area of five hospital districts during 2003-2007. Methods: The population strategy of FIN-D2D was primarily aimed at increasing the awareness of type 2 diabetes and preventing obesity. To investigate the effects of this strategy, we studied the changes in the prevalence of obesity, overweight, and central obesity among a random independent sample of individuals aged 45-74 years in the FIN-D2D area; and assessed whether they differed from a sample of individuals in the control area, which consisted of four geographical areas not participating in FIN-D2D (FINRISK study). Data was obtained for 5850/ 6406 (in the beginning/ in the end) individuals. The duration of the observation period varied from three to five years. Results: The mean body weight decreased from 78.7 to 78.1 kg (p = 0.041) in the FIN-D2D area, and from 78.7 to 78.0 kg (p = NS) in the control area. The prevalence of obesity (BMI ≥30 kg/m²) decreased in the FIN-D2D area (26.5% vs. 24.4%, p = 0.015), and in the control area (28.4% vs. 25.2%, p = 0.005). The prevalence of morbid obesity (BMI ≥40 kg/m²) remained unchanged in the FIN-D2D area, but increased in the control area (1.2% vs. 2.3%, p = 0.007). The mean waist circumference remained unchanged in the FIN-D2D area, but increased in the control area (92.8 vs. 94.0 cm, p = 0.005). Conclusions: The prevalence of obesity may be decreasing among 45-74 year old Finns. We still need a longer time perspective and future studies to see whether this favourable trend can be sustained in Finland. The actions of this implementation project can at least partly explain the differences in the mean waist circumference and the prevalence of morbid obesity between the intervention and control areas.


Related Articles

  • WESTCHESTER'S EPIDEMIC.  // Westchester County Business Journal;6/2/2008, Vol. 47 Issue 22, pS6 

    The article provides information related to diabetes in the U.S. There are 65,000 diagnosed diabetes cases in Westchester County and an estimated 40,000 undiagnosed cases. One in three Americans born in 2000 will develop diabetes in his or her lifetime. Obesity and lack of exercise can lead to...

  • TIPS TO STAY DIABETES FREE.  // Westchester County Business Journal;6/2/2008, Vol. 47 Issue 22, pS7 

    The article offers tips to be free from diabetes. The author suggests to lose weight even a 10-pound loss. Planning healthy meals is also helpful. Eating breakfast daily helps cut the risk of having diabetes. Lastly, the author suggests to exercise about 60 minutes a day and breaking the time...

  • Drugs and Foods for Chronic Subclinical Inflammation in Humans. Battezzati, Alberto; Romerio, Antonella San // Current Medicinal Chemistry - Immunology, Endocrine & Metabolic ;Apr2005, Vol. 5 Issue 2, p149 

    Chronic subclinical inflammation is frequently found in chronic degenerative diseases including cardiovascular and neurodegenerative diseases, diabetes and obesity. Much evidence suggests that inflammation is pathogenically involved in these diseases. The molecular mechanisms have been recently...

  • Effective management of obesity. Haslam, David // General Practice Update;May2009, Vol. 2 Issue 5, p27 

    Obesity is the root cause of serious cardiometabolic diseases and even clinicians who don't believe that obesity is a disease in its own right must admit that it is a physical sign of potential long-term illness. Just as a patient entering surgery with a Woodbine lodged in the corner of their...

  • What's wrong with his pot belly?  // Prevention India;Jun2011, p6 

    The article informs how pot belly puts people at risk of the metabolic syndrome (MS). MS is a combination of health markers that include high blood pressure, LDL (bad cholesterol) and triglyceride levels, blood sugar and abdominal obesity that increase the risk of diabetes and heart disease....

  • Novel insights into obesity and diabetes through genome-scale metabolic modeling. Väremo, Leif; Nookaew, Intawat; Nielsen, Jens // Frontiers in Physiology;Apr2014, Vol. 4, p1 

    The growing prevalence of metabolic diseases, such as obesity and diabetes, are putting a high strain on global healthcare systems as well as increasing the demand for efficient treatment strategies. More than 360 million people worldwide are suffering from type 2 diabetes (T2D) and, with the...

  • Central obesity is important but not essential Central obesity is important but not essential component of the metabolic syndrome for predicting diabetes mellitus in a hypertensive family-based cohort. Results from the Stanford Asia-pacific program for hypertension and insulin resistance (SAPPHIRe) Taiwan follow-up study I-Te Lee; Yen-Feng Chiu; Chii-Min Hwu; Chih-Tsueng He; Fu-Tien Chiang; Yu-Chun Lin; Assimes, Themistocles; Curb, J. David; Sheu, Wayne H.-H. // Cardiovascular Diabetology;2012, Vol. 11 Issue 1, p43 

    No abstract available.

  • Obesity, inflammation, and kidney disease. Navarro-Díaz, Maruja; Serra, Assumpta; López, Dolores; Granada, Marisa; Bayés, Beatriz; Romero, Ramón // Kidney International Supplement;Dec2008, Issue 111, pS15 

    Obesity and extreme obesity are associated with a wide range of well known comorbidities (cardiovascular disease, dyslipidemia, hypertension, diabetes mellitus, metabolic syndrome). Recently, the association between obesity and renal involvement has been accepted since several epidemiological...

  • Preventing Type 2 In Your Kids. Tanenberg, R. J. // Diabetes Health;Oct2005, Vol. 14 Issue 10, p22 

    Emphasizes lifestyle changes as a key factor to preventing diabetes in children in the U.S. Prediction that children will be afflicted with type 2 diabetes; Result of a study on the possible causes of overweight in children; Overview of lifestyle changes that could prevent type 2 diabetes.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics