Topic:	Diabetes (DM)
Title:	Sequencing Diet and Exercise Programs for African American Women with Diabetes.
Author:	Nothwehr, F.K., et al.
Source:	Diabetes Educator. 27(2): 245-251. March-April 2001.
Availability:	Available from American Association of Diabetes Educators. 100 West Monroe Street, 4th Floor, Chicago, IL 60603-1901. (312) 424-2426.
Abstract:	This article describes a study that compared the effects of two programs that present diet and exercise components in a different sequence to gain insight into which sequence may be more effective. At an urban YMCA, African American women with type 2 diabetes, aged 30 to 65 years, were randomly assigned to either 10 weekly sessions about healthy eating followed by six weekly sessions about exercise or to the reverse sequence. Sessions consisted of small group discussions and physical activity or food tasting. Primary outcomes were attendance, percent of calories consumed from fat, fruit and vegetable intake, and minutes of exercise per week. Measures were taken at baseline and at 4 and 12 months after the program. Overall, attendance was very good and did not differ by group. The only group difference found at the 12 month follow up was in diastolic blood pressure. Time effects for both groups combined included an increase in minutes of activity, an increase in vegetable intake, and a decrease in percent of calories consumed from fat. The article concludes that the study does not provide definitive evidence of which sequence may be best to bring about behavior change. The effects of sequencing difficult behavioral changes such as diet modification and establishing an exercise habit deserve further study. 1 table. 26 references. (AA-M).
Format:	Journal Article
Language:	English.
Major Keywords:	Diabetes Mellitus. Type 2 Diabetes. Diet. Exercise. Behavior Modification. Program Evaluation.
Minor Keywords:	Female. Blacks. Food. Dietary Fats. Caloric Intake. Blood Pressure. Research.
Publication Number:	DMJA09684
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