Victoria Socha

DocwireNews

According to Mukoso N. Ozieh, MD, and Leonard E. Egede, MD, MS, of the Medical College of Wisconsin, behavioral factors, including lifestyle, are associated, in part, with the ~24% of excess risk for chronic kidney disease (CKD) among African American patients. However, there have been few intervention studies culturally tailored to African American patients with type 2 diabetes mellitus and CKD.The researchers conducted a study designed to assess the feasibility and preliminary efficacy of a culturally tailored lifestyle intervention among African Americans with type 2 diabetes and CKD. Results were reported in JMIR Formative Research [doi:formative.jmir.org/2022/3/e34029].The feasibility of a lifestyle intervention was tested using a pre-post design. The study cohort included 30 African American adults who were recruited from the Medical University of South Carolina between January 2017 and February 2017. A research nurse delivered the manualized study intervention each week for 6 weeks.At baseline and following the intervention, hemoglobin A1C, blood pressure, and estimated glomerular filtration rate (eGFR) were measured. Validated structured questionnaires were used to measure disease knowledge, self-care, and behavior outcomes at baseline and following completion of the intervention. Clinically relevant changes were calculated using descriptive statistics and effect sizes.There were significant mean differences pre- and post-intervention in hemoglobin A1c (mean 0.75%; 95% CI, 0.16-1.34; P=.01), total cholesterol (mean 16.38 mg/dL; 95% CI, 5.82-26.94; P=.004), low-density lipoprotein (mean 13.73; 95% CI, 3.91-23.54; P=.008), and eGFR (mean 6.73 mL/min/1.73 m2, 95% CI, 0.97-12.48; P=.02). There were also significant mean differences pre- and post-intervention in CKD self-efficacy (mean &ndash;11.15; 95% CI, &ndash;21.55 to &ndash;0.75; P=.03), CKD knowledge (mean &ndash;2.62; 95% CI, &ndash;3.98 to &ndash;1.25; P&lt;.001), exercise behavior (mean &ndash;1.21; 95% CI, &ndash;1.96 to &ndash;0.46; P=.003), and blood pressure testing (mean &ndash;2.15; 95% CI, &ndash;3.47 to &ndash;0.83; P=.003).In conclusion, the researchers said, &ldquo;This study provides preliminary data for a large-scale appropriately powered randomized controlled trial to examine a culturally tailored lifestyle intervention in African Americans with type 2 diabetes and CKD in order to improve clinical knowledge, self-care, and behavior outcomes in this population.&rdquo;

BMI Modifies the Relationship Between Glycemic Status and Asthma Severity in Children

Asthma

Jordana Jampel

Cutaneous Melanoma: Sun Protection Behaviors and UV Exposure in Canada

Melanoma

Leah Lawrence

Significant Cardiac Benefit Seen With Ifetroban in Patients With Duchenne Muscular Dystrophy

Neurology

Latest News

Lifestyle Intervention in African American Patients With Diabetes and CKD

Chronic Kidney Disease

According to Mukoso N. Ozieh, MD, and Leonard E. Egede, MD, MS, of the Medical College of Wisconsin, behavioral factors, including lifestyle, are associated, in part, with the ...

About Us

Editorial Policy

Advertising

Contact Us

eNewsletters

Contribute

Career Center

MashupMD

Blood Cancers Today

Cancer Nursing Today

GU Oncology Now

Urban Health Today

Anemia

Deep Vein Thrombosis

Essential Thrombocythemia

Hemophilia

Immune Thrombocytopenic Purpura

Myelodysplastic Syndromes

Myelofibrosis

Myeloproliferative Neoplasms

Polycythemia Vera

Pulmonary Embolism

Sickle Cell Disease

Thrombocytopenia

Thrombophilia

Thrombosis

Thrombotic Thrombocytopenic Purpura

Venous Thromboembolism

von Willebrand Disease

Heme Today

Acute Kidney Injury

ADPKD

Anemia and Kidney Disease

COVID-19 and Kidney Disease

Diabetes and Hypertension

End-Stage Renal Disease

Gout

Hyperkalemia

IgAN

Kidney Transplantation

Metabolic Acidosis

Nephrology Times

HER2 Breast Cancer

HR Breast Cancer

Triple-Negative Breast Cancer

Genetics & Breast Cancer

Breast Cancers Today

Atherosclerotic Disease

Atrial Fibrillation

Heart Failure

Hypertension

Interventional Cardiology

Lipid Management

Practice Tips With Dr. Lichaa

Preventive Cardiology

Stroke

Cardiology

Breast Cancer

Gynecologic Cancer

Head and Neck Cancer

Skin Cancer

Oncology

Sleep

Urology

Diabetes

Ophthalmology

— Demodex Blepharitis

Rheumatology

Gastroenterology

Pulmonology

Infectious Diseases

— HIV

Health and Wellness

Lupus

Future of Medicine

Orthopedics

Pharmacology

Career News

More

Conferences

CardioNerds

The Sleep Source With Dr. Morse

Rheumatology Rounds With Dr. Maheswaranathan

Partners

Expert Interviews

Subscribe