TY  - JOUR
A1  - Seidel-Jacobs, Esther
A1  - Kohl, Fiona
A1  - Tamayo, Miguel
A1  - Rosenbauer, Joachim
A1  - Schulze, Matthias Bernd
A1  - Kuss, Oliver
A1  - Rathmann, Wolfgang
T1  - Impact of applying a diabetes risk score in primary care on change in physical activity
T2  - Acta diabetologica
N2  - Aim
There is little evidence of the impact of diabetes risk scores on individual diabetes risk factors, motivation for behaviour changes and mental health. The aim of this study was to investigate the effect of applying a noninvasive diabetes risk score in primary care as component of routine health checks on physical activity and secondary outcomes. 

Methods
Cluster randomised trial, in which primary care physicians (PCPs), randomised (1:1) by minimisation, enrolled participants with statutory health insurance without known diabetes, >= 35 years of age with a body mass index >= 27.0 kg/m(2). The German Diabetes Risk Score was applied as add-on to the standard routine health check, conducted in the controls. Primary outcome was the difference in participants' physical activity (International Physical Activity Questionnaire) after 12 months. Secondary outcomes included body mass index, perceived health, anxiety, depression, and motivation for lifestyle change. Analysis was by intention-to-treat principle using mixed models. 

Results
36 PCPs were randomised; remaining 30 PCPs (intervention: n = 16; control: n = 14) recruited 315 participants (intervention: n = 153; controls: n = 162). A slight increase in physical activity was observed in the intervention group with an adjusted mean change of 388 (95% confidence interval: - 235; 1011) metabolic equivalents minutes per week. There were no relevant changes in secondary outcomes.

Conclusions
The application of a noninvasive diabetes risk score alone is not effective in promoting physical activity in primary care. Clinical Trial Registration: ClinicalTrials.gov (NCT03234322, registration date: July 31, 2017).
KW  - Risk score
KW  - Risk prediction model
KW  - Type 2 diabetes
KW  - Prevention
KW  - Physical activity
KW  - Primary care
Y1  - 2022
UR  - https://publishup.uni-potsdam.de/frontdoor/index/index/docId/63729
SN  - 0940-5429
SN  - 1432-5233
VL  - 59
IS  - 8
SP  - 1031
EP  - 1040
PB  - Springer
CY  - Mailand
ER  -