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Journal of Diabetes Research
Volume 2017, Article ID 2751980, 13 pages
Research Article

Effectiveness of a Group-Based Culturally Tailored Lifestyle Intervention Program on Changes in Risk Factors for Type 2 Diabetes among Asian Indians in the United States

1School of Physical Therapy, Texas Woman’s University, 6700 Fannin Street, Houston, TX 77030, USA
2Department of Social & Behavioral Sciences, Room No. 3313A, Robert C Byrd Health Science Center, School of Public Health, West Virginia University, Morgantown, WV 26506-9190, USA
3Department of Public Health, Food Studies and Nutrition, The David B. Falk College of Sport and Human Dynamics, Syracuse University, Syracuse, NY, USA
4Department of Medicine, Diabetes, Endocrinology and Metabolism, Baylor College of Medicine, Houston, TX, USA

Correspondence should be addressed to Rupal M. Patel; ude.uwt@letapr

Received 13 June 2016; Revised 15 November 2016; Accepted 22 November 2016; Published 11 January 2017

Academic Editor: Konstantinos Kantartzis

Copyright © 2017 Rupal M. Patel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study used an experimental, pretest-posttest control group repeated measures design to evaluate the effectiveness of a community-based culturally appropriate lifestyle intervention program to reduce the risk for type 2 diabetes (T2DM) among Gujarati Asian Indians (AIs) in an urban community in the US. Participants included 70 adult AIs in the greater Houston metropolitan area. The primary outcomes were reduction in weight and hemoglobin A1c (HbA1c) and improvement in physical activity. Participants were screened for risk factors and randomly assigned to a 12-week group-based lifestyle intervention program () or a control group () that received standard print material on diabetes prevention. Participants also completed clinical measures and self-reported questionnaires about physical activity, social, and lifestyle habits at 0, 3, and 6 months. No significant baseline differences were noted between groups. While a significant decline in weight and increase in physical activity was observed in all participants, the intervention group lowered their HbA1c and waist circumference () significantly as compared to the control group. Findings demonstrated that participation in a culturally tailored, lifestyle intervention program in a community setting can effectively reduce weight, waist circumference, and HbA1c among Gujarati AIs living in the US.