Pirkanmaa Hospital District, Oulu, Finland.
Scand J Public Health. 2011 Aug;39(6):561-70. doi: 10.1177/1403494811408482. Epub 2011 May 27.
Lifestyle intervention is effective in prevention of type 2 diabetes (T2D) in high-risk individuals. However, health behaviour and health outcomes are modified by socioeconomic position through various mechanisms. It is therefore possible that success in lifestyle intervention may be determined by factors such as level of education or occupation. In this study we assessed the impact of the level of education and occupation on the baseline anthropometric and clinical characteristics and their changes during a one-year follow-up in a cohort of Finnish men and women at high risk for T2D aged 20-64 years.
As part of a Finnish national diabetes prevention programme 2003-2007 (FIN-D2D), high-risk individuals were identified using opportunistic screening for lifestyle intervention in primary health care. 1,067 men and 2,122 women had one-year follow-up data. Education and occupation were used as factors of socioeconomic position. Measures of anthropometric and clinical characteristics included weight, body mass index (BMI), waist circumference, systolic and diastolic blood pressure, total, HDL and LDL cholesterol, triglycerides, FINDRISC scores and glucose tolerance status.
The effect of intervention was similar in all socioeconomic groups, but the level of education was related to glucose tolerance status in both genders. In addition, socioeconomic differences existed in blood pressure, weight, BMI, waist circumference and HDL cholesterol.
Socioeconomic position did not seem to have any impact on the effectiveness of lifestyle intervention in individuals at high risk for T2D, which is encouraging from the point of view of reducing health inequalities.
生活方式干预在预防 2 型糖尿病（T2D）高危人群中是有效的。然而，社会经济地位通过多种机制影响健康行为和健康结果。因此，生活方式干预的成功可能取决于教育水平或职业等因素。在这项研究中，我们评估了教育水平和职业对基线人体测量和临床特征的影响，以及在芬兰 20-64 岁 T2D 高危人群一年随访期间这些特征的变化。
作为芬兰国家糖尿病预防计划 2003-2007 年（FIN-D2D）的一部分，通过在初级保健中进行生活方式干预的机会性筛查来确定高危个体。1067 名男性和 2122 名女性有一年的随访数据。教育和职业被用作社会经济地位的因素。人体测量和临床特征的测量包括体重、体重指数（BMI）、腰围、收缩压和舒张压、总胆固醇、高密度脂蛋白胆固醇（HDL 胆固醇）、低密度脂蛋白胆固醇（LDL 胆固醇）、甘油三酯、FINDRISC 评分和葡萄糖耐量状态。
干预的效果在所有社会经济群体中都相似，但教育水平与两性的葡萄糖耐量状态有关。此外，血压、体重、BMI、腰围和 HDL 胆固醇方面存在社会经济差异。
从减少健康不平等的角度来看，社会经济地位似乎对 T2D 高危人群生活方式干预的效果没有任何影响，这是令人鼓舞的。
