Evaluation of a Community Health Program for the Prevention of Type 2 Diabetes and Other Cardio-metabolic Risk Factors in Adults: Districts of Barranquilla and Bogota, Colombia - January 2017 - December 2019

Cardiovascular disease (CVD) and type 2 diabetes (T2D) are currently the public health problems fastest growing globally. According to the International Diabetes Federation (IDF) is estimated to have diabetes approximately 382 million people in the world. It is shown that early interventions in lifestyle can reduce the burden of type 2 diabetes and factors of cardiovascular modifiable risk.

This is an intervention study in cluster. 36-month integrated into 4 phases:

1. Design and adaptation of educational intervention
2. Population Screening
3. Stepwise intervention program
4. Evaluation results.

For population screening test FINDRISC validated for the Latin American population will be employed and a score of 12 will be considered as a cutoff to all who have a score equal to or greater than 12 (moderate or high risk) they perform a test oral glucose tolerance (OGTT) according to the results 3 groups will be established

* High risk group: Subjects with FINDRISC score ≥12 and impaired glucose tolerance (IGT)
* Moderate risk group: Subjects with FINDRISC score ≥12 and impaired fasting glucose or norm tolerant
* Low risk group: Subjects with FINDRISC score <12.

Intervention program: One year of duration, 3 types of programs are established.

* Lifestyle Intervention program_ Communitarian: Intervention program at Community level with Low risk group.
* Lifestyle Intervention program_ Informative: Program information intervention for the group with moderate risk.
* Lifestyle Intervention program_ structured: intervention program for members of high-risk group.

An evaluation of the different variables are studied at baseline and the final of the intervention in the three groups established.

• Intervention_ S (Behavioral), also known as LIP_Structures: One year Structured intervention program for members of high-risk group (Subjects with FINDRISC score ≥12 points and impaired glucose tolerance (IGT))
• Intervention_ I (Behavioral), also known as LIP_Informative: One year Informative intervention program for members of moderate risk group (People with normotolerant or impaired fasting glucose in the OGTT and a FINDRISC score ≥12 points)
• Intervention_ C (Behavioral), also known as LIP_Communitarian: One year, Intervention program at Community level. People with a FINDRISC less than 12 points

Primary outcomes

• Reduction of body weight average at year-end structured intervention compared with the baseline. [12 Months]: Reduction of body weight in kilograms

Secondary outcomes

• Reduction of fasting glucose level at year-end intervention program (all groups) compared with baseline. [12 Months]: Reduction of fasting glucose level in mg/dl
• Reduction of 2-hour glucose level at year-end structured and informative intervention program compared with baseline. [12 Months]: Reduction of 2-hour glucose level in mg/dl
• Reduced of waist circumference average at year-end structured intervention program compared with baseline. [12 Months]: Reduction of waist circumference in centimeters

Sex: All, ages: 30 Years to 80 Years, accepts healthy volunteers

Inclusion Criteria:

* People over age 30 years, residents within the perimeter of the conglomerate in the districts of Barranquilla and Bogota
* Wishing to participate and sign informed consent

Exclusion Criteria:

* DT2 known and / or treated
* History of diseases or events that prevent their participation
* Neurological disability that does not allow you to make own decisions
* Pregnant women

• Tania Acosta, MD, MPH, Principal investigator, Universidad del Norte
• Pablo Achner, MD, ENDOCRINOLOGIST, Principal investigator, ASOCIACIÓN COLOMBIANA DE DIABETES