Intervention | Control | Between groups | |||||||
---|---|---|---|---|---|---|---|---|---|
n | Baseline | 6 months | Within group* | n | Baseline | 6 months | Within group† | ||
PHQ9 depression score | 164 | 10.7±0.8 | 7.1±0.8 | p<0.001 | 146 | 11.6±0.9 | 9.0±0.9 | p<0.001 | p=0.012 |
SF36v2 mental-health score‡ | 71 | 37.2±3.4 | 41.1±3.4 | p=0.034 | Not recorded | NS | |||
SF36v2 physical-health score‡ | 71 | 39.9±2.2 | 42.5±2.6 | p=0.023 | Not recorded | NS | |||
Body mass index (kg/m2) | 162 | 31.3±1.0 | 31.2±1.0 | NS | 103 | 30.8±1.2 | 31.0±1.0 | NS | NS |
Waist (cm) | 161 | 104.7±2.4 | 105.0±2.4 | NS | 80 | 104.2±4.0 | 105.8±3.2 | NS | NS |
Systolic blood pressure (mm Hg) | 161 | 134.2±3.0 | 132.4±2.8 | NS | 112 | 133.5±3.8 | 131.2±3.4 | NS | NS |
Total cholesterol (mmol/l) | 158 | 4.21±0.16 | 4.22±0.14 | NS | 109 | 4.41±0.20 | 4.44±0.20 | NS | NS |
LDL (mmol/l) | 154 | 2.23±0.12 | 2.17±0.14 | NS | 86 | 2.37±0.18 | 2.29±0.20 | NS | NS |
HDL (mmol/l) | 154 | 1.23±0.06 | 1.29±0.06 | p=0.023 | 93 | 1.17±0.06 | 1.27±0.08 | p=0.011 | NS |
Triglycerides (mmol/l) | 158 | 1.72±0.14 | 1.66±0.12 | NS | 104 | 1.84±0.22 | 1.75±0.18 | NS | NS |
HbA1c (%)§ | 89 | 6.97±0.24 | 6.90±0.26 | NS | 67 | 7.22±0.34 | 7.40±0.36 | NS | p=0.049 |
10- Year CVD risk¶ | 61 | 26.9±3.2 | 26.1±3.2 | NS | 46 | 26.3±3.6 | 24.7±3.2 | NS | NS |
Smoking | 162 | 15 (9%) | 13 (8%) | NS | 110 | 13 (12%) | 13 (12%) | NS | NS |
Alcohol | 104 | 47 (45%) | 51 (49%) | NS | 42 | 27 (64%) | 27 (64%) | NS | NS |
Exercises 30 min/day, 5 days/week | 162 | 66 (41%) | 97 (60%) | p<0.001 | 75 | 22 (29%) | 22 (29%) | NS | p<0.001 |
Referred to exercise programme | 162 | 32 (20%) | 58 (36%) | p<0.001 | 111 | 15 (14%) | 10 (9%) | NS | p<0.001 |
Attends exercise programme | 162 | 12 (7%) | 23 (14%) | p=0.041 | 79 | 12 (15%) | 9 (11%) | NS | NS |
On antidepressant medication | 162 | 27 (17%) | 34 (21%) | NS | 113 | 31 (27%) | 36 (32%) | NS | p=0.025 |
Referred to mental health worker | 162 | 47 (29%) | 58 (36%) | p=0.022 | 114 | 10 (9%) | 24 (21%) | p<0.001 | p<0.001 |
Attends mental health worker | 162 | 10 (6%) | 37 (23%) | p<0.001 | 109 | 14 (13%) | 11 (10%) | NS | p=0.044 |
The 95% confidence ranges are indicated by the±sign. Note that lower scores indicate improvement for all items except the SF36v2 and HDL results, where higher scores indicate improvement.
Unit of alcohol is 10 g of ethanol.
The values in brackets are the percentages of the total n.
*Significant difference between baseline and 6-month values within the intervention clinics.
†Significant difference between baseline and 6 months within the control clinics.
‡SF36v2 questionnaires were not collected by all clinics.
§HbA1c results were only available for patients with T2DM.
¶CVD risk could only be calculated for patients with T2DM only.
CVD, cardiovascular disease; HbA1c, glycosylated haemoglobin was measured only for patients with diabetes; HDL, high-density lipoprotein; LDL, low-density lipoprotein; NS, no significant difference; PHQ9, nine-question Patient Health Questionnaire; SF36v2, V.2 of the Short Form 36-Question health survey; T2DM, type 2 diabetes.