AIMS: To determine the effectiveness of a 2.5-year lifestyle intervention for @entity2175 prevention in Dutch general practice compared with usual care. METHODS: A randomized controlled trial of 925 individuals at high risk for @entity2175 (FINDRISC-score >=  13) in 14 general practices in the Netherlands. Intervention consisted of lifestyle counselling from the nurse practitioner and the general practitioner. Usual care consisted of oral and written information at the start of the study. Study groups were compared over 2.5 years regarding changes in clinical and lifestyle measures. RESULTS: Both groups showed modest changes in body weight, @entity413 concentrations, physical activity and dietary intake [weight: intervention group, -0.8 (5.1) kg, usual care group, -0.4 (4.7) kg, (P=0.69); fasting plasma @entity413 : intervention group, -0.17 (0.4) mmol/l, usual care group, -0.10 (0.5) mmol/l, (P=0.10)]. Differences between groups were significant only for total physical activity and fibre intake. In the intervention group, self-efficacy was significantly higher in individuals successful at losing weight compared with unsuccessful individuals. No significant differences in @entity1 @entity353 were found between general practitioners and nurse practitioners with different levels of motivation or self-efficacy. CONCLUSIONS: @entity6 factors could significantly be reduced by lifestyle counselling in Dutch primary care. However, intervention effects above the effects attributable to usual care were modest. Higher @entity1 self-efficacy seemed to facilitate @entity353 . Lack of motivation or self-efficacy of professionals did not negatively influence @entity1 guidance.

A lifestyle intervention to reduce XXXX risk in Dutch primary care: 2.5-year results of a randomized controlled trial.

@entity2175 :: ('MESH:D003924', 'Disease') :: ['Type 2 diabetes'] @entity1 :: ('9606', 'Species') :: ['participant'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetes risk'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose']
@entity2175 :: (MESH:D003924,Disease) :: ['Type 2 diabetes']
