Elsevier

Public Health

Volume 129, Issue 2, February 2015, Pages 155-161
Public Health

Original Research
Is sense of coherence a predictor of lifestyle changes in subjects at risk for type 2 diabetes?

https://doi.org/10.1016/j.puhe.2014.12.014Get rights and content
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Abstract

Objective

To determine whether the sense of coherence (SOC) could predict the outcome of an 18-month lifestyle intervention program for subjects at risk of type 2 diabetes.

Methods

Subjects at high risk of type 2 diabetes mellitus were recruited to a low-intensity lifestyle intervention program by their general practitioners. Weight reduction ≥5% and improvement in exercise capacity of ≥10% from baseline to follow-up indicated a clinically significant lifestyle change. SOC was measured using the 13-item SOC questionnaire.

Results

The study involved 213 subjects with a mean body mass index of 37 (SD ± 6). Complete follow-up data were obtained for 131 (62%). Twenty-six participants had clinically significant lifestyle changes. There was a 21% increase in the odds of a clinically significant lifestyle change for each point increase in the baseline SOC score (odds ratio = 1.21; confidence interval = 1.11–1.32). The success rate was 14 times higher in the highest SOC score tertile group compared with the lowest.

Conclusion

High SOC scores were good predictors of successful lifestyle change in subjects at risk of type 2 diabetes. SOC-13 can be used in daily practice to increase clinical awareness on the impact of mastery on the outcome of life-style intervention programs.

Keywords

Lifestyle
Obesity
Prevention
Quality of life
Sense of coherence
Type 2 diabetes mellitus

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