Innovative Prevention Strategies for type 2 Diabetes in South Asians Living in Europe (InPreSD-SA)

Short Summary
South Asians populations living in Europe have an extremely high risk of type 2 diabetes (T2D). More than half of the 5 million people of SA origin living in Europe are likely to develop T2D. Moreover, T2D on average occurs at younger age and is more detrimental to cardiovascular health in these populations than in the populations of European origin. Consequently, the need to halt the T2D epidemic among South Asian origin populations is a priority in many European countries.
Overweight/obesity and the underlying energy-balance related behaviours, e.g. diet and physical activity, are important modifiable risk factors for T2D. However, the effectiveness of behavioural interventions aimed at energy-balance among South Asians in clinical practice has been modest, and seems to be lower than observed in European origin populations.
Although few available studies have increased our insight, there are also a number of unsolved issues and questions that remain. These in particular relate to the questions how to best to promote the uptake and maintainance of a healthy lifestyle in these populations, and which goals should be set. Therefore, the specific objectives of InPreSD-SA are:

  1. To obtain an in-depth insight into existing health promotion strategies, in order to ascertain which elements contribute to their acceptability, reach, and effectiveness for prevention of T2D within South Asian origin people living in Europe. We will focus on a healthy diet, in particular.
  2. To validate the health promotion strategies identified in step 1 by testing their acceptability, reach and effectiveness in an intervention setting, with a particular focus on creating a supportive environment.
  3. To identify specific dietary components that influence the high risk of T2D in South Asian origin people living in Europe by considering current dietary recommendations as well as further investigating novel mechanisms in the relationship between diet and T2D in these populations.
  4. To draft recommendations for health promotion strategies to prevent T2D that are acceptable and effective in South Asian origin populations living in Europe. These recommendations will focus on diet, and will specify the content of a healthy diet as well as the strategies that will support South Asian populations in the uptake and maintenance of that diet.

To achieve these objectives, the European experts involved in InPreSD-SA will not only build on the findings from recent trials, but also carry out novel experimental and observational studies across Europe. The findings from this project will make a major contribution to reducing the extremely high T2D burden in South Asian people living across Europe. This will ultimately result in a reduction of costs to health care and societies.

Period

1 september 2015 - 31 august 2018

Funding agency

Eurpean union, CHAFEA call 3HP


Partners / collaboration

Norwegian Centre for Minority Health Research
University of Oslo
University of Glasgow
University of Edinburgh
Academic Medical Center of the University of Amsterdam

People involved

Prof.dr. K. Stronks
Dr. I.G.M. van Valkengoed
Dr. E.J. Beune
PhD student (vacancy)

Key publications

None

Website project

*under construction*

For further information

Irene van Valkengoed, e-mail: i.g.vanvalkengoed@amc.uva.nl