Diabetes and related health issues in primary care

by Anne Karen Jenum Group
1. The STORK-Groruddalen cohort study of 823 pregnant women from multiethnic women, investigates the role of ethnicity and a range of environmental determinants on the prevalence and development of gestational diabetes (GDM), intrauterine growth and development and neonatal birth weight and anthropometric measures, http://www.med.uio.no/helsam/forskning/prosjekter/stork-groruddalen/. Data was collected from 2008 to 2011. We have so far developed 11 PhD projects, covering gestational diabetes and related maternal health issues, as well as neonatal body composition and fetal and childhood growth. Six PhD students using data from this cohort have finished their dissertations, two in January 2017 (Kåre Rønn-Richardsen, Christin Wiegels Waage). Line Sletner and Christine Sommer have received post-doc grants. Five PhD projects for general practitioners by the Norwegian Medical Association are still ongoing (Åse Ruth Eggemoen, Nilam Shakeel, Ingun Toftemo, Marthe-Lise Næss-Andresen, Birgitta Skavoll). We have now started the detailed planning of a follow-up study after 9 years of mothers and children.

2. Cardiovascular disease, diabetes and ethnicity, and the quality of diabetes care in a multiethnic general practice population. After Anh Thi Tran’s thesis on this subject in 2014, we have, together with a multiregional Norwegian research group, set up a large study in primary care and in collaborating hospitals (ROSA 4). Data collection started in January 2015, was finished in March 2016 and covers about 11 500 patients in five counties: Oslo, Akershus, Rogaland, Hordaland and Nordland. Tran has now a postdoc grant to work with ethnicity and gender, and one new PhD student (Kjersti Nøkleby) has started working with issues related to the collaboration between primary care and hospitals for patients in need for shared care.

3. The Norwegian study in Renewing Health: Stimulating self-management in patients with Type 2 diabetes mellitus through tele-care with the Few Touch application and health counseling – a randomized controlled trial, is an EU-funded project, with the Norwegian study developed by Faculty of Health Sciences, Oslo and Akershus University College of Applied Sciences, The Oslo and Akershus University College. Two PhD students (Astrid Torbjørnsen and Heidi Holmen) plan to submit their theses in 2017.

4. The need for drug information about diabetes among Pakistani females in Norway. A qualitative study about the need for drug information about diabetes among Pakistani and other non-western women in Norway, originating from School of Pharmacy, Faculty of Mathematics and Natural Sciences (PhD student Walaa Metwally Ali Abdalaah Abuelmagd).

5. Follow-up after 16 years of the Romsås in Motion study. Together with partners at Sogn og Fjordane University College, Faculty of Teacher Education and Sports, we have applied for linkages with several Norwegian Health Registers to study the incidence of cardiovascular disease and diabetes

6. Innovative Prevention Strategies for type 2 Diabetes in South Asians Living in Europe (InPreSD-SA) – a coordinated effort to target the excessive risk for T2D in South Asian populations in Europe. This multinational collaboration was initiated by Prof K Stronks, The Netherlands, AMC, Amsterdam, with partners in Edinburgh, Glasgow, India and Norway (Jenum and B Kumar). The aim of this project is to build on the findings of recent trials in order to accelerate knowledge production and the process of implementation of research findings by bringing together European experts. The focus will be on dietary behavior and physical activity. We plan to conduct in-depth analyses of the findings from relevant interventions studies with particular focus on the behavioural strategies employed (WP 4 – to be delivered by Norwegian partners). Furthermore, we will critically evaluate dietary goals employed in current behavioural interventions. The findings will specify HOW to support South Asian people in the uptake and maintenance of a healthy diet and WHAT to focus on. This is an EU-funded three year project on the Topic – Innovation to prevent and manage chronic diseases.