---
_id: '35308'
abstract:
- lang: eng
  text: <jats:sec><jats:title>Introduction</jats:title><jats:p>In 2012, the estimated
    global prevalence of pre-diabetes was 280 million, and the prevalence is expected
    to rise to 400 million by 2030. Oat-based foods are a good source of beta-glucans,
    which have been shown to lower postprandial blood glucose. Studies to evaluate
    the effectiveness of the long-term intake of beta-glucan-enriched bread as part
    of a habitual diet among individuals with pre-diabetes are needed. Therefore,
    we designed a multicentre intervention study in adults with pre-diabetes to investigate
    the effects of consumption of an oat-derived beta-glucan-enriched bread as part
    of a normal diet on glycated haemoglobin (HbA1c) in comparison to consumption
    of whole-grain wheat bread.</jats:p></jats:sec><jats:sec><jats:title>Methods and
    analysis</jats:title><jats:p>The CarbHealth trial is a multicentre double-blind
    randomised controlled 16-week dietary intervention trial in participants 40–70
    years of age with a body mass index of ≥27 kg/m<jats:sup>2</jats:sup> and HbA1c
    of 35–50 mmol/mol. The study is conducted at four universities located in Norway,
    Sweden and Germany and uses intervention breads specifically designed for the
    trial by Nofima AS. The aim is to recruit 250 participants. The primary outcome
    is the difference in HbA1c between the intervention and the control groups. The
    main analysis will include intervention group, study centre and baseline HbA1c
    as independent variables in an analysis of covariance model.</jats:p></jats:sec><jats:sec><jats:title>Ethics
    and dissemination</jats:title><jats:p>The study protocol was approved by respective
    ethical authorities in participating countries. The results of the study will
    be communicated through publication in international scientific journals and presentations
    at (inter)national conferences.</jats:p></jats:sec><jats:sec><jats:title>Trial
    registration number</jats:title><jats:p><jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink"
    ext-link-type="clintrialgov" xlink:href="NCT04994327">NCT04994327</jats:ext-link>.</jats:p></jats:sec>
article_number: e062066
author:
- first_name: Therese
  full_name: Hjorth, Therese
  last_name: Hjorth
- first_name: Alena
  full_name: Schadow, Alena
  last_name: Schadow
- first_name: Ingrid
  full_name: Revheim, Ingrid
  last_name: Revheim
- first_name: Ulrike
  full_name: Spielau, Ulrike
  last_name: Spielau
- first_name: Lise M
  full_name: Thomassen, Lise M
  last_name: Thomassen
- first_name: Klara
  full_name: Meyer, Klara
  last_name: Meyer
- first_name: Katja
  full_name: Piotrowski, Katja
  last_name: Piotrowski
- first_name: Hanne
  full_name: Rosendahl-Riise, Hanne
  last_name: Rosendahl-Riise
- first_name: Anne
  full_name: Rieder, Anne
  last_name: Rieder
- first_name: Paula
  full_name: Varela, Paula
  last_name: Varela
- first_name: Vegard
  full_name: Lysne, Vegard
  last_name: Lysne
- first_name: Simon
  full_name: Ballance, Simon
  last_name: Ballance
- first_name: Antje
  full_name: Koerner, Antje
  last_name: Koerner
- first_name: Rikard
  full_name: Landberg, Rikard
  last_name: Landberg
- first_name: Anette
  full_name: Buyken, Anette
  id: '65985'
  last_name: Buyken
- first_name: Jutta
  full_name: Dierkes, Jutta
  last_name: Dierkes
citation:
  ama: 'Hjorth T, Schadow A, Revheim I, et al. Sixteen-week multicentre randomised
    controlled trial to study the effect of the consumption of an oat beta-glucan-enriched
    bread versus a whole-grain wheat bread on glycaemic control among persons with
    pre-diabetes: a study protocol of the CarbHealth study. <i>BMJ Open</i>. 2022;12(8).
    doi:<a href="https://doi.org/10.1136/bmjopen-2022-062066">10.1136/bmjopen-2022-062066</a>'
  apa: 'Hjorth, T., Schadow, A., Revheim, I., Spielau, U., Thomassen, L. M., Meyer,
    K., Piotrowski, K., Rosendahl-Riise, H., Rieder, A., Varela, P., Lysne, V., Ballance,
    S., Koerner, A., Landberg, R., Buyken, A., &#38; Dierkes, J. (2022). Sixteen-week
    multicentre randomised controlled trial to study the effect of the consumption
    of an oat beta-glucan-enriched bread versus a whole-grain wheat bread on glycaemic
    control among persons with pre-diabetes: a study protocol of the CarbHealth study.
    <i>BMJ Open</i>, <i>12</i>(8), Article e062066. <a href="https://doi.org/10.1136/bmjopen-2022-062066">https://doi.org/10.1136/bmjopen-2022-062066</a>'
  bibtex: '@article{Hjorth_Schadow_Revheim_Spielau_Thomassen_Meyer_Piotrowski_Rosendahl-Riise_Rieder_Varela_et
    al._2022, title={Sixteen-week multicentre randomised controlled trial to study
    the effect of the consumption of an oat beta-glucan-enriched bread versus a whole-grain
    wheat bread on glycaemic control among persons with pre-diabetes: a study protocol
    of the CarbHealth study}, volume={12}, DOI={<a href="https://doi.org/10.1136/bmjopen-2022-062066">10.1136/bmjopen-2022-062066</a>},
    number={8e062066}, journal={BMJ Open}, publisher={BMJ}, author={Hjorth, Therese
    and Schadow, Alena and Revheim, Ingrid and Spielau, Ulrike and Thomassen, Lise
    M and Meyer, Klara and Piotrowski, Katja and Rosendahl-Riise, Hanne and Rieder,
    Anne and Varela, Paula and et al.}, year={2022} }'
  chicago: 'Hjorth, Therese, Alena Schadow, Ingrid Revheim, Ulrike Spielau, Lise M
    Thomassen, Klara Meyer, Katja Piotrowski, et al. “Sixteen-Week Multicentre Randomised
    Controlled Trial to Study the Effect of the Consumption of an Oat Beta-Glucan-Enriched
    Bread versus a Whole-Grain Wheat Bread on Glycaemic Control among Persons with
    Pre-Diabetes: A Study Protocol of the CarbHealth Study.” <i>BMJ Open</i> 12, no.
    8 (2022). <a href="https://doi.org/10.1136/bmjopen-2022-062066">https://doi.org/10.1136/bmjopen-2022-062066</a>.'
  ieee: 'T. Hjorth <i>et al.</i>, “Sixteen-week multicentre randomised controlled
    trial to study the effect of the consumption of an oat beta-glucan-enriched bread
    versus a whole-grain wheat bread on glycaemic control among persons with pre-diabetes:
    a study protocol of the CarbHealth study,” <i>BMJ Open</i>, vol. 12, no. 8, Art.
    no. e062066, 2022, doi: <a href="https://doi.org/10.1136/bmjopen-2022-062066">10.1136/bmjopen-2022-062066</a>.'
  mla: 'Hjorth, Therese, et al. “Sixteen-Week Multicentre Randomised Controlled Trial
    to Study the Effect of the Consumption of an Oat Beta-Glucan-Enriched Bread versus
    a Whole-Grain Wheat Bread on Glycaemic Control among Persons with Pre-Diabetes:
    A Study Protocol of the CarbHealth Study.” <i>BMJ Open</i>, vol. 12, no. 8, e062066,
    BMJ, 2022, doi:<a href="https://doi.org/10.1136/bmjopen-2022-062066">10.1136/bmjopen-2022-062066</a>.'
  short: T. Hjorth, A. Schadow, I. Revheim, U. Spielau, L.M. Thomassen, K. Meyer,
    K. Piotrowski, H. Rosendahl-Riise, A. Rieder, P. Varela, V. Lysne, S. Ballance,
    A. Koerner, R. Landberg, A. Buyken, J. Dierkes, BMJ Open 12 (2022).
date_created: 2023-01-05T16:31:47Z
date_updated: 2023-01-05T16:47:45Z
department:
- _id: '35'
- _id: '17'
- _id: '22'
- _id: '571'
doi: 10.1136/bmjopen-2022-062066
intvolume: '        12'
issue: '8'
keyword:
- General Medicine
language:
- iso: eng
publication: BMJ Open
publication_identifier:
  issn:
  - 2044-6055
  - 2044-6055
publication_status: published
publisher: BMJ
status: public
title: 'Sixteen-week multicentre randomised controlled trial to study the effect of
  the consumption of an oat beta-glucan-enriched bread versus a whole-grain wheat
  bread on glycaemic control among persons with pre-diabetes: a study protocol of
  the CarbHealth study'
type: journal_article
user_id: '61597'
volume: 12
year: '2022'
...
---
_id: '37828'
abstract:
- lang: eng
  text: '<jats:sec><jats:title>Introduction</jats:title><jats:p>Nursing staff is burdened
    by high workload and stress. Furthermore, heavy lifting, as well as transferring
    nursing home residents, cause lumbar tissue damage and back pain. Exercise intervention
    studies to reduce work-related problems are rare and the evidence for efficacy
    of studies among nurses is limited. Studies including targeted analysis of requirements
    are necessary to generate effective recommendations and tailored interventions
    for health promotion programmes. The purpose of this multicentred intervention
    study is to identify work-related problems, to implement health promotion programmes
    and to evaluate their effectiveness.</jats:p></jats:sec><jats:sec><jats:title>Methods
    and analysis</jats:title><jats:p>A randomised controlled trial will be conducted,
    including a total of 48 nursing home facilities in eight regions of Germany with
    an estimated sample size of 700 nurses. Standardised ergonomics and posture training
    (10 weeks, once a week for 20–30 min) and subsequently, back-fitness training
    (12 weeks, once a week for 45–60 min) will be administered. Following the implementation
    of standardised health promotion programmes, further demand-oriented interventions
    can be implemented. The perceived exposure to work-related demands, work-related
    pain in different parts of the body, health-related quality of life, perceived
    stress, work-related patterns of behaviour and experience, presentism behaviour,
    work environment as well as general needs and barriers to health promotion, will
    be assessed at baseline (pre-test), at 10 weeks (post-test, after ergonomics training),
    at 22 weeks (post-test, after back-fitness training) and at 34 weeks of the programme
    (follow-up).</jats:p></jats:sec><jats:sec><jats:title>Ethics and dissemination</jats:title><jats:p>The
    study was reviewed and approved by the local ethics committee of the University
    of Hamburg (AZ: 2018_168). The results of the study will be published in open-access
    and international journals. Furthermore, the results will be presented in the
    participating nursing homes and at national and international conferences.</jats:p></jats:sec><jats:sec><jats:title>Trial
    registration number</jats:title><jats:p>DRKS.de (DRKS00015241).</jats:p></jats:sec>'
article_number: e038202
author:
- first_name: Ann-Kathrin
  full_name: Otto, Ann-Kathrin
  last_name: Otto
- first_name: Juliane
  full_name: Pietschmann, Juliane
  last_name: Pietschmann
- first_name: Luisa-Marie
  full_name: Appelles, Luisa-Marie
  last_name: Appelles
- first_name: Michael
  full_name: Bebenek, Michael
  last_name: Bebenek
- first_name: Laura L
  full_name: Bischoff, Laura L
  last_name: Bischoff
- first_name: Claudia
  full_name: Hildebrand, Claudia
  last_name: Hildebrand
- first_name: Bettina
  full_name: Johnen, Bettina
  last_name: Johnen
- first_name: Thomas
  full_name: Jöllenbeck, Thomas
  last_name: Jöllenbeck
- first_name: Wolfgang
  full_name: Kemmler, Wolfgang
  last_name: Kemmler
- first_name: Thomas
  full_name: Klotzbier, Thomas
  last_name: Klotzbier
- first_name: Heide
  full_name: Korbus, Heide
  last_name: Korbus
- first_name: Julian
  full_name: Rudisch, Julian
  last_name: Rudisch
- first_name: Nadja
  full_name: Schott, Nadja
  last_name: Schott
- first_name: Daniel
  full_name: Schoene, Daniel
  last_name: Schoene
- first_name: Claudia
  full_name: Voelcker-Rehage, Claudia
  last_name: Voelcker-Rehage
- first_name: Oliver
  full_name: Vogel, Oliver
  last_name: Vogel
- first_name: Lutz
  full_name: Vogt, Lutz
  last_name: Vogt
- first_name: Matthias
  full_name: Weigelt, Matthias
  id: '36388'
  last_name: Weigelt
- first_name: Jan
  full_name: Wilke, Jan
  last_name: Wilke
- first_name: Katharina
  full_name: Zwingmann, Katharina
  last_name: Zwingmann
- first_name: Bettina
  full_name: Wollesen, Bettina
  last_name: Wollesen
citation:
  ama: 'Otto A-K, Pietschmann J, Appelles L-M, et al. Physical activity and health
    promotion for nursing staff in elderly care: a study protocol for a randomised
    controlled trial. <i>BMJ Open</i>. 2020;10(10). doi:<a href="https://doi.org/10.1136/bmjopen-2020-038202">10.1136/bmjopen-2020-038202</a>'
  apa: 'Otto, A.-K., Pietschmann, J., Appelles, L.-M., Bebenek, M., Bischoff, L. L.,
    Hildebrand, C., Johnen, B., Jöllenbeck, T., Kemmler, W., Klotzbier, T., Korbus,
    H., Rudisch, J., Schott, N., Schoene, D., Voelcker-Rehage, C., Vogel, O., Vogt,
    L., Weigelt, M., Wilke, J., … Wollesen, B. (2020). Physical activity and health
    promotion for nursing staff in elderly care: a study protocol for a randomised
    controlled trial. <i>BMJ Open</i>, <i>10</i>(10), Article e038202. <a href="https://doi.org/10.1136/bmjopen-2020-038202">https://doi.org/10.1136/bmjopen-2020-038202</a>'
  bibtex: '@article{Otto_Pietschmann_Appelles_Bebenek_Bischoff_Hildebrand_Johnen_Jöllenbeck_Kemmler_Klotzbier_et
    al._2020, title={Physical activity and health promotion for nursing staff in elderly
    care: a study protocol for a randomised controlled trial}, volume={10}, DOI={<a
    href="https://doi.org/10.1136/bmjopen-2020-038202">10.1136/bmjopen-2020-038202</a>},
    number={10e038202}, journal={BMJ Open}, publisher={BMJ}, author={Otto, Ann-Kathrin
    and Pietschmann, Juliane and Appelles, Luisa-Marie and Bebenek, Michael and Bischoff,
    Laura L and Hildebrand, Claudia and Johnen, Bettina and Jöllenbeck, Thomas and
    Kemmler, Wolfgang and Klotzbier, Thomas and et al.}, year={2020} }'
  chicago: 'Otto, Ann-Kathrin, Juliane Pietschmann, Luisa-Marie Appelles, Michael
    Bebenek, Laura L Bischoff, Claudia Hildebrand, Bettina Johnen, et al. “Physical
    Activity and Health Promotion for Nursing Staff in Elderly Care: A Study Protocol
    for a Randomised Controlled Trial.” <i>BMJ Open</i> 10, no. 10 (2020). <a href="https://doi.org/10.1136/bmjopen-2020-038202">https://doi.org/10.1136/bmjopen-2020-038202</a>.'
  ieee: 'A.-K. Otto <i>et al.</i>, “Physical activity and health promotion for nursing
    staff in elderly care: a study protocol for a randomised controlled trial,” <i>BMJ
    Open</i>, vol. 10, no. 10, Art. no. e038202, 2020, doi: <a href="https://doi.org/10.1136/bmjopen-2020-038202">10.1136/bmjopen-2020-038202</a>.'
  mla: 'Otto, Ann-Kathrin, et al. “Physical Activity and Health Promotion for Nursing
    Staff in Elderly Care: A Study Protocol for a Randomised Controlled Trial.” <i>BMJ
    Open</i>, vol. 10, no. 10, e038202, BMJ, 2020, doi:<a href="https://doi.org/10.1136/bmjopen-2020-038202">10.1136/bmjopen-2020-038202</a>.'
  short: A.-K. Otto, J. Pietschmann, L.-M. Appelles, M. Bebenek, L.L. Bischoff, C.
    Hildebrand, B. Johnen, T. Jöllenbeck, W. Kemmler, T. Klotzbier, H. Korbus, J.
    Rudisch, N. Schott, D. Schoene, C. Voelcker-Rehage, O. Vogel, L. Vogt, M. Weigelt,
    J. Wilke, K. Zwingmann, B. Wollesen, BMJ Open 10 (2020).
date_created: 2023-01-21T13:32:54Z
date_updated: 2023-01-23T13:29:21Z
department:
- _id: '266'
doi: 10.1136/bmjopen-2020-038202
intvolume: '        10'
issue: '10'
keyword:
- General Medicine
language:
- iso: eng
publication: BMJ Open
publication_identifier:
  issn:
  - 2044-6055
  - 2044-6055
publication_status: published
publisher: BMJ
quality_controlled: '1'
status: public
title: 'Physical activity and health promotion for nursing staff in elderly care:
  a study protocol for a randomised controlled trial'
type: journal_article
user_id: '75770'
volume: 10
year: '2020'
...
