Predictors of success to weight-loss intervention program in individuals at high risk for type 2 diabetes

Diabetes Research and Clinical Practice
Weilin KongJean-Patrice Baillargeon

Abstract

This study aimed at identifying predictors of success (retention after one year of intervention with ≥5% weight loss) in subjects at high risk for type 2 diabetes enrolled in a lifestyle modification program. Fifty-one individuals with BMI ≥27kg/m(2) and pre-diabetes or metabolic syndrome were enrolled in an individualized multidisciplinary lifestyle intervention to induce weight loss. Subjects were assessed initially with a 16-item weight-loss readiness tool (WLRT) based on stages of change model; a 6-min walk test; and anthropometric measures. The most significant independent factor associated with no success was a lower result to the question "I am capable of doing more physical activity" (P=0.001). The second significant independent predictor was ≤0.5% weight loss 6 weeks after initiating intervention (P=0.01). Excluding subjects with both criteria would have reduced by 52% the number of subjects eligible for the program, decreased the dropout rate from 30% to 17%, and increased the proportion of subjects with ≥5% weight loss at one year from 51% to 80%. Importantly, only 4% of subjects would have been falsely identified as non-responders. These results indicate that a practical WLRT, in combination with early weight-loss r...Continue Reading

References

May 3, 2001·The New England Journal of Medicine·J TuomilehtoUNKNOWN Finnish Diabetes Prevention Study Group
May 23, 2001·JAMA : the Journal of the American Medical Association·UNKNOWN Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults
Nov 7, 2001·Scandinavian Journal of Medicine & Science in Sports·M HulensE Muls
Feb 8, 2002·The New England Journal of Medicine·William C KnowlerUNKNOWN Diabetes Prevention Program Research Group
Mar 19, 2003·Scandinavian Journal of Medicine & Science in Sports·M HulensE Muls
Jul 20, 2004·BMJ : British Medical Journal·Jonathan J Deeks, Douglas G Altman
Jul 21, 2004·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·P J TeixeiraT G Lohman
Jan 19, 2005·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·P J TeixeiraT G Lohman
Jan 19, 2005·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·K Elfhag, S Rössner
May 27, 2005·International Journal of Obesity : Journal of the International Association for the Study of Obesity·J A LindeR G Boyle
Jul 22, 2005·PLoS Medicine·David Sackett
May 25, 2006·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Jennifer A LindeRobert W Jeffery
Apr 11, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·David C W LauUNKNOWN Obesity Canada Clinical Practice Guidelines Expert Panel

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Citations

Feb 5, 2014·Nutrition Journal·Ottavia ColomboAnna Tagliabue
Jan 16, 2016·Prevention Science : the Official Journal of the Society for Prevention Research·Luohua JiangUNKNOWN Special Diabetes Program for Indians Diabetes Prevention Demonstration Project
Sep 3, 2013·Obesity·Stephanie L FitzpatrickUNKNOWN Look AHEAD Research Group
Apr 6, 2012·Archives of Physical Medicine and Rehabilitation·Danielle R BouchardJean-Patrice Baillargeon
Oct 22, 2014·International Journal of Behavioral Medicine·Stephanie L FitzpatrickFelicia Hill-Briggs
Jun 24, 2014·Journal of the Academy of Nutrition and Dietetics·Kyung E RheeElissa Jelalian
Oct 26, 2014·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Muaddi AlharbiGeoffrey Tofler
Aug 17, 2017·International Journal of Environmental Research and Public Health·Alice W Y LeungJean Woo
Mar 6, 2015·Journal of Occupational and Environmental Medicine·Ulrike OttKurt T Hegmann
Aug 7, 2019·Therapeutic Advances in Endocrinology and Metabolism·Eric M BombergAaron S Kelly
Jan 22, 2019·Experimental Biology and Medicine·Dellyse BrightHazel Tapp
Jan 1, 2014·BMC Obesity·Jean-Patrice BaillargeonMarie-France Langlois

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