Baseline Obesity Status Modifies Effectiveness of Adapted Diabetes Prevention Program Lifestyle Interventions for Weight Management in Primary Care
Joint Authors
Azar, Kristen M. J.
Xiao, Lan
Ma, Jun
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-04
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
To examine whether baseline obesity severity modifies the effects of two different, primary care-based, technology-enhanced lifestyle interventions among overweight or obese adults with prediabetes and/or metabolic syndrome.
Patients and Methods.
We compared mean differences in changes from baseline to 15 months in clinical measures of general and central obesity among participants randomized to usual care alone (n=81) or usual care plus a coach-led group (n=79) or self-directed individual (n=81) intervention, stratified by baseline body mass index (BMI) category.
Results.
Participants with baseline BMI 35+ had greater reductions in mean BMI, body weight (as percentage change), and waist circumference in the coach-led group intervention, compared to usual care and the self-directed individual intervention (P<0.05 for all).
In contrast, the self-directed intervention was more effective than usual care only among participants with baseline BMIs between 25≤35.
Mean weight loss exceeded 5% in the coach-led intervention regardless of baseline BMI category, but this was achieved only among self-directed intervention participants with baseline BMIs <35.
Conclusions.
Baseline BMI may influence behavioral weight-loss treatment effectiveness.
Researchers and clinicians should take an individual’s baseline BMI into account when developing or recommending lifestyle focused treatment strategy.
This trial is registered with ClinicalTrials.gov NCT00842426.
American Psychological Association (APA)
Azar, Kristen M. J.& Xiao, Lan& Ma, Jun. 2013. Baseline Obesity Status Modifies Effectiveness of Adapted Diabetes Prevention Program Lifestyle Interventions for Weight Management in Primary Care. BioMed Research International،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1003661
Modern Language Association (MLA)
Azar, Kristen M. J.…[et al.]. Baseline Obesity Status Modifies Effectiveness of Adapted Diabetes Prevention Program Lifestyle Interventions for Weight Management in Primary Care. BioMed Research International No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-1003661
American Medical Association (AMA)
Azar, Kristen M. J.& Xiao, Lan& Ma, Jun. Baseline Obesity Status Modifies Effectiveness of Adapted Diabetes Prevention Program Lifestyle Interventions for Weight Management in Primary Care. BioMed Research International. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-1003661
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1003661