A Novel Multidisciplinary Intervention for Long-Term Weight Loss and Glycaemic Control in Obese Patients with Diabetes
Joint Authors
Bishay, R. H.
Lih, Anna
Pereira, Lorraine
Zang, Johnson
Omari, Abdullah
Kormas, Nic
Atlantis, Evan
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-08
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Obesity and diabetes are difficult to treat in public clinics.
We sought to determine the effectiveness of the Metabolic Rehabilitation Program (MRP) in achieving long-term weight loss and improving glycaemic control versus “best practice” diabetes clinic (DC) in obese patients using a retrospective cohort study.
Methods.
Patients with diabetes and BMI > 30 kg/m2 who attended the MRP, which consisted of supervised exercise and intense allied health integration, or the DC were selected.
Primary outcomes were improvements in weight and glycaemia with secondary outcomes of improvements in blood pressure and lipid profile at 12 and 30 months.
Results.
Baseline characteristics of both cohorts (40 MRP and 40 DC patients) were similar at baseline other than age (63 in MRP versus 68 years in DC, P = 0.002 ).
At 12 months, MRP patients lost 7.65 ± 1.74 kg versus 1.76 ± 2.60 kg in the DC group ( P < 0.0001 ) and 9.70 ± 2.13 kg versus 0.98 ± 2.65 kg at 30 months ( P < 0.0001 ).
Similarly, MRP patients had significant absolute reductions in %HbA1c at 30 months versus the DC group (−0.86 ± 0.31% versus 0.12% ± 0.33%, P < 0.038 ), with nonsignificant improvements in lipids and blood pressure in MRP patients.
Conclusion.
Further research is needed to establish the MRP as an effective strategy for achieving sustained weight loss and improving glycaemic control in obese patients with type 2 diabetes.
American Psychological Association (APA)
Lih, Anna& Pereira, Lorraine& Bishay, R. H.& Zang, Johnson& Omari, Abdullah& Atlantis, Evan…[et al.]. 2015. A Novel Multidisciplinary Intervention for Long-Term Weight Loss and Glycaemic Control in Obese Patients with Diabetes. Journal of Diabetes Research،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1067986
Modern Language Association (MLA)
Lih, Anna…[et al.]. A Novel Multidisciplinary Intervention for Long-Term Weight Loss and Glycaemic Control in Obese Patients with Diabetes. Journal of Diabetes Research No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1067986
American Medical Association (AMA)
Lih, Anna& Pereira, Lorraine& Bishay, R. H.& Zang, Johnson& Omari, Abdullah& Atlantis, Evan…[et al.]. A Novel Multidisciplinary Intervention for Long-Term Weight Loss and Glycaemic Control in Obese Patients with Diabetes. Journal of Diabetes Research. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1067986
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1067986