{"id":13844,"date":"2017-03-01T00:00:00","date_gmt":"2018-12-03T18:02:52","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/successful-long-term-weight-loss-among-participants-with\/"},"modified":"2018-12-03T19:02:52","modified_gmt":"2018-12-03T18:02:52","slug":"successful-long-term-weight-loss-among-participants-with","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/successful-long-term-weight-loss-among-participants-with\/","title":{"rendered":"Successful long-term weight loss among participants with diabetes receiving an intervention promoting an adapted Mediterranean-style dietary pattern: the Heart Healthy Lenoir Project."},"content":{"rendered":"<p style=\"text-align:justify\"><strong>OBJECTIVE<\/strong><br \/>\nTo examine weight change by diabetes status among participants receiving a Mediterranean-style diet, physical activity, and weight loss intervention adapted for delivery in the southeastern USA, where rates of cardiovascular disease (CVD) are disproportionately high.<\/p>\n<p style=\"text-align:justify\"><strong>RESEARCH DESIGN AND METHODS<\/strong><br \/>\nThe intervention included: Phase I (months 1-6), an individually tailored intervention promoting a Mediterranean-style dietary pattern and increased walking; Phase II (months 7-12), option of a 16-week weight loss intervention for those with BMI&ge;25\u2005kg\/m(2) offered as 16 weekly group sessions or 5 group sessions and 10 phone calls, or a lifestyle maintenance intervention; and Phase III (months 13-24), weight loss maintenance intervention for those losing &ge;8 pounds with all others receiving a lifestyle maintenance intervention. Weight change was assessed at 6, 12, and 24-month follow-up.<\/p>\n<p style=\"text-align:justify\"><strong>RESULTS<\/strong><br \/>\nBaseline characteristics (n=339): mean age 56, 77% female, 65% African-American, 124 (37%) with diabetes; mean weight 103\u2005kg for those with diabetes and 95\u2005kg for those without. Among participants with diabetes, average weight change was -1.2\u2005kg (95% CI -2.1 to -0.4) at 6\u2005months (n=92), -1.5\u2005kg (95% CI -2.9 to -0.2) at 12\u2005months (n=96), and -3.7\u2005kg (95% CI -5.2 to -2.1) at 24\u2005months (n=93). Among those without diabetes, weight change was -0.4\u2005kg (95% CI -1.4 to 0.6) at 24\u2005months (n=154).<\/p>\n<p style=\"text-align:justify\"><strong>CONCLUSIONS<\/strong><br \/>\nParticipants with diabetes experienced sustained weight loss at 24-month follow-up. High-risk US populations with diabetes may experience clinically important weight loss from this type of lifestyle intervention.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-13844","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Ambulatory Care Physician, Durham VA Medical Center, Durham, North Carolina, USA. jato@med.unc.edu","annee":"2017","mois":"3","numero":"5:1","page":"e000339","auteurs":[{"ID":1525,"post_author":"0","post_date":"2018-12-03 16:00:11","post_date_gmt":"2018-12-03 15:00:11","post_content":"","post_title":"Thomas C Keyserling","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"thomas-c-keyserling","to_ping":"","pinged":"","post_modified":"2018-12-03 16:00:11","post_modified_gmt":"2018-12-03 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