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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kong, Weilin Langlois, Marie-France Kamga-Ngandé, Carole Gagnon, Claudia Brown, Christine Baillargeon, Jean-Patrice |
| Description | Country affiliation: Canada Author Affiliation: Kong W ( Department of Medicine, University of Sherbrooke, Sherbrooke, Quebec, Canada.) |
| 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 response, is helpful to identify subjects with greater chances of success to lifestyle intervention. |
| File Format | HTM / HTML |
| ISSN | 01688227 |
| Issue Number | 2 |
| Volume Number | 90 |
| e-ISSN | 18728227 |
| Journal | Diabetes Research and Clinical Practice |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2010-11-01 |
| Publisher Place | Ireland |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Research Support, Non-u.s. Gov't Life Style Psychology Humans Middle Aged Male Attitude To Health Patient Dropouts Predictive Value Of Tests Epidemiology Diet, Reducing Blood Journal Article Patient Education As Topic Exercise Questionnaires Adult Female Prediabetic State Diabetes Mellitus, Type 2 Body Mass Index Obesity Risk Assessment Prevention & Control Complications Triglycerides Self Concept Discipline Endocrinology Weight Loss |
| Content Type | Text |
| Resource Type | Article |
| Subject | Endocrinology, Diabetes and Metabolism Internal Medicine Endocrinology |
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