期刊
DIABETES RESEARCH AND CLINICAL PRACTICE
卷 90, 期 2, 页码 147-153出版社
ELSEVIER IRELAND LTD
DOI: 10.1016/j.diabres.2010.06.031
关键词
Type 2 diabetes; Obesity; Prevention; Predictors; Lifestyle modification
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 >= 27 kg/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. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据