Long-term sustained effects of the Look AHEAD lifestyle intervention on body composition among adults with type 2 diabetes
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6 2024
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Source: Obesity (Silver Spring). 32(6):1093-1101
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Alternative Title:Obesity (Silver Spring)
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Description:Objective:
To test whether there are sustained effects of the Look AHEAD intensive lifestyle intervention (ILI), vs diabetes support and education (DSE), on weight and body composition 12–16 years after randomization.
Research Design and Methods:
Participants were a subset of enrollees in the Look AHEAD DXA substudy that completed the final visit, comprised of men (DSE=99; ILI=94) and women (DSE=134; ILI=135) with type 2 diabetes, mean (±SD) age 57.2±6.4 years and BMI 34.9±5.1 kg/m2 at randomization. Dual energy x-ray absorptiometry measured total and regional fat and lean masses at randomization, Years 1, 4, 8 and final visit. Linear mixed-effects regressions were applied with adjustment for group, clinic, sex, age, race/ethnicity, and baseline body composition.
Results:
Weight and most body compartments were reduced by 2–8% (and BMI 4%) in ILI versus DSE, in men but not women. ILI-induced loss of lean tissue did not show a lower percent lean mass versus DSE at 16 years post randomization.
Conclusion:
ILI-related changes in weight, fat, and lean mass were detectable 12–16 years after randomization in men but, for unknown reasons, not in women. There was no evidence that the intervention led to a disproportionate loss of lean mass by end of study.
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Pubmed ID:38741246
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Pubmed Central ID:PMC11301635
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Volume:32
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Issue:6
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Supporting Files:No Additional Files