Alcohol Intake and Weight Loss during an Intensive Lifestyle Intervention for Adults with Overweight/Obesity and Diabetes

Details

• Alternative Title:
  Obesity (Silver Spring)
• Personal Author:
  Chao, Ariana M. ; Wadden, Thomas A. ; Tronieri, Jena Shaw ; Berkowitz, Robert I.
• Description:
  Objective:
  
  To assess whether alcohol consumption decreases during an intensive lifestyle intervention (ILI) and whether alcohol consumption is associated with weight loss among participants with overweight/obesity and type 2 diabetes.
  
  Methods:
  
  Participants (n=4,901) were from the Action for Health in Diabetes (Look AHEAD) study, an RCT that compared an ILI to a diabetes support and education (DSE) control. Mixed effects models were used to estimate the effect of the ILI on alcohol consumption, and the influence of alcohol consumption on weight loss at year 4.
  
  Results:
  
  ILI and DSE participants did not differ in changes in alcohol consumption. Alcohol intake was not associated with weight loss at year 1 of the ILI. ILI participants who abstained from alcohol lost 5.1±0.3% of initial weight at year 4, compared to a significantly (p=0.04) smaller 2.4±1.3% for consistent-heavy drinkers. ILI participants who abstained from alcohol consumption over the 4 years lost 1.6±0.5% more weight relative to individuals who drank alcohol at any time during the intervention (p=0.003). DSE participants did not differ in weight loss by alcohol consumption.
  
  Conclusions:
  
  Heavy alcohol drinkers are at risk for suboptimal long-term weight loss. Decreasing alcohol consumption may improve weight management among individuals with diabetes.
  
  
• Subjects:
  Aged Alcohol Drinking Behavior Therapy Diabetes Mellitus, Type 2 Female Humans Life Style Longitudinal Studies Male Middle Aged Obesity Overweight Weight Loss

  More +
• Keywords:
  Alcohol Obesity Treatment Type 2 Diabetes Weight Loss
• Source:
  Obesity (Silver Spring). 27(1):30-40
• Pubmed ID:
  30421851
• Pubmed Central ID:
  PMC6309276
• Document Type:
  Journal Article
• Funding:
  U01 DK057151/DK/NIDDK NIH HHSUnited States/ ; P30 DK048520/DK/NIDDK NIH HHSUnited States/ ; U01 DK057135/DK/NIDDK NIH HHSUnited States/ ; UL1 RR024153/RR/NCRR NIH HHSUnited States/ ; P30 DK046204/DK/NIDDK NIH HHSUnited States/ ; M01 RR002719/RR/NCRR NIH HHSUnited States/ ; M01 RR000056/RR/NCRR NIH HHSUnited States/ ; U01 DK057219/DK/NIDDK NIH HHSUnited States/ ; U01 DK057154/DK/NIDDK NIH HHSUnited States/ ; K23 DK116935/DK/NIDDK NIH HHSUnited States/ ; U01 DK056992/DK/NIDDK NIH HHSUnited States/ ; U01 DK057171/DK/NIDDK NIH HHSUnited States/ ; U01 DK057182/DK/NIDDK NIH HHSUnited States/ ; U01 DK057136/DK/NIDDK NIH HHSUnited States/ ; U01 DK057002/DK/NIDDK NIH HHSUnited States/ ; U01 DK057177/DK/NIDDK NIH HHSUnited States/ ; M01 RR001066/RR/NCRR NIH HHSUnited States/ ; DH_/Department of HealthUnited Kingdom/ ; U01 DK057078/DK/NIDDK NIH HHSUnited States/ ; U01 DK048514/DK/NIDDK NIH HHSUnited States/ ; U01 DK057131/DK/NIDDK NIH HHSUnited States/ ; M01 RR000051/RR/NCRR NIH HHSUnited States/ ; CC/CDC HHSUnited States/ ; U01 DK056990/DK/NIDDK NIH HHSUnited States/ ; U01 DK057178/DK/NIDDK NIH HHSUnited States/ ; M01RR0021140/GF/NIH HHSUnited States/ ; U01 DK057008/DK/NIDDK NIH HHSUnited States/ ; U01 DK057149/DK/NIDDK NIH HHSUnited States/ ; K23 NR017209/NR/NINR NIH HHSUnited States/ ; M01 RR001346/RR/NCRR NIH HHSUnited States/
• Volume:
  27
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bd00e60fffe998502d8a0c916ccf0071829a986777566f9cd989795e84c96515
• Download URL:
  https://stacks.cdc.gov/view/cdc/81883/cdc_81883_DS1.pdf
• File Type:
  [PDF - 1.46 MB ]