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Weight loss for individuals with type 2 diabetes following a very-low-calorie diet in a community-based setting with trained facilitators for 12 weeks.

Rolland, C.; Lula, S.; Jenner, C.; Dyson, L.; Macdonald, I.; Johnston, K.L.; Broom, I.

Authors

C. Rolland

S. Lula

C. Jenner

L. Dyson

I. Macdonald

K.L. Johnston

I. Broom



Abstract

Approximately 80% of people with type 2 diabetes mellitus (T2DM) are overweight or obese, and obesity compounds the cardiovascular risk of T2DM. The aim of this retrospective study was twofold: first to investigate whether a twelve-week, community-based VLCD programme can result in important weight loss; and second to investigate any potential difference in the weight loss achieved using this community based approach in individuals with and without T2DM. Three hundred and fifty five participants with T2DM were matched for age, BMI and gender to participants without T2DM. The total cohort comprised 204 males: 506 females; age (years) 54.0 ± 9.1; BMI (kg/m2) 41.6 ± 8.1; weight (kg) 116.1 ± 25.1). The programme included a daily intake of 550kcal in addition to group support and behaviour therapy provided by trained facilitators within a community-based setting. After twelve weeks, there was significant weight loss within each group when compared to baseline (T2DM: 115.0 ± 24.4 kg vs 96.7 ± 21.4 kg, p < 0.0001; non-T2DM: 117.2 ± 25.8 kg vs 97.3 ± 22.2 kg, p < 0.0001). At twelve weeks, both weight change (-18.3 ± 7.3 kg vs -19.9 ± 7.0 kg, p = 0.012) and BMI change (-6.7 ± 2.9 kg/m2 vs -7.1 ± 2.1 kg/m2, p = 0.011) were significantly less in the T2DM group when compared to the non-T2DM group. Our results suggest that the use of VLCD approaches for weight management in T2DM can achieve more than 90% of the weight loss seen in obese individuals without T2DM.

Citation

ROLLAND, C., LULA, S., JENNER, C., DYSON, L., MACDONALD, I., JOHNSTON, K.L. and BROOM, I. 2013. Weight loss for individuals with type 2 diabetes following a very-low-calorie diet in a community-based setting with trained facilitators for 12 weeks. Clinical obesity [online], 3(5), pages 150-157. Available from: https://doi.org/10.1111/cob.12029

Journal Article Type Article
Acceptance Date Jul 21, 2013
Online Publication Date Aug 23, 2013
Publication Date Oct 31, 2013
Deposit Date May 6, 2014
Publicly Available Date May 6, 2014
Journal Clinical obesity
Print ISSN 1758-8103
Electronic ISSN 1758-8111
Publisher Wiley Open Access
Peer Reviewed Peer Reviewed
Volume 3
Issue 5
Pages 150-157
DOI https://doi.org/10.1111/cob.12029
Keywords Diabetes; Weight loss; Very low calorie diets
Public URL http://hdl.handle.net/10059/966

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