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Longitudinal Weight Outcomes From a Behavioral Lifestyle Intervention in Clinical Practice
- Source :
- The Diabetes educator. 45(5)
- Publication Year :
- 2019
-
Abstract
- Purpose The purpose of this electronic health record (EHR)–based retrospective cohort study was to characterize a population of patients participating in a 12-month, lifestyle change program in a community-based health system and to examine longitudinal weight outcomes. Methods Program participants were identified in the EHRs of a health care delivery system across 18 sites between 2010 and 2017. Outcomes were mean weight change and proportion of patients with ≥5% weight loss through 24 months from program initiation. Results Among 4463 program participants, 3156 met study eligibility criteria, with a mean ± SD age of 53.5 ± 13.1 years; 77.7% were women. Mean baseline weight ± SD was 101.3 ± 23.8 kg. Three main cardiometabolic risk groups were identified: prediabetes/high risk for diabetes (47.3%), overweight/obese in the absence of elevated diabetes risk (27.2%), and existing diabetes (23.9%). Maximal mean weight loss was 3.9% at 6 months from baseline. At 12 and 24 months from baseline, mean weight loss was 3.2% and 2.3%, respectively, with 31% and 29% of participants attaining ≥5% weight loss. Long-term weight outcomes were similar across risk groups. Conclusions A lifestyle change program in a clinical practice setting is associated with modest weight loss, sustained through 24 months, among participants with a range of cardiometabolic risk factors. More than one-quarter of participants achieve ≥5% weight loss, regardless of cardiometabolic risk.
- Subjects :
- Gerontology
Adult
Male
Endocrinology, Diabetes and Metabolism
Population
Health Professions (miscellaneous)
Article
Prediabetic State
Electronic health record
Behavior Therapy
Risk Factors
Lifestyle intervention
Weight Loss
Medicine
Electronic Health Records
Humans
Longitudinal Studies
education
Life Style
Aged
Retrospective Studies
education.field_of_study
business.industry
Retrospective cohort study
Middle Aged
Overweight
Clinical Practice
Weight Reduction Programs
Treatment Outcome
Diabetes Mellitus, Type 2
Lifestyle change
Female
business
Program Evaluation
Subjects
Details
- ISSN :
- 15546063
- Volume :
- 45
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- The Diabetes educator
- Accession number :
- edsair.doi.dedup.....32520bfed30ca2d9d54e8203720fe156