Weight loss strategies associated with BMI in overweight adults with type 2 diabetes at entry into the Look AHEAD (Action for Health in Diabetes) trial.

Full Abstract

OBJECTIVE:
Intentional weight loss is recommended for those with type 2 diabetes, but the strategies patients attempt and their effectiveness for weight management are unknown. In this investigation we describe intentional weight loss strategies used and those related to BMI in a diverse sample of overweight participants with type 2 diabetes at enrollment in the Look AHEAD (Action for Health in Diabetes) clinical trial.

RESEARCH DESIGN AND METHODS:
This was a cross-sectional study of baseline weight loss strategies, including self-weighing frequency, eating patterns, and weight control practices, reported in 3,063 women and 2,082 men aged 45-74 years with BMI > or =25 kg/m(2).

RESULTS:
Less than half (41.4%) of participants self-weighed > or =1/week. Participants ate breakfast 6.0 +/- 1.8 days/week, ate 5.0 +/- 3.1 meals/snacks per day, and ate 1.9 +/- 2.7 fast food meals/week. The three most common weight control practices (increasing fruits and vegetables, cutting out sweets, and eating less high-carbohydrate foods) were reported by approximately 60% of participants for > or =20 weeks over the previous year. Adjusted models showed that self-weighing less than once per week (B = 0.83), more fast food meals consumed per week (B = 0.14), and fewer breakfast meals consumed per week (B = -0.19) were associated (P < 0.05) with a higher BMI (R(2) = 0.24).

CONCLUSIONS:
Regular self-weighing and breakfast consumption, along with infrequent consumption of fast food, were related to lower BMI in the Look AHEAD study population.

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Author information

Author/s: Raynor, Hollie A (HA); Jeffery, Robert W (RW); Ruggiero, Andrea M (AM); Clark, Jeanne M (JM); Delahanty, Linda M (LM); Look AHEAD (Action for Health in Diabetes) Research Group;

Affiliation: Department of Psychiatry and Human Behavior, Brown Medical School/The Miriam Hospital, Providence, Rhode Island, USA. hraynor(-atsign-)utk.edu

Grants: DK046204 (Agency:United States NIDDK) ; DK56990 (Agency:United States NIDDK) ; DK56992 (Agency:United States NIDDK) ; DK57002 (Agency:United States NIDDK) ; DK57008 (Agency:United States NIDDK) ; DK57078 (Agency:United States NIDDK) ; DK57131 (Agency:United States NIDDK) ; DK57135 (Agency:United States NIDDK) ; DK57136 (Agency:United States NIDDK) ; DK57149 (Agency:United States NIDDK) ; DK57151 (Agency:United States NIDDK) ; DK57154 (Agency:United States NIDDK) ; DK57171 (Agency:United States NIDDK) ; DK57177 (Agency:United States NIDDK) ; DK57178 (Agency:United States NIDDK) ; DK57182 (Agency:United States NIDDK) ; DK57219 (Agency:United States NIDDK) ; M01-RR-000056-44 (Agency:United States NCRR) ; M01-RR-00051 (Agency:United States NCRR) ; M01-RR-00211-40 (Agency:United States NCRR) ; M01-RR-01066 (Agency:United States NCRR) ; M01-RR-02719 (Agency:United States NCRR) ; P30 DK48520 (Agency:United States NIDDK)

Journal and publication information

Publication Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural

Journal: Diabetes care (Diabetes Care), published in United States. (Language: eng)

Reference: 2008-Jul; vol 31 (issue 7) : pp 1299-304

Dates: Created 2008/07/02; Completed 2008/08/20;

PMID: 18375417, status: MEDLINE (last retrieval date: 11/6/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Aged
Body Mass Index
Cross-Sectional Studies
Diabetes Mellitus, Type 2 - epidemiology; physiopathology
Diet, Reducing
Educational Status
Feeding Behavior
Female
Fruit
Humans

Income
Life Style
Male
Middle Aged
Obesity - epidemiology
Overweight
United States - epidemiology
Vegetables
Weight Loss
Weight Perception

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