Six-month outcomes from living well with diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control

Background: Intensive lifestyle intervention trials in type 2 diabetes contribute evidence on what can be achieved under optimal conditions, but are less informative for translation in applied settings. Purpose: Living Well with Diabetes is a telephone-delivered weight loss intervention designed for...

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Main Authors: Eakin, E., Reeves, M., Winkler, E., Healy, Genevieve, Dunstan, D., Owen, N., Marshal, A., Wilkie, K.
Format: Journal Article
Published: 2013
Online Access:http://hdl.handle.net/20.500.11937/38566
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author Eakin, E.
Reeves, M.
Winkler, E.
Healy, Genevieve
Dunstan, D.
Owen, N.
Marshal, A.
Wilkie, K.
author_facet Eakin, E.
Reeves, M.
Winkler, E.
Healy, Genevieve
Dunstan, D.
Owen, N.
Marshal, A.
Wilkie, K.
author_sort Eakin, E.
building Curtin Institutional Repository
collection Online Access
description Background: Intensive lifestyle intervention trials in type 2 diabetes contribute evidence on what can be achieved under optimal conditions, but are less informative for translation in applied settings. Purpose: Living Well with Diabetes is a telephone-delivered weight loss intervention designed for real-world delivery. Methods: This study is a randomized controlled trial of telephone counseling (n = 151) versus usual care (n = 151); 6-month primary outcomes of weight, physical activity, HbA1c; secondary diet outcomes; analysis was by adjusted generalized linear models. Results: Relative to usual care, telephone counseling participants had small but significantly better weight loss [-1.12 % of initial body weight; 95 % confidence interval (CI) -1.92, -0.33 %]; physical activity [relative rate (RR) = 1.30; 95 % CI, 1.08, 1.57]; energy intake reduction (-0.63 MJ/day; 95 % CI, -1.01, -0.25); and diet quality (3.72 points; 95 % CI, 1.77, 5.68), with no intervention effect for HbA1c (RR = 0.99; 95 % CI, 0.96, 1.01). Conclusions: Results are discussed in light of challenges to intervention delivery. © 2013 The Society of Behavioral Medicine.
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spelling curtin-20.500.11937-385662017-09-13T14:15:05Z Six-month outcomes from living well with diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control Eakin, E. Reeves, M. Winkler, E. Healy, Genevieve Dunstan, D. Owen, N. Marshal, A. Wilkie, K. Background: Intensive lifestyle intervention trials in type 2 diabetes contribute evidence on what can be achieved under optimal conditions, but are less informative for translation in applied settings. Purpose: Living Well with Diabetes is a telephone-delivered weight loss intervention designed for real-world delivery. Methods: This study is a randomized controlled trial of telephone counseling (n = 151) versus usual care (n = 151); 6-month primary outcomes of weight, physical activity, HbA1c; secondary diet outcomes; analysis was by adjusted generalized linear models. Results: Relative to usual care, telephone counseling participants had small but significantly better weight loss [-1.12 % of initial body weight; 95 % confidence interval (CI) -1.92, -0.33 %]; physical activity [relative rate (RR) = 1.30; 95 % CI, 1.08, 1.57]; energy intake reduction (-0.63 MJ/day; 95 % CI, -1.01, -0.25); and diet quality (3.72 points; 95 % CI, 1.77, 5.68), with no intervention effect for HbA1c (RR = 0.99; 95 % CI, 0.96, 1.01). Conclusions: Results are discussed in light of challenges to intervention delivery. © 2013 The Society of Behavioral Medicine. 2013 Journal Article http://hdl.handle.net/20.500.11937/38566 10.1007/s12160-013-9498-2 restricted
spellingShingle Eakin, E.
Reeves, M.
Winkler, E.
Healy, Genevieve
Dunstan, D.
Owen, N.
Marshal, A.
Wilkie, K.
Six-month outcomes from living well with diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control
title Six-month outcomes from living well with diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control
title_full Six-month outcomes from living well with diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control
title_fullStr Six-month outcomes from living well with diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control
title_full_unstemmed Six-month outcomes from living well with diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control
title_short Six-month outcomes from living well with diabetes: A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control
title_sort six-month outcomes from living well with diabetes: a randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control
url http://hdl.handle.net/20.500.11937/38566