Literature DB >> 35421225

Weight Change During the Postintervention Follow-up of Look AHEAD.

Rena R Wing1, Rebecca H Neiberg2, Judy L Bahnson2, Jeanne M Clark3, Mark A Espeland2, James O Hill4, Karen C Johnson5, William C Knowler6,7, KayLoni Olson1, Helmut Steinburg8, Xavier Pi-Sunyer9, Thomas A Wadden10, Holly Wyatt11, Jeanne M Clark3, Lee Swartz, Dawn Jiggetts, Jeanne Charleston, Lawrence Cheskin, Nisa M Maruthur, Scott J Pilla, Danielle Diggins, Mia Johnson, George A Bray, Frank L Greenway, Donna H Ryan, Catherine Champagne, Valerie Myers, Jeffrey Keller, Tiffany Stewart, Jennifer Arceneaux, Karen Boley, Greta Fry, Lisa Jones, Kim Landry, Melissa Lingle, Marisa Smith, Cora E Lewis, Sheikilya Thomas, Stephen Glasser, Gareth Dutton, Amy Dobelstein, Sara Hannum, Anne Hubbell, DeLavallade Lee, Phyllis Millhouse, L Christie Oden, Cathy Roche, Jackie Grant, Janet Turman, David M Nathan, Valerie Goldman, Linda Delahanty, Mary Larkin, Kristen Dalton, Roshni Singh, Melanie Ruazol, Medha N Munshi, Sharon D Jackson, Roeland J W Middelbeek, A Enrique Caballero, Anthony Rodriguez, George Blackburn, Christos Mantzoros, Ann McNamara, Holly Wyatt11, James O Hill4, Jeanne Anne Breen, Marsha Miller, Debbie Bochert, Suzette Bossart, Paulette Cohrs, Susan Green, April Hamilton, Eugene Leshchinskiy, Loretta Rome, John P Foreyt, Molly Gee, Henry Pownall, Ashok Balasubramanyam, Chu-Huang Chen, Peter Jones, Michele Burrington, Allyson Clark Gardner, Sharon Griggs, Michelle Hamilton, Veronica Holley, Sarah Lee, Sarah Lane Liscum, Susan Cantu-Lumbreras, Julieta Palencia, Jennifer Schmidt, Jayne Thomas, Carolyn White, Charlyne Wright, Monica Alvarez, Karen C Johnson5, Beate Griffin, Mace Coday, Donna Valenski, Lisa Jones, Karen Johnson, Karen C Johnson5, Helmut Steinburg8, Robert W Jeffery, Tricia Skarphol, John P Bantle, J Bruce Redmon, Kerrin Brelje, Carolyne Campbell, Mary Ann Forseth, Soni Uccellini, Mary Susan Voeller, Blandine Laferrère, Xavier Pi-Sunyer9, Jennifer Patricio, Jose Luchsinger, Priya Palta, Sarah Lyon, Kim Kelly, Thomas A Wadden10, Barbara J Maschak-Carey, Robert I Berkowitz, Ariana Chao, Renee Davenport, Katherine Gruber, Sharon Leonard, Olivia Walsh, John M Jakicic, Jacqueline Wesche-Thobaben, Lin Ewing, Andrea Hergenroeder, Mary Korytkowski, Susan Copelli, Rebecca Danchenko, Diane Ives, Juliet Mancino, Lisa Martich, Meghan McGuire, Tracey Y Murray, Linda Semler, Kathy Williams, Rena R Wing1, Caitlin Egan, Elissa Jelalian, Jeanne McCaffery, Kathryn Demos McDermott, Jessica Unick, Kirsten Annis, Jose DaCruz, Ariana Rafanelli, Helen P Hazuda, Juan Carlos Isaac, Prepedigna Hernandez, Steven E Kahn, Edward J Boyko, Elaine Tsai, Lorena Wright, Karen Atkinson, Ivy Morgan-Taggart, Jolanta Socha, Heidi Urquhart, William C Knowler6,7, Paula Bolin, Harelda Anderson, Sara Michaels, Ruby Johnson, Patricia Poorthunder, Janelia Smiley, Anne L Peters, Siran Ghazarian, Elizabeth Beale, Edgar Ramirez, Gabriela Rodriguez, Valerie Ruelas, Sara Serafin-Dokhan, Martha Walker, Marina Perez, Mark A Espeland2, Lynne E Wagenknecht, Judy L Bahnson2, David Reboussin, Mike E Miller, Peter Brubaker, Nicholas Pajewski, Michael Bancks, Jingzhong Ding, Gagan Deep, Kathleen Hayden, Stephen R Rapp, Felicia Simpson, Haiying Chen, Bonnie C Sachs, Denise Houston, Shyh-Huei Chen, Andrea Anderson, Jerry M Barnes, Mary Barr, Tara D Beckner, Delilah R Cook, Carrie C Williams, Joni Evans, Katie Garcia, Sarah A Gaussoin, Carol Kittel, Lea Harvin, Marjorie Howard, James Lovato, Rebecca H Neiberg2, June Pierce, Debbie Steinberg, Christopher Webb, Jennifer Walker, Michael P Walkup, Carolyn Watkins, Santica M Marcovina, Jessica Hurting, John J Albers, Vinod Gaur, Michael Nevitt, Ann Schwartz, John Shepherd, Michaela Rahorst, Lisa Palermo, Susan Ewing, Cynthia Hayashi, Jason Maeda.   

Abstract

OBJECTIVE: Patients with type 2 diabetes are encouraged to lose weight, but excessive weight loss in older adults may be a marker of poor health and subsequent mortality. We examined weight change during the postintervention period of Look AHEAD, a randomized trial comparing intensive lifestyle intervention (ILI) with diabetes support and education (DSE) (control) in overweight/obese individuals with type 2 diabetes and sought to identify predictors of excessive postintervention weight loss and its association with mortality. RESEARCH DESIGN AND METHODS: These secondary analyses compared postintervention weight change (year 8 to final visit; median 16 years) in ILI and DSE in 3,999 Look AHEAD participants. Using empirically derived trajectory categories, we compared four subgroups: weight gainers (n = 307), weight stable (n = 1,561), steady losers (n = 1,731), and steep losers (n = 380), on postintervention mortality, demographic variables, and health status at randomization and year 8.
RESULTS: Postintervention weight change averaged -3.7 ± 9.5%, with greater weight loss in the DSE than the ILI group. The steep weight loss trajectory subgroup lost on average 17.7 ± 6.6%; 30% of steep losers died during postintervention follow-up versus 10-18% in other trajectories (P < 0001). The following variables distinguished steep losers from weight stable: baseline, older, longer diabetes duration, higher BMI, and greater multimorbidity; intervention, randomization to control group and less weight loss in years 1-8; and year 8, higher prevalence of frailty, multimorbidity, and depressive symptoms and lower use of weight control strategies.
CONCLUSIONS: Steep weight loss postintervention was associated with increased risk of mortality. Older individuals with longer duration of diabetes and multimorbidity should be monitored for excessive unintentional weight loss.
© 2022 by the American Diabetes Association.

Entities:  

Year:  2022        PMID: 35421225      PMCID: PMC9277114          DOI: 10.2337/dc21-1990

Source DB:  PubMed          Journal:  Diabetes Care        ISSN: 0149-5992            Impact factor:   17.152


  33 in total

1.  Weight Change 2 Years After Termination of the Intensive Lifestyle Intervention in the Look AHEAD Study.

Authors:  Ariana M Chao; Thomas A Wadden; Robert I Berkowitz; George Blackburn; Paula Bolin; Jeanne M Clark; Mace Coday; Jeffrey M Curtis; Linda M Delahanty; Gareth R Dutton; Mary Evans; Linda J Ewing; John P Foreyt; Linda J Gay; Edward W Gregg; Helen P Hazuda; James O Hill; Edward S Horton; Denise K Houston; John M Jakicic; Robert W Jeffery; Karen C Johnson; Steven E Kahn; William C Knowler; Anne Kure; Katherine L Michalski; Maria G Montez; Rebecca H Neiberg; Jennifer Patricio; Anne Peters; Xavier Pi-Sunyer; Henry Pownall; David Reboussin; Bruce Redmon; W Jack Rejeski; Helmut Steinburg; Martha Walker; Donald A Williamson; Rena R Wing; Holly Wyatt; Susan Z Yanovski; Ping Zhang
Journal:  Obesity (Silver Spring)       Date:  2020-05       Impact factor: 5.002

2.  Effect of a Long-Term Intensive Lifestyle Intervention on Cognitive Function: Action for Health in Diabetes Study.

Authors:  Stephen R Rapp; Jose A Luchsinger; Laura D Baker; George L Blackburn; Helen P Hazuda; Kathryn E Demos-McDermott; Robert W Jeffery; Jeffrey N Keller; Jeanne M McCaffery; Nicholas M Pajewski; Mary Evans; Thomas A Wadden; Steven E Arnold; Mark A Espeland
Journal:  J Am Geriatr Soc       Date:  2017-01-09       Impact factor: 5.562

3.  Effect of a long-term behavioural weight loss intervention on nephropathy in overweight or obese adults with type 2 diabetes: a secondary analysis of the Look AHEAD randomised clinical trial.

Authors: 
Journal:  Lancet Diabetes Endocrinol       Date:  2014-08-10       Impact factor: 32.069

4.  Nutrition and health risks in the elderly: the nutrition screening initiative.

Authors:  B M Posner; A M Jette; K W Smith; D R Miller
Journal:  Am J Public Health       Date:  1993-07       Impact factor: 9.308

5.  Association of an intensive lifestyle intervention with remission of type 2 diabetes.

Authors:  Edward W Gregg; Haiying Chen; Lynne E Wagenknecht; Jeanne M Clark; Linda M Delahanty; John Bantle; Henry J Pownall; Karen C Johnson; Monika M Safford; Abbas E Kitabchi; F Xavier Pi-Sunyer; Rena R Wing; Alain G Bertoni
Journal:  JAMA       Date:  2012-12-19       Impact factor: 56.272

6.  Body mass index, weight change, and death in older adults: the systolic hypertension in the elderly program.

Authors:  Grant W Somes; Stephen B Kritchevsky; Ronald I Shorr; Marco Pahor; William B Applegate
Journal:  Am J Epidemiol       Date:  2002-07-15       Impact factor: 4.897

Review 7.  Is obesity bad for older persons? A systematic review of the pros and cons of weight reduction in later life.

Authors:  Connie W Bales; Gwendolen Buhr
Journal:  J Am Med Dir Assoc       Date:  2008-06       Impact factor: 4.669

Review 8.  Does Lifestyle Intervention Improve Health of Adults with Overweight/Obesity and Type 2 Diabetes? Findings from the Look AHEAD Randomized Trial.

Authors:  Rena R Wing
Journal:  Obesity (Silver Spring)       Date:  2021-05-14       Impact factor: 9.298

9.  The Effect of Intentional Weight Loss on Fracture Risk in Persons With Diabetes: Results From the Look AHEAD Randomized Clinical Trial.

Authors:  Karen C Johnson; George A Bray; Lawrence J Cheskin; Jeanne M Clark; Caitlin M Egan; John P Foreyt; Katelyn R Garcia; Stephen Glasser; Frank L Greenway; Edward W Gregg; Helen P Hazuda; Andrea Hergenroeder; James O Hill; Edward S Horton; John M Jakicic; Robert W Jeffery; Steven E Kahn; William C Knowler; Cora E Lewis; Marsha Miller; Maria G Montez; David M Nathan; Jennifer L Patricio; Anne L Peters; Xavier Pi-Sunyer; Henry J Pownall; David Reboussin; J Bruce Redmon; Helmut Steinberg; Thomas A Wadden; Lynne E Wagenknecht; Rena R Wing; Catherine R Womack; Susan Z Yanovski; Ping Zhang; Ann V Schwartz
Journal:  J Bone Miner Res       Date:  2017-07-28       Impact factor: 6.741

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  1 in total

1.  Dietary adaptation for weight loss maintenance at Yale (DAWLY): Protocol and predictions for a randomized controlled trial.

Authors:  Xi Fang; Xue Davis; Kyle D Flack; Chavonn Duncan; Fangyong Li; Marney White; Carlos Grilo; Dana M Small
Journal:  Front Nutr       Date:  2022-07-28
  1 in total

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