Longitudinal Weight Outcomes From a Behavioral Lifestyle Intervention in Clinical Practice

IF 3.9 Q1 Health Professions

Diabetes Educator Pub Date : 2019-09-03 DOI:10.1177/0145721719872553

R. Romanelli, Hsiao-Ching Huang, Vidita Chopra, Jun Ma, E. Venditti, S. Sudat, Deborah A. Greenwood, A. Pressman, K. Azar

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引用次数: 6

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.

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临床实践中行为生活方式干预的纵向体重结果

目的这项基于电子健康记录（EHR）的回顾性队列研究的目的是描述在社区卫生系统中参与12个月生活方式改变计划的患者群体的特征，并检查纵向体重结果。方法在2010年至2017年间，在18个地点的医疗保健提供系统的EHR中确定项目参与者。结果是从项目开始的24个月内，平均体重变化和体重减轻≥5%的患者比例。结果在4463名项目参与者中，3156人符合研究资格标准，平均±SD年龄为53.5±13.1岁；77.7%为女性。平均基线体重±SD为101.3±23.8 kg。确定了三个主要的心脏代谢风险组：糖尿病前期/糖尿病高危人群（47.3%）、在没有糖尿病风险升高的情况下超重/肥胖人群（27.2%）和现有糖尿病人群（23.9%）。自基线以来6个月，最大平均体重减轻3.9%。在基线后的12个月和24个月，平均体重减轻分别为3.2%和2.3%，31%和29%的参与者体重减轻≥5%。不同风险组的长期体重结果相似。结论在具有一系列心脏代谢风险因素的参与者中，临床实践环境中的生活方式改变计划与持续24个月的适度减肥有关。超过四分之一的参与者实现了≥5%的体重减轻，无论心脏代谢风险如何。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.