The effect of weight loss on Indigenous Australians with diabetes: A study of feasibility, acceptability and effectiveness of laparoscopic adjustable gastric banding

Journal article


O'Brien, Paul E., DeWitt, Dawn E., Laurie, Cheryl E., Brennan, Leah, Wentworth, John M., Anderson, Margaret, O'Dea, Kerin, Dean, Felicia, Smith, Andrew and Dalton, David P.. (2016) The effect of weight loss on Indigenous Australians with diabetes: A study of feasibility, acceptability and effectiveness of laparoscopic adjustable gastric banding. Obesity Surgery. 26(1), pp. 45 - 53. https://doi.org/10.1007/s11695-015-1733-4
AuthorsO'Brien, Paul E., DeWitt, Dawn E., Laurie, Cheryl E., Brennan, Leah, Wentworth, John M., Anderson, Margaret, O'Dea, Kerin, Dean, Felicia, Smith, Andrew and Dalton, David P.
Abstract

Background/Objectives: Diabetes and obesity are common and serious health challenges for indigenous people worldwide. The feasibility of achieving substantial weight loss, leading to remission of diabetes, was evaluated in a regional indigenous Australian community. Subjects/Methods: A prospective cohort study of 30 obese indigenous adults from the Rumbalara Aboriginal Co-operative in Central Victoria was performed. Inclusion criteria included aboriginality, BMI  >  30 kg/m2 and diabetes diagnosed within the last 10 years. Weight loss was achieved using laparoscopic adjustable gastric banding (LAGB). Participants were treated in their community and followed for 2 years. Outcomes were compared with those of non-indigenous Australians from an earlier randomized controlled trial (RCT) using a similar protocol. Results: 30 participants (26 females, mean age 44.6 years; mean BMI 44.3) had LAGB at the regional hospital. Twenty-six participants completed diabetes assessment at 2 years follow-up. They showed diabetes remission (fasting blood glucose  <  7.0 mmol/L and haemoglobin A1c (HbA1c)  <  6.2 % while off all therapy except metformin) in 20 of the 26 and a mean weight loss (SD) of 26.0 (14) kilograms. Based on intention-to-treat, remission rate was 66 %. Quality of life improved. There was one early event and 12 late adverse events. The outcomes for weight loss and diabetes remission were not different from the LAGB group of the RCT. Conclusions: For obese indigenous people with diabetes, a regionalized model of care centred on the LAGB is an effective approach to a serious health problem. The model proved feasible and acceptable to the indigenous people. Trial Registration: Australian New Zealand Clinical Trials Registry (ACTRN 12609000319279).

Keywordstype 2 diabetes; obesity; bariatric surgery; gastric banding; LAGB; indigenous Aboriginal; remission of diabetes; weight loss
Year2016
JournalObesity Surgery
Journal citation26 (1), pp. 45 - 53
PublisherSpringer New York LLC
ISSN0960-8923
Digital Object Identifier (DOI)https://doi.org/10.1007/s11695-015-1733-4
Scopus EID2-s2.0-84952986360
Page range45 - 53
Research GroupSchool of Philosophy
Place of publicationUnited States of America
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Mitchell, Sarah A., Brennan, Leah, Krug, Isabel and Allen, Nicholas B.. (2013) Defining disordered eating trajectories across adolescence and assessing their impact on psychosocial outcomes using growth mixture modelling. https://doi.org/10.1186/2050-2974-1-S1-O65
Maternal controlling feeding behaviours and child eating in preschool-aged children
Moroshko, Irina and Brennan, Leah. (2013) Maternal controlling feeding behaviours and child eating in preschool-aged children. Nutrition and Dietetics. https://doi.org/10.1111/j.1747-0080.2012.01631.x
Intensive medical weight loss or laparoscopic adjustable gastric banding in the treatment of mild to moderate obesity : long-term follow-up of a prospective randomised trial
O'Brien, Paul Edmond, Brennan, Leah, Laurie, Cheryl and Brown, Wendy. (2013) Intensive medical weight loss or laparoscopic adjustable gastric banding in the treatment of mild to moderate obesity : long-term follow-up of a prospective randomised trial. Obesity Surgery. https://doi.org/10.1007/s11695-013-0990-3
Physiological and behavioural outcomes of a randomised controlled trial of a cognitive behavioural lifestyle intervention for overweight and obese adolescents
Brennan, Leah, Walkley, Jeff, Wilks, Ray, Fraser, Steve and Greenway, Kate. (2013) Physiological and behavioural outcomes of a randomised controlled trial of a cognitive behavioural lifestyle intervention for overweight and obese adolescents. Obesity Research and Clinical Practice. https://doi.org/10.1016/j.orcp.2012.02.010
A cluster randomised controlled trial of a telephone-based parent intervention to increase preschoolers' fruit and vegetable consumption
Wyse, Rebecca, Wolfenden, Luke, Campbell, Elizabeth, Campbell, Karen, Wiggers, John, Brennan, Leah, Fletcher, Amanda, Bowman, Jenny and Heard, Todd. (2012) A cluster randomised controlled trial of a telephone-based parent intervention to increase preschoolers' fruit and vegetable consumption. American Journal of Clinical Nutrition: A journal reporting the practical application of our world-wide knowledge of nutrition. 96(1), pp. 102 - 110. https://doi.org/10.3945/ajcn.111.030585
Predictors of attrition in bariatric aftercare : a systematic review of the literature
Moroshko, Irina, Brennan, Leah and O'Brien, Paul. (2012) Predictors of attrition in bariatric aftercare : a systematic review of the literature. Obesity Surgery. 22(10), pp. 1640 - 1647. https://doi.org/10.1007/s11695-012-0691-3
Promoting protective factors for young adolescents : ABCD Parenting Young Adolescents Program randomised controlled trial
Burke, Kylie, Brennan, Leah and Cann, Warren. (2012) Promoting protective factors for young adolescents : ABCD Parenting Young Adolescents Program randomised controlled trial. Journal of Adolescence. 35(5), pp. 1315 - 1328. https://doi.org/10.1016/j.adolescence.2012.05.002
Parenting styles, communication and child/adolescent diets andweight status : let's talk about it
Parletta, Natalie, Peters, Jacqueline, Owen, Amber, Tsiros, Margarita and Brennan, Leah. (2012) Parenting styles, communication and child/adolescent diets andweight status : let's talk about it. Early Child Development and Care. 182(8), pp. 1089 - 1103. https://doi.org/10.1080/03004430.2012.678597
Does exercise improve weight loss after bariatric surgery? : A systematic review
Egberts, Kristine, Brown, Wendy, Brennan, Leah and O'Brien, Paul. (2012) Does exercise improve weight loss after bariatric surgery? : A systematic review. Obesity Surgery. 22(2), pp. 335 - 341. https://doi.org/10.1007/s11695-011-0544-5
Treatment acceptability and psychosocial outcomes of a randomised controlled trial of a cognitive behavioural lifestyle intervention for overweight and obese adolescents
Brennan, Leah, Wilks, Ray, Walkley, Jeff, Fraser, Steve and Greenway, Kate. (2012) Treatment acceptability and psychosocial outcomes of a randomised controlled trial of a cognitive behavioural lifestyle intervention for overweight and obese adolescents. Behaviour Change. 29(1), pp. 36 - 62. https://doi.org/10.1017/bec.2012.5
Parent- and adolescent-reported barriers to participation in an adolescent overweight and obesity intervention
Brennan, Leah, Walkley, Jeff and Wilks, Ray. (2012) Parent- and adolescent-reported barriers to participation in an adolescent overweight and obesity intervention. Obesity: a resourch journal. 20(6), pp. 1319 - 1324. https://doi.org/10.1038/oby.2011.358
Validity of the beck depression inventory as a screening tool for a clinical mood disorder in bariatric surgery candidates
Hayden, Melissa J., Brown, Wendy A., Brennan, Leah and O'Brien, Paul Edmond. (2012) Validity of the beck depression inventory as a screening tool for a clinical mood disorder in bariatric surgery candidates. Obesity Surgery. 22(11), pp. 1666 - 1675. https://doi.org/10.1007/s11695-012-0682-4
In people with poorly controlled type 2 diabetes, cognitive behaviour therapy combined with motivational enhancement therapy reduces HbA1c after 12 months
Brennan, Leah. (2011) In people with poorly controlled type 2 diabetes, cognitive behaviour therapy combined with motivational enhancement therapy reduces HbA1c after 12 months. Worldviews on Evidence-Based Nursing. 14(3), pp. 72 - 73. https://doi.org/10.1136/ebn1164
In people with poorly controlled type 2 diabetes, cognitive behaviour therapy combined with motivational enhancement therapy reduces HbA1c after 12 months
Brennan, Leah. (2011) In people with poorly controlled type 2 diabetes, cognitive behaviour therapy combined with motivational enhancement therapy reduces HbA1c after 12 months. Worldviews on Evidence-Based Nursing. 14(3), pp. 72 - 73. https://doi.org/10.1136/ebn1164
Predictors of dropout in weight loss interventions :a systematic review of the literature
Moroshko, Irina, Brennan, Leah and O'Brien, Paul Edmond. (2011) Predictors of dropout in weight loss interventions :a systematic review of the literature. Obesity Reviews. 12(11), pp. 912 - 934. https://doi.org/10.1111/j.1467-789X.2011.00915.x
Primary Goals for Weight Loss Questionnaire (PGWLQ) :Development and Psychometric Evaluation in Overweight and Obese Adults
Murphy, Kylie, Brennan, Leah, Walkley, Jeff, Reece, John and Little, Emma. (2011) Primary Goals for Weight Loss Questionnaire (PGWLQ) :Development and Psychometric Evaluation in Overweight and Obese Adults. Behaviour Change. 28(1), pp. 29 - 43. https://doi.org/10.1375/bech.28.1.29
Self-Monitoring in the Treatment of Overweight Adolescents
Sandilands, Mary, Brennan, Leah, Walkley, Jeff, Fraser, Steve and Greenway, Kate. (2011) Self-Monitoring in the Treatment of Overweight Adolescents. Behaviour Change. 28(2), pp. 97 - 109. https://doi.org/10.1375/bech.28.2.97
Predicting treatment initiation in a family-based adolescent overweight and obesity intervention
Dhingra, Akshay, Brennan, Leah and Walkley, Jeff. (2011) Predicting treatment initiation in a family-based adolescent overweight and obesity intervention. Obesity: a resourch journal. 19(6), pp. 1307 - 1310. https://doi.org/10.1038/oby.2010.289
Psychosocial predictors of eating disorder risk in overweight and obese treatment seeking adolescents
Russo, Jade, Brennan, Leah, Walkley, Jeff, Fraser, Steve and Greenway, Kate. (2011) Psychosocial predictors of eating disorder risk in overweight and obese treatment seeking adolescents. Behaviour Change. 28(3), pp. 111 - 127. https://doi.org/10.1375/bech.28.3.111
A pilot study of a telephone-based parental intervention to increase fruit and vegetable consumption in 3 to 5 year old children
Wyse, Rebecca, Wolfenden, Luke, Campbell, Elizabeth, Campbell, Karen, Brennan, Leah, Fletcher, Amanda, Bowman, Jenny, Heard, Todd and Wiggers, John. (2011) A pilot study of a telephone-based parental intervention to increase fruit and vegetable consumption in 3 to 5 year old children. Public Health Nutrition. 14(12), pp. 2245 - 2253. https://doi.org/10.1017/S1368980011001170
Reliability of the school food checklist for in-school audits and photograph analysis of children's school lunches
Mitchell, Sarah, Miles, Cara, Brennan, Leah and Matthews, Jan. (2010) Reliability of the school food checklist for in-school audits and photograph analysis of children's school lunches. Journal of Human Nutrition and Dietetics. 23(1), pp. 48 - 53. https://doi.org/10.1111/j.1365-277X.2009.00996.x
A randomised controlled trial of the efficacy of the ABCD Parenting Young Adolescents Program : rationale and methodology
Burke, Kylie, Brennan, Leah and Roney, Sarah. (2010) A randomised controlled trial of the efficacy of the ABCD Parenting Young Adolescents Program : rationale and methodology. Child and Adolescent Psychiatry and Mental Health. 4(22), pp. 1 - 14. https://doi.org/10.1186/1753-2000-4-22
Parental use of restrictive feeding practices and child BMI z-score. A 3-year prospective cohort study
Campbell, Karen, Andrianopoulos, Nick, Hesketh, Kylie, Ball, Kylie, Crawford, David, Brennan, Leah, Corsini, Nadia and Timperio, Anna. (2010) Parental use of restrictive feeding practices and child BMI z-score. A 3-year prospective cohort study. Appetite. 55(1), pp. 84 - 88. https://doi.org/10.1016/j.appet.2010.04.006
A cluster randomised trial of a telephone-based intervention for parents to increase fruit and vegetable consumption in their 3- to 5-year-old children: Study protocol
Wyse, Rebecca, Wolfenden, Luke, Campbell, Elizabeth, Brennan, Leah, Campbell, Karen, Fletcher, Amanda, Bowman, Jenny, Heard, Todd and Wiggers, John. (2010) A cluster randomised trial of a telephone-based intervention for parents to increase fruit and vegetable consumption in their 3- to 5-year-old children: Study protocol. BMC Public Health. 10(216), pp. 1 - 12. https://doi.org/10.1186/1471-2458-10-216
Adolescent and parent content preferences and predictors of intention to use an online healthy weight website for adolescents
Baulch, Jacqueline, Chester, Andrea and Brennan, Leah. (2010) Adolescent and parent content preferences and predictors of intention to use an online healthy weight website for adolescents. E - Journal of Applied Psychology. 6(1), pp. 19 - 26. https://doi.org/10.7790/ejap.v6i1.173
Changes in the content of children's school lunches across the school week
Brennan, Leah, Miles, Cara, Mitchell, Sarah and Matthews, Jan. (2010) Changes in the content of children's school lunches across the school week. Health Promotion Journal of Australia. 21(3), pp. 196 - 201.
Maternal psychosocial predictors of controlling parental feeding styles and practices
Mitchell, Sarah, Brennan, Leah, Hayes, Louise and Miles, Cara L.. (2009) Maternal psychosocial predictors of controlling parental feeding styles and practices. Appetite. 53(3), pp. 384 - 389. https://doi.org/10.1016/j.appet.2009.08.001
Health-related quality of life in obese children and adolescents
Tsiros, Margarita D., Olds, Timothy S., Buckley, Jonathan David, Grimshaw, Paul, Brennan, Leah, Walkley, Jeff, Hills, Andrew Peter, Howe, Peter and Coates, Alison M.. (2009) Health-related quality of life in obese children and adolescents. International Journal of Obesity. 33(4), pp. 387 - 400. https://doi.org/10.1038/ijo.2009.42
A cognitive behavioural intervention for overweight and obese adolescents illustrated by four case studies
Brennan, Leah, Walkley, Jeff, Lukeis, Sarah, Risteska, Anica, Archer, Lisa, Digre, Ellen, Fraser, Steve F. and Greenway, Kate. (2009) A cognitive behavioural intervention for overweight and obese adolescents illustrated by four case studies. Behaviour Change. 26(3), pp. 190 - 213. https://doi.org/10.1375/bech.26.3.190
Treatment alternatives for overweight and obesity: The role of online interventions
Baulch, Jacqueline, Chester, Andrea and Brennan, Leah. (2008) Treatment alternatives for overweight and obesity: The role of online interventions. Behaviour Change. 25(1), pp. 1 - 14. https://doi.org/10.1375/bech.25.1.1
Motivational interviewing and cognitive behaviour therapy in the treatment of adolescent overweight and obesity: Study design and methodology
Brennan, Leah, Walkley, Jeff, Fraser, Steve F., Greenway, Kate and Wilks, Ray. (2008) Motivational interviewing and cognitive behaviour therapy in the treatment of adolescent overweight and obesity: Study design and methodology. Contemporary Clinical Trials. 29(3), pp. 359 - 375. https://doi.org/10.1016/j.cct.2007.09.001
Cognitive behavioural therapy improves diet and body composition in overweight and obese adolescents
Tsiros, Margarita D., Parletta, Natalie, Brennan, Leah, Coates, Alison M., Walkley, Jeff, Petkov, John, Howe, Peter, David and Buckley, Jonathan David. (2008) Cognitive behavioural therapy improves diet and body composition in overweight and obese adolescents. American Journal of Clinical Nutrition. 87(5), pp. 1134 - 1140.