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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, Elizabeth Reeves, Marina Winkler, Elisabeth Healy, Genevieve Dunstan, David Owen, Neville Marshal, Alison Wilkie, K. C.
Eakin, Elizabeth
Reeves, Marina
Winkler, Elisabeth
Healy, Genevieve
Dunstan, David
Owen, Neville
Marshal, Alison
Wilkie, K. C.
Abstract
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.
Keywords
Date
2013
Type
Journal article
Journal
Annals of Behavioral Medicine
Book
Volume
46
Issue
2
Page Range
193-203
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
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Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled