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Objective
Cardiovascular health (CVH) declines in young adulthood. This study assessed whether weight gain prevention interventions promoted ideal CVH.
Methods
Young adults (n = 599; age 18–35 years; BMI: 21.0–30.9 kg/m2) from a randomized controlled trial comparing two weight gain prevention interventions (self‐regulation with large or small changes) and a self‐guided control group completed anthropometric...
Objective
The aims of this study were as follows: 1) examine weight changes in older adults (mean age = 76 years) with type 2 diabetes and overweight or obesity during the COVID‐19 shutdown; and 2) compare the behavioral and psychosocial effects of the shutdown in those who had large weight losses (>5%), those who had small weight losses (2%‐5%), those who remained weight stable (±2%), or those...
Background
There is growing interest in identifying factors associated with healthy aging. This cross‐sectional study evaluated associations of psychological resilience with factors associated with aging in older adults with type 2 diabetes mellitus (T2DM).
Methods
Participants were 3199 adults (72.2 ± 6.2 years of age, 61% female, 61% White, body mass index [BMI] = 34.2 ± 8.2 kg/m2) with T2DM...
Objective
This study sought to understand the process and strategies to recover from regain among weight loss maintainers.
Methods
Participants in WeightWatchers (WW; n = 2457) had lost ≥9 kg for ≥1 year and were grouped based on self‐reported weight change after maximum loss: sustained maintenance (“Stable”), ups and downs (“Gain–Lose”), and regain (“Gain”). The groups were compared on weight...
Objective
Behavioral obesity treatment implemented in primary care is efficacious but typically involves face‐to‐face or phone contact. This study evaluated enrollment, engagement, and 12‐week weight loss in a fully automated online behavioral weight‐loss intervention implemented pragmatically in a primary care network.
Methods
As part of routine primary care, providers and nurse care managers...
Objective
This study aimed to measure the impact of the COVID‐19 pandemic on self‐reported life experiences in older adults with diabetes and obesity.
Methods
Participants were surveyed in 2020 regarding negative and positive impacts of the pandemic across domains of personal, social, and physical experiences. A cumulative negative risk index (a count of all reported negative impacts of 46 items)...
Objective
Two approaches may shift attention from short‐term rewards to longer‐term weight‐loss goals: focusing on long‐term consequences of unhealthy choices (prevention) or benefits of healthy choices (promotion). This randomized controlled trial tested the impact of prevention‐ versus promotion‐focused strategies in an internet‐delivered behavioral weight‐loss intervention (iBWL).
Methods
A...
Objective
Recovery from weight regain is uncommon during weight loss treatment. This study examined whether participants in a weight gain prevention intervention similarly struggle to recover following weight gains and which factors predict transitions.
Methods
This is a secondary analysis of data from the Study of Novel Approaches to Weight Gain Prevention (SNAP), a randomized controlled trial...
This paper reviews the main findings from the Action for Health in Diabetes (Look AHEAD) Trial, a randomized trial testing the long‐term health effects of intensive lifestyle interventions (ILIs) in 5,145 persons with overweight/obesity and type 2 diabetes. Although the primary outcome originally focused on cardiovascular morbidity and mortality, secondary outcomes included a broad range of health...
Objective
The Action for Health in Diabetes (Look AHEAD) study previously reported that intensive lifestyle intervention (ILI) reduced incident depressive symptoms and improved health‐related quality of life (HRQOL) over nearly 10 years of intervention compared with a control group (the diabetes support and education group [DSE]) in participants with type 2 diabetes and overweight or obesity. The...
Objectives
Self‐monitoring is critical for weight management, but little is known about lapses in the use of digital self‐monitoring. The objectives of this study were to examine whether lapses in self‐weighing and wearing activity trackers are associated with weight and activity outcomes and to identify objective predictors of lapses.
Methods
Participants (N = 160, BMI = 25.5 ± 3.3 kg/m2, 33.1...
Objective
This study aimed to determine the impact of weight gain prevention interventions on changes in cardiovascular risk factors over 6 years.
Methods
The Study of Novel Approaches to Weight Gain Prevention (SNAP) randomized 599 participants (ages 18‐35; 46% with BMI 21‐25; 54% with BMI 25‐30) to Large Changes (produce buffer by losing 5‐10 pounds initially), Small Changes (daily small changes...
Objective
The Action for Health in Diabetes (Look AHEAD) trial was a randomized trial comparing effects of intensive lifestyle intervention (ILI) and diabetes support and education (DSE) on cardiovascular disease (CVD) among individuals with overweight/obesity and type 2 diabetes. A secondary analysis was conducted to evaluate the association between change in weight and waist circumference (WC)...
Objective
This study was designed to determine whether intensive lifestyle intervention (ILI) aimed at weight loss lowers cancer incidence and mortality.
Methods
Data from the Look AHEAD trial were examined to investigate whether participants randomized to ILI designed for weight loss would have reduced overall cancer incidence, obesity‐related cancer incidence, and cancer mortality, as compared...
Objective
In traditional behavioral weight loss (BWL) programs, young adults fare worse than older adults with respect to engagement, retention, and weight loss, but money and use of technology have been cited as program factors that might improve outcomes for this population. This study evaluated young adult performance in internet‐based BWL (IBWL) offering financial incentives for self‐monitoring...
Objective
This study evaluated weight changes after cessation of the 10‐year intensive lifestyle intervention (ILI) in the Look AHEAD (Action for Health in Diabetes) study. It was hypothesized that ILI participants would be more likely to gain weight during the 2‐year observational period following termination of weight‐loss–maintenance counseling than would participants in the diabetes support and...
Objective
This study aimed to characterize young adults who experienced significant weight gains (> 10%) over 3 years in a weight gain prevention program.
Methods
Secondary data analysis from the Study of Novel Approaches to Weight Gain Prevention (SNAP), a randomized trial comparing two self‐regulation interventions and a control arm in young adults (18‐35 years; BMI 21‐30.9 kg/m2), was used...
Objective
To examine the effects of an intensive lifestyle intervention (ILI) on cardiovascular disease (CVD), the Action for Health in Diabetes (Look AHEAD) trial randomized 5,145 participants with type 2 diabetes and overweight/obesity to a ILI or diabetes support and education. Although the primary outcome did not differ between the groups, there was suggestive evidence of heterogeneity for prespecified...
Objective
The study objective was to determine whether two self‐regulation interventions that reduced 3‐year weight gain in young adults remain effective at 6 years.
Methods
A randomized trial was conducted in two academic settings in 599 young adults, aged 18 to 35 years, with normal weight or overweight; 504 (84%) reconsented for a 6‐year extension (Study of Novel Approaches to Weight Gain Prevention‐Extended [SNAP‐E])...
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