Intensive weight loss intervention in older individuals

Results from the action for health in diabetes type 2 diabetes mellitus trial

Mark A. Espeland, W. Jack Rejeski, Delia S. West, George A. Bray, Jeanne Clark, Anne L. Peters, Haiying Chen, Karen C. Johnson, Edward S. Horton, Helen P. Hazuda

Research output: Contribution to journalArticle

Abstract

Objectives To compare the effects of 4 years of intensive lifestyle intervention on weight, fitness, and cardiovascular disease risk factors in older and younger individuals. Design Randomized controlled clinical trial. Setting Sixteen U.S. clinical sites. Participants Individuals with type 2 diabetes mellitus: 1,053 aged 65 to 76 and 4,092 aged 45 to 64. Interventions An intensive behavioral intervention designed to promote and maintain weight loss through caloric restriction and increased physical activity was compared with diabetes mellitus support and education. Measurements Standardized assessments of weight, fitness (based on graded exercise testing), and cardiovascular disease risk factors. Results Over 4 years, older individuals had greater intervention-related mean weight losses (6.2%) than younger participants (5.1%; interaction P =.006) and comparable relative mean increases in fitness (0.56 vs 0.53 metabolic equivalents; interaction P =.72). These benefits were seen consistently across subgroups of older adults formed according to many demographic and health factors. Of a panel of age-related health conditions, only self-reported worsening vision was associated with poorer intervention-related weight loss in older individuals. The intensive lifestyle intervention produced mean increases in high-density lipoprotein cholesterol (2.03 mg/dL; P

Original languageEnglish (US)
Pages (from-to)912-922
Number of pages11
JournalJournal of the American Geriatrics Society
Volume61
Issue number6
DOIs
StatePublished - Jun 2013

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Type 2 Diabetes Mellitus
Weight Loss
Diabetes Mellitus
Life Style
Health
Cardiovascular Diseases
Metabolic Equivalent
Weights and Measures
Caloric Restriction
HDL Cholesterol
Randomized Controlled Trials
Demography
Education

Keywords

  • behavioral intervention
  • cardiovascular disease risk factors
  • physical activity
  • type 2 diabetes mellitus
  • weight loss

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Intensive weight loss intervention in older individuals : Results from the action for health in diabetes type 2 diabetes mellitus trial. / Espeland, Mark A.; Rejeski, W. Jack; West, Delia S.; Bray, George A.; Clark, Jeanne; Peters, Anne L.; Chen, Haiying; Johnson, Karen C.; Horton, Edward S.; Hazuda, Helen P.

In: Journal of the American Geriatrics Society, Vol. 61, No. 6, 06.2013, p. 912-922.

Research output: Contribution to journalArticle

Espeland, MA, Rejeski, WJ, West, DS, Bray, GA, Clark, J, Peters, AL, Chen, H, Johnson, KC, Horton, ES & Hazuda, HP 2013, 'Intensive weight loss intervention in older individuals: Results from the action for health in diabetes type 2 diabetes mellitus trial', Journal of the American Geriatrics Society, vol. 61, no. 6, pp. 912-922. https://doi.org/10.1111/jgs.12271
Espeland, Mark A. ; Rejeski, W. Jack ; West, Delia S. ; Bray, George A. ; Clark, Jeanne ; Peters, Anne L. ; Chen, Haiying ; Johnson, Karen C. ; Horton, Edward S. ; Hazuda, Helen P. / Intensive weight loss intervention in older individuals : Results from the action for health in diabetes type 2 diabetes mellitus trial. In: Journal of the American Geriatrics Society. 2013 ; Vol. 61, No. 6. pp. 912-922.
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