scholarly journals A Simple Liking Survey Captures Behaviors Associated with Weight Loss in a Worksite Program among Women at Risk of Type 2 Diabetes

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1338
Author(s):  
Mastaneh Sharafi ◽  
Pouran Faghri ◽  
Tania B. Huedo-Medina ◽  
Valerie B. Duffy
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Latent Variable ◽  
Secondary Analysis ◽  
Diabetes Prevention Program ◽  
Analysis Of Covariance ◽  
Term Care ◽  
Variable Approach ◽  
Average Loss ◽  
Highly Correlated

In a secondary analysis, we assessed the ability of dietary and physical activity surveys to explain variability in weight loss within a worksite-adapted Diabetes Prevention Program. The program involved 58 overweight/obese female employees (average age = 46 ± 11 years SD; average body mass index = 34.7 ± 7.0 kg/m2 SD) of four long-term care facilities who survey-reported liking and frequency of dietary and physical activity behaviors. Data were analyzed using a latent variable approach, analysis of covariance, and nested regression analysis to predict percent weight change from baseline to intervention end at week 16 (average loss = 3.0%; range—6% gain to 17% loss), and follow-up at week 28 (average loss = 2.0%; range—8% gain to 16% loss). Using baseline responses, restrained eaters (reporting liking but low intakes of high fat/sweets) achieved greater weight loss at 28 weeks than those reporting high liking/high intake (average loss = 3.5 ± 0.9% versus 1.0 ± 0.8% S.E., respectively). Examining the dietary surveys separately, only improvements in liking for a healthy diet were associated significantly with weight loss (predicting 44% of total variance, p < 0.001). By contrasting liking versus intake changes, women reporting concurrent healthier diet liking and healthier intake lost the most weight (average loss = 5.4 ± 1.1% S.E.); those reporting eating healthier but not healthier diet liking (possible misreporting) gained weight (average gain = 0.3 ± 1.4% S.E.). Change in liking and frequency of physical activity were highly correlated but neither predicted weight loss independently. These pilot data support surveying dietary likes/dislikes as a useful measure to capture dietary behaviors associated with weight loss in worksite-based programs. Comparing dietary likes and intake may identify behaviors consistent (appropriate dietary restraint) or inconsistent (misreporting) with weight loss success.

Weight and Physical Activity: a 12-month follow-up of a digital diabetes prevention program (VP Transform for Prediabetes) in adults with prediabetes (Preprint)

2020 ◽  
Author(s):  
Ryan Batten ◽  
Meshari F Alwashmi ◽  
Gerald Mugford ◽  
Misa Muccio ◽  
Angele Besner ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Secondary Analysis ◽  
Diabetes Prevention Program ◽  
Global Scale ◽  
Lifestyle Modifications ◽  
Behavior Tracking

BACKGROUND The prevalence of diabetes increasingly rapidly. Previous research has demonstrated the efficacy of a diabetes prevention program (DPP) in lifestyle modifications which can prevent or delay the onset of type 2 diabetes among individuals at-risk. Digital DPPs have the potential to utilize technology, in conjunction with behavior change science, to prevent prediabetes on a national and global scale OBJECTIVE The aim of this study was to investigate the effects of a digital DPP (VP Transform for Prediabetes) on weight loss and physical activity among participants who had completed twelve months of the program. METHODS This study was a secondary analysis of retrospective data of adults with prediabetes who were enrolled in VP Transform for Prediabetes for 12 months of the program. The program incorporates interactive mobile computing, remote monitoring, an evidence-based curriculum, behavior tracking tools, health coaching and online peer support to prevent or delay the onset of type 2 diabetes. Analysis included data that were collected at baseline and after 12 months of the VP Transform for Prediabetes DPP. RESULTS The sample (N=1,095) comprised people with prediabetes who completed 12 months of the VP Transform for Prediabetes program. Participants included 67.7% female, with a mean age of 53.6 (SD 9.75). On average, participants decreased their weight by 10.9 pounds (5.5%) and increased their physical activity by 91.2 minutes per week. CONCLUSIONS These results suggest that VP Transform for Prediabetes is effective at preventing type 2 diabetes through significant reduction in body weight and increase of physical activity. Furthermore, these results suggest that the DPP remains effective 12 months after beginning the program. A prospective, controlled clinical study is warranted to validate these findings.

scholarly journals Physical Activity, Weight Loss, and Weight Maintenance in the DiOGenes Multicenter Trial

2021 ◽  
Vol 8 ◽  
Author(s):  
Marleen A. van Baak ◽  
Gabby Hul ◽  
Arne Astrup ◽  
Wim H. Saris
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Weight Maintenance ◽  
Secondary Analysis ◽  
Maintenance Phase ◽  
Weight Loss Maintenance ◽  
Multicenter Trial ◽  
Matsuda Index ◽  
Training Programmes ◽  
Positive Effect

In this secondary analysis of the DiOGenes study, we investigated whether physical activity (PA) contributes to diet-induced weight loss and helps to reduce subsequent regain. We also studied the associations of PA with changes in cardiometabolic variables. Adults with overweight were included and followed an 8-week low-calorie diet (LCD). When successful (&gt;8% weight loss), participants were randomized to different ad libitum diet groups and were advised to maintain their weight loss over the 6-month intervention period. Body weight (BW), body composition, cardiometabolic variables and subjectively-assessed PA were measured at baseline, at the end of weight loss and at the end of the intervention. BW was reduced by the LCD (from 99.8 ± 16.7 to 88.4 ± 14.9 kg; P &lt; 0.001). This reduction was maintained during the weight maintenance period (89.2 ± 16.0 kg). Total PA (sum score of the three subscales of the Baecke questionnaire) increased during the weight loss period (from 8.16 ± 0.83 to 8.39 ± 0.78; P &lt; 0.001) and this increase was subsequently maintained (8.42 ± 0.90). We found no evidence that baseline PA predicted weight loss. However, a higher level of baseline PA predicted a larger weight-loss-induced improvement in total cholesterol, triglycerides, glucose and CRP, and in post-prandial insulin sensitivity (Matsuda index). Subsequent weight and fat mass maintenance were predicted by the post-weight loss level of PA and associated with changes in PA during the weight maintenance phase. In conclusion, despite the fact that higher baseline levels of PA did not predict more weight loss during the LCD, nor that an increase in PA during the LCD was associated with more weight loss, higher PA levels were associated with more improvements in several cardiometabolic variables. The positive effect of higher PA on weight loss maintenance seems in contrast to randomized controlled trials that have not been able to confirm a positive effect of exercise training programmes on weight loss maintenance. This analysis supports the notion that higher self-imposed levels of PA may improve the cardiometabolic risk profile during weight loss and help to maintain weight loss afterwards.

scholarly journals Describing Transitions in Adherence to Physical Activity Self-monitoring and Goal Attainment in an Online Behavioral Weight Loss Program: Secondary Analysis of a Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Melissa Lee Stansbury ◽  
Jean R Harvey ◽  
Rebecca A Krukowski ◽  
Christine A Pellegrini ◽  
Xuewen Wang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Goal Attainment ◽  
Vigorous Physical Activity ◽  
Secondary Analysis ◽  
Individual Characteristics ◽  
Behavioral Weight Loss ◽  
Self Monitoring ◽  
Program Goal ◽  
Monitoring Behavior

BACKGROUND Standard behavioral weight loss interventions often set uniform physical activity (PA) goals and promote PA self-monitoring; however, adherence remains a challenge and recommendations may not accommodate all individuals. Identifying patterns of PA goal attainment and self-monitoring behavior will offer a deeper understanding of how individuals adhere to different types of commonly prescribed PA recommendations (ie., minutes of moderate-to-vigorous physical activity [MVPA] and daily steps) and guide future recommendations for improved intervention effectiveness. OBJECTIVE This study examined weekly patterns of adherence to steps-based and minutes-based PA goals and self-monitoring behavior during a 6-month online behavioral weight loss intervention. METHODS Participants were prescribed weekly PA goals for steps (7,000 to 10,000 steps/day) and minutes of MVPA (50 to 200 minutes/week) as part of a lifestyle program. Goals gradually increased during the initial 2 months, followed by 4 months of fixed goals. PA was self-reported daily on the study website. For each week, participants were categorized as “adherent” if they self-monitored their PA and met the program PA goal, “suboptimally adherent” if they self-monitored but did not meet the program goal, or “nonadherent” if they did not self-monitor. The probability of transitioning into a less adherent status was examined using multinomial logistic regression. RESULTS Individuals (N=212) were predominantly middle-aged females with obesity, and 31.6% self-identified as a racial/ethnic minority. Initially, 34.4% were categorized as “adherent” to steps-based goals (51.9% “suboptimally adherent” and 13.7% “nonadherent”), and there was a high probability of either remaining “suboptimally adherent” from week-to-week or transitioning to a “nonadherent” status. On the other hand, 70.3% of individuals started out “adherent” to minutes-based goals (16.0% “suboptimally adherent” and 13.7% “nonadherent”), with “suboptimally adherent” seen as the most variable status. During the graded goal phase, individuals were more likely to transition to a less adherent status for minutes-based goals (OR 1.39, 95% CI 1.31-1.48) compared to steps-based goals (OR 1.24, 95% CI 1.17-1.30); however, no differences were seen during the fixed goal phase (minutes-based goals: OR 1.06, 95% CI 1.05, 1.08 versus steps-based goals: OR 1.07, 95% CI 1.05, 1.08). CONCLUSIONS States of vulnerability to poor PA adherence can emerge rapidly and early in obesity treatment. There is a window of opportunity within the initial two months to bring more people towards “adherent” behavior, especially those who fail to meet the prescribed goals but engage in self-monitoring. While this study describes the probability of adhering to steps-based and minutes-based targets, it will be prudent to determine how individual characteristics and contextual states relate to these behavioral patterns, which can inform how best to adapt interventions. CLINICALTRIAL This study was a secondary analysis of a pre-registered randomized trial (Trial Registration: ClinicalTrials.gov NCT02688621).

Barriers to Weight Loss and Physical Activity, and Coach Approaches to Addressing Barriers, in a Real-World Adaptation of the DPP Lifestyle Intervention: A Process Analysis

2019 ◽  
Vol 45 (6) ◽  
pp. 596-606 ◽  
Author(s):  
Linda M. Delahanty ◽  
Paula M. Trief ◽  
Donald A. Cibula ◽  
Ruth S. Weinstock
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
Weight Loss ◽  
Real World ◽  
Positive Impact ◽  
Process Analysis ◽  
Community Sample ◽  
Diabetes Prevention Program ◽  
Care Staff ◽  
Self Monitoring

Purpose The purpose of this study is to identify barriers to weight loss and physical activity, as well as approaches used by coaches, in a real-world, community sample of adults with metabolic syndrome (at risk for type 2 diabetes) who participated in a Diabetes Prevention Program (DPP)–adapted weight loss intervention and compare findings to data from the screened and highly selected DPP sample. Methods SHINE (Support, Health Information, Nutrition, and Exercise) was a telephonic DPP adaptation. Primary care staff delivered the DPP curriculum, and lifestyle coaches provided monthly direction to achieve weight loss. For this substudy, barriers to weight loss and physical activity described by participants, as well as approaches coaches used to address them, were gathered. Groupings of barriers (DPP defined) were analyzed in relation to demographic characteristics and compared to data from the DPP sample. Results Top weight loss barriers were problems with self-monitoring, too little physical activity, internal thought/mood cues, vacation/holidays, and social cues. Percentages reporting a barrier were much higher in SHINE. Top physical activity barriers were problems with self-monitoring, access/weather, time management, aches/pains, and vacation/holidays. These did not correspond closely to DPP data. Coaches used problem solving, self-monitoring skills review, increased physical activity, and motivational strategies. SHINE coaches were more likely than DPP coaches to use alternative approaches. Conclusions Barriers to weight loss and physical activity in a community sample of persons at risk for diabetes occurred at much higher rates than in the highly screened DPP sample. Training coaches in a variety of patient-centered approaches may maximize their positive impact.

Effect of the National Diabetes Prevention Program on Weight Loss for English- and Spanish-Speaking Latinos

2017 ◽  
Vol 32 (3) ◽  
pp. 812-815 ◽  
Author(s):  
Natalie D. Ritchie ◽  
Liesel Christoe-Frazier ◽  
Kim K. McFann ◽  
Edward P. Havranek ◽  
Rocio I. Pereira
Keyword(s):  
Weight Loss ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Body Weight Loss ◽  
Diabetes Prevention Program ◽  
Spanish Language ◽  
Analysis Of Covariance ◽  
No Weight Loss ◽  
Control Cohort Study ◽  
Hispanic White

Purpose: To study the effect of the National Diabetes Prevention Program (NDPP) on weight loss in Latinos. Design: No-control, cohort study comparing Latino and non-Hispanic white (NHW) participants. Setting: A health-care system. Participants: Five hundred sixty-seven Latino and 175 NHW patients who enrolled in the NDPP. A total of 45.2% of Latinos selected the Spanish-language NDPP. Intervention: The NDPP is a nationwide translation of a clinical trial and seeks to prevent diabetes through weight loss in a yearlong group program. Measures: Independent variables included ethnicity, class language, and number of sessions attended. Main outcomes were initial attendance, number of sessions attended, and weight loss. Analysis: Multivariate logistic regression and analysis of covariance were used to determine differences in NDPP outcomes by ethnicity, language, and number of sessions attended. Results: Mean attendance was 8.60 of 22 sessions. Each session was associated with 0.30% (±0.02; P < .001) body weight loss. Latinos were half as likely to attend as NHWs, odds ratio 0.52 ( P < .001). Latino attendees came to 2.67 ± 0.63 ( P < .001) fewer sessions than NHWs. There were no weight loss differences by ethnicity after controlling for attendance. Outcomes did not differ among Latinos in the English- and Spanish-language NDPP. Conclusion: Latinos appeared to benefit less from the NDPP compared to NHWs, likely due to lower attendance rates. Further efforts are needed to support their participation.

scholarly journals Effectiveness of Financial Incentives in a Worksite Diabetes Prevention Program

2014 ◽  
Vol 6 (1) ◽  
pp. 01-12 ◽  
Author(s):  
Pouran D. Faghri ◽  
Rui Li
Keyword(s):  
Weight Loss ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Weight Loss Program ◽  
Diabetes Risk ◽  
Healthy Weight ◽  
Group Level ◽  
Term Care

Purpose: To evaluate the effect of financial incentive in a diabetes prevention weight loss program at worksites. Design: Group-level randomized intervention study. Setting: Four long term care facilities, randomly assigned to “incentive-IG” or “non incentive- NIG” groups. Participants: Ninety-nine employees, all overweight or obese (BMI= mean 34.8+7.4 kg/m2) and at risk for type 2 diabetes. Intervention: A 16 weeks weight loss program (diabetes prevention program) with a 3 month follow up. IG could either choose a "standard incentive" to receive cash award when achieving the projected weight loss or to participate in a "standard plus deposit incentive" to get additional money matched with their deposit for projected weight loss. All of the participants received a one-hour consultation for a healthy weight loss at the beginning. Measures: Weight-loss, diabetes risk score (DRS), and cardiovascular risk outcomes. Analyses: Linear and logistic regressions for completed cases with adjustments for clustering effect at group level. Results: IG lost on average more pounds (p=0.027), reduced BMI (p=0.04), and reduced in DRS (p=0.011) compared to NIG at week 16. At the 12-week follow-up period, those in IG plus deposit subgroup had twice the odds (OR=2.2, p=0.042) and those in the standard IG had three times the odds of achieving weight loss goals than NIG; those in the IG plus deposit group reduced DRS by 0.4 (p=0.045). Conclusion: Monetary incentives appear to be effective in reducing weight and diabetes risk.

scholarly journals Exploring Gender Differences in a Randomized Trial of Weight Loss Maintenance

2016 ◽  
Vol 11 (2) ◽  
pp. 369-375 ◽  
Author(s):  
Melissa M. Crane ◽  
Robert W. Jeffery ◽  
Nancy E. Sherwood
Keyword(s):  
Physical Activity ◽  
Gender Differences ◽  
Weight Loss ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Weight Loss Maintenance ◽  
Initial Weight ◽  
Initial Weight Loss ◽  
Randomized Controlled ◽  
Weight Loss Programs

The purpose of this study is to explore gender differences in reasons for losing weight, weight loss methods, and weight loss behaviors prior to and during a weight loss maintenance trial. This is a secondary analysis of data from a 24-month randomized controlled trial comparing Self-Directed or Guided phone-based weight loss maintenance interventions among adults who had intentionally lost ≥10% of their body weight in the year prior to enrollment. Participants reported their weight loss methods and reasons for recently losing weight at baseline. Dietary intake, physical activity, and dietary patterns were assessed at baseline, 12, and 24 months. Participants included 419 adults (18.4% men, age 47.0 ± 10.8, BMI 28.4 ± 5.0). Women were more likely than men to report having used an organized weight loss program during their weight loss (55.9% vs. 24.7%, p < .001) and to report improving personal esteem as a motivator (51.2% vs. 35.1%, p = .01). Men were more likely than women to report eating food from convenience stores at baseline (22.1% vs. 13.2%, p = .05) and throughout the study but otherwise reported similar meal patterns ( ps > .05). Men reported higher energy intake than women while physical activity was similar. Although more men self-directed their initial weight loss and more women utilized organized weight loss programs, behaviors reported during weight loss maintenance were similar. Futures studies are needed to understand if these results generalize to other men who have successfully lost weight and are participants in other weight loss maintenance interventions.

scholarly journals PARTNERING WITH NUTRITION SERVICES PROGRAM PROVIDERS TO DISSEMINATE EVIDENCE-BASED PROGRAMS USING TELE-HEALTH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S227-S227
Author(s):  
Jeannette Beasley ◽  
Judith Wylie-Rosett ◽  
Mary Ann Sevick ◽  
Laura DeLuca ◽  
Joshua Chodosh
Keyword(s):  
Physical Activity ◽  
New York ◽  
Weight Loss ◽  
Diabetes Prevention Program ◽  
Senior Center ◽  
Food Records ◽  
Nutrition Services ◽  
Activity Trackers ◽  
Evidence Based Programs

Abstract Among adults ≥ age 65, 48% have prediabetes and are eligible to participate in the Medicare-covered Diabetes Prevention Program (DPP). We conducted a six-week pilot study to evaluate the feasibility and acceptability of a telehealth-adapted DPP for Nutrition Services Program (NSP) older adult meal program recipients. We enrolled NSP recipients (n=16) from a New York City senior center. These DPP participants attended weekly interactive DPP webinars and completed questionnaires covering lifestyle, physical activity, quality of life, and food records, and wore physical activity trackers. Retention was 75%; attendance averaged 80%; and weight loss was 2.9% (p=0.001). Our six-week pilot data suggest that a tele-adapted DPP intervention can achieve the Medicare reimbursement goals for attendance and 5% weight loss. We are surveying NSP recipients, who receive home-delivered meals, to evaluate the acceptability and feasibility of conducting a larger scale tele-adapted DPP intervention trial among NSP participants.

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