TY - JOUR
T1 - Patients with type 2 diabetes achieve similar weight loss in a community weight management programme compared to those without type 2 diabetes
AU - Wright, A.
AU - Brown, A.
AU - Golics, R.
AU - Maxwell, E.
AU - Davies, R.
AU - John, R.
AU - Bellary, S.
AU - Tahrani, A.
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Background: It is perceived that patients with type 2 diabetes (T2DM) lose less weight compared to patients without diabetes (DM). Our aim is to assess and compare the efficacy of a community-based weight management (WM) programme in patients with and without T2DM. Methods: We conducted a longitudinal analysis of patients who attended a 12-month community-based WM programme, which includes education and regular contact with a specialist dietitian, a consultant and a psychologist, between 2011 and 2013. Results: 144 patients were included in the analysis (mean age 48 ± 11 years, weight 126.9 ± 24 kg, BMI 46 ± 7.6 kg/m2, women 82%), 90% completed 12 months. 46/144 patients (32%) had T2DM, of which 10 patients were insulin-treated. There was no difference in attendance between patients with or without T2DM. Patients with T2DM were older (54 ± 10.3 vs. 46 ± 11.3 years, p = 0.018) and heavier at baseline (weight: 130.4 ± 27 vs. 125.3 ± 22.4 kg, p = 0.16). Patients with T2DM lost a greater percentage of body weight (BW) compared to patients without T2DM (6.45 ± 6.7% vs. 4.4 ± 9.1%, p = 0.23). 22.2% of patients lost >10% BW with similar proportion of patients with and without T2DM achieving >10% weight loss (22.4% vs. 21.7%). Insulin-treated patients with T2DM lost similar percentage of BW to those not on insulin (4.6 ± 4.9% vs. 6.9 ± 7.8%, p = 0.27). After adjusting for age, gender, and baseline weight, T2DM was not a predictor of weight change (B = −0.28, p = 0.5). Conclusions: Attending community weight management programme resulted in significant weight loss in patients with T2DM which is comparable to those without T2DM. Insulin-treated patients lost similar weight to those not on insulin.
AB - Background: It is perceived that patients with type 2 diabetes (T2DM) lose less weight compared to patients without diabetes (DM). Our aim is to assess and compare the efficacy of a community-based weight management (WM) programme in patients with and without T2DM. Methods: We conducted a longitudinal analysis of patients who attended a 12-month community-based WM programme, which includes education and regular contact with a specialist dietitian, a consultant and a psychologist, between 2011 and 2013. Results: 144 patients were included in the analysis (mean age 48 ± 11 years, weight 126.9 ± 24 kg, BMI 46 ± 7.6 kg/m2, women 82%), 90% completed 12 months. 46/144 patients (32%) had T2DM, of which 10 patients were insulin-treated. There was no difference in attendance between patients with or without T2DM. Patients with T2DM were older (54 ± 10.3 vs. 46 ± 11.3 years, p = 0.018) and heavier at baseline (weight: 130.4 ± 27 vs. 125.3 ± 22.4 kg, p = 0.16). Patients with T2DM lost a greater percentage of body weight (BW) compared to patients without T2DM (6.45 ± 6.7% vs. 4.4 ± 9.1%, p = 0.23). 22.2% of patients lost >10% BW with similar proportion of patients with and without T2DM achieving >10% weight loss (22.4% vs. 21.7%). Insulin-treated patients with T2DM lost similar percentage of BW to those not on insulin (4.6 ± 4.9% vs. 6.9 ± 7.8%, p = 0.27). After adjusting for age, gender, and baseline weight, T2DM was not a predictor of weight change (B = −0.28, p = 0.5). Conclusions: Attending community weight management programme resulted in significant weight loss in patients with T2DM which is comparable to those without T2DM. Insulin-treated patients lost similar weight to those not on insulin.
U2 - 10.1016/j.appet.2014.12.129
DO - 10.1016/j.appet.2014.12.129
M3 - Abstract
SN - 0195-6663
VL - 87
SP - 380
EP - 380
JO - Appetite
JF - Appetite
ER -
