Comparative effectiveness of a portion-controlled meal replacement program for weight loss in adults with and without diabetes/high blood sugar
Background: Individuals with type 2 diabetes (DM2) may be less successful at achieving therapeutic weight loss than their counterparts without diabetes. This study compares weight loss in a cohort of adults with DM2 or high blood sugar (D/HBS) to a cohort of adults without D/HBS. All were overweight...
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| Veröffentlicht in: | Nutrition & diabetes 2017-07, Vol.7 (7), p.e284-e284 |
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| creator | Coleman, C D Kiel, J R Mitola, A H Arterburn, L M |
| description | Background:
Individuals with type 2 diabetes (DM2) may be less successful at achieving therapeutic weight loss than their counterparts without diabetes. This study compares weight loss in a cohort of adults with DM2 or high blood sugar (D/HBS) to a cohort of adults without D/HBS. All were overweight/obese and following a reduced or low-calorie commercial weight-loss program incorporating meal replacements (MRs) and one-on-one behavioral support.
Subjects/Methods:
Demographic, weight, body composition, anthropometric, pulse and blood pressure data were collected as part of systematic retrospective chart review studies. Differences between cohorts by D/HBS status were analyzed using Mann–Whitney
U
-tests and mixed model regression.
Results:
A total of 816 charts were included (125 with self-reported D/HBS). The cohort with D/HBS had more males (40.8 vs 25.6%), higher BMI (39.0 vs 36.3 kg m
−
2
) and was older (56 vs 48 years). Among clients continuing on program, the cohorts with and without D/HBS lost, on average, 5.6 vs 5.8 kg (NS) (5.0 vs 5.6%;
P
=0.005) of baseline weight at 4 weeks, 11.0 vs 11.6 kg (NS) (9.9 vs 11.1%;
P
=0.027) at 12 weeks and 16.3 vs 17.1 kg (13.9 vs 15.7%; NS) at 24 weeks, respectively. In a mixed model regression controlling for baseline weight, gender and meal plan, and an intention-to-treat analysis, there was no significant difference in weight loss between the cohorts at any time point. Over 70% in both cohorts lost ⩾5% of their baseline weight by the final visit on their originally assigned meal plan. Both cohorts had significant reductions from baseline in body fat, blood pressure, pulse and abdominal circumference.
Conclusion:
Adults who were overweight/obese and with D/HBS following a commercial weight-loss program incorporating MRs and one-on-one behavioral support achieved therapeutic weight loss. The program was equally effective for weight loss and reductions in cardiometabolic risk factors among adults with and without D/HBS. |
| doi_str_mv | 10.1038/nutd.2017.32 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5549252</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1917689823</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3652-8370ad418f24b8048dbee54cb6ec3042210781b0c0fe9fe6bbdc1c942e4b392e3</originalsourceid><addsrcrecordid>eNptkU1r3DAQhk1paEKSW89F0EsP9UaSZa98KZSlXxDoJTkLfYy9CrLkSnJCfkX_cuVuGraluszAPLwzr96qek3whuCGX_klmw3FZLtp6IvqjGLGaoZb-vKoP60uU7rD5XWY8o6_qk5L6Smm-Kz6uQvTLKPM9h4QDAPotfOQEgoDkmgOMdvgax18jsE5MGgC6VCE2UkNE_iM5hjGKCc0hIgewI77jFwoAtYjaRaXE3qweY-kN7-bsGRkrFSQIV3tC46UC8GgtIwyXlQng3QJLp_qeXX7-dPN7mt9_f3Lt93H61o3XUtr3myxNIzwgTLFMeNGAbRMqw50gxmlBG85UVjjAfoBOqWMJrpnFJhqegrNefXhoDsvagKji48onZijnWR8FEFa8ffE270Yw71oW9bTlhaBd08CMfxYIGUx2aTBOekhLEmQnmy7ruVtX9C3_6B3YYm-2DtQvOe0KdT7A6Vj-bwIw_MxBIs1bLGGLdawRbPuf3Ns4Bn-E20B6gOQysiPEI-2_k_wF3G0uKA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1917689823</pqid></control><display><type>article</type><title>Comparative effectiveness of a portion-controlled meal replacement program for weight loss in adults with and without diabetes/high blood sugar</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central Open Access</source><source>Springer Nature OA Free Journals</source><source>Elektronische Zeitschriftenbibliothek (Open access)</source><source>Nature Free</source><source>PubMed Central</source><creator>Coleman, C D ; Kiel, J R ; Mitola, A H ; Arterburn, L M</creator><creatorcontrib>Coleman, C D ; Kiel, J R ; Mitola, A H ; Arterburn, L M</creatorcontrib><description>Background:
Individuals with type 2 diabetes (DM2) may be less successful at achieving therapeutic weight loss than their counterparts without diabetes. This study compares weight loss in a cohort of adults with DM2 or high blood sugar (D/HBS) to a cohort of adults without D/HBS. All were overweight/obese and following a reduced or low-calorie commercial weight-loss program incorporating meal replacements (MRs) and one-on-one behavioral support.
Subjects/Methods:
Demographic, weight, body composition, anthropometric, pulse and blood pressure data were collected as part of systematic retrospective chart review studies. Differences between cohorts by D/HBS status were analyzed using Mann–Whitney
U
-tests and mixed model regression.
Results:
A total of 816 charts were included (125 with self-reported D/HBS). The cohort with D/HBS had more males (40.8 vs 25.6%), higher BMI (39.0 vs 36.3 kg m
−
2
) and was older (56 vs 48 years). Among clients continuing on program, the cohorts with and without D/HBS lost, on average, 5.6 vs 5.8 kg (NS) (5.0 vs 5.6%;
P
=0.005) of baseline weight at 4 weeks, 11.0 vs 11.6 kg (NS) (9.9 vs 11.1%;
P
=0.027) at 12 weeks and 16.3 vs 17.1 kg (13.9 vs 15.7%; NS) at 24 weeks, respectively. In a mixed model regression controlling for baseline weight, gender and meal plan, and an intention-to-treat analysis, there was no significant difference in weight loss between the cohorts at any time point. Over 70% in both cohorts lost ⩾5% of their baseline weight by the final visit on their originally assigned meal plan. Both cohorts had significant reductions from baseline in body fat, blood pressure, pulse and abdominal circumference.
Conclusion:
Adults who were overweight/obese and with D/HBS following a commercial weight-loss program incorporating MRs and one-on-one behavioral support achieved therapeutic weight loss. The program was equally effective for weight loss and reductions in cardiometabolic risk factors among adults with and without D/HBS.</description><identifier>ISSN: 2044-4052</identifier><identifier>EISSN: 2044-4052</identifier><identifier>DOI: 10.1038/nutd.2017.32</identifier><identifier>PMID: 28692020</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/163/2743/137 ; 692/163/2743/2815 ; 692/699/1702/393 ; 692/699/2743/393 ; Adiposity ; Adult ; Aged ; Blood Pressure ; Body Composition ; Body Weight ; Clinical Nutrition ; Cohort Studies ; Diabetes ; Diabetes Mellitus - diet therapy ; Diet, Diabetic ; Diet, Reducing ; Epidemiology ; Female ; Humans ; Hyperglycemia ; Hyperglycemia - diet therapy ; Internal Medicine ; Male ; Meals ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Middle Aged ; Original ; original-article ; Retrospective Studies ; Risk Factors ; Waist Circumference ; Weight Loss ; Weight Reduction Programs</subject><ispartof>Nutrition & diabetes, 2017-07, Vol.7 (7), p.e284-e284</ispartof><rights>The Author(s) 2017</rights><rights>Copyright Nature Publishing Group Jul 2017</rights><rights>Copyright © 2017 The Author(s) 2017 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3652-8370ad418f24b8048dbee54cb6ec3042210781b0c0fe9fe6bbdc1c942e4b392e3</citedby><cites>FETCH-LOGICAL-c3652-8370ad418f24b8048dbee54cb6ec3042210781b0c0fe9fe6bbdc1c942e4b392e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5549252/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5549252/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,27926,27927,41122,42191,51578,53793,53795</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28692020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coleman, C D</creatorcontrib><creatorcontrib>Kiel, J R</creatorcontrib><creatorcontrib>Mitola, A H</creatorcontrib><creatorcontrib>Arterburn, L M</creatorcontrib><title>Comparative effectiveness of a portion-controlled meal replacement program for weight loss in adults with and without diabetes/high blood sugar</title><title>Nutrition & diabetes</title><addtitle>Nutr. Diabetes</addtitle><addtitle>Nutr Diabetes</addtitle><description>Background:
Individuals with type 2 diabetes (DM2) may be less successful at achieving therapeutic weight loss than their counterparts without diabetes. This study compares weight loss in a cohort of adults with DM2 or high blood sugar (D/HBS) to a cohort of adults without D/HBS. All were overweight/obese and following a reduced or low-calorie commercial weight-loss program incorporating meal replacements (MRs) and one-on-one behavioral support.
Subjects/Methods:
Demographic, weight, body composition, anthropometric, pulse and blood pressure data were collected as part of systematic retrospective chart review studies. Differences between cohorts by D/HBS status were analyzed using Mann–Whitney
U
-tests and mixed model regression.
Results:
A total of 816 charts were included (125 with self-reported D/HBS). The cohort with D/HBS had more males (40.8 vs 25.6%), higher BMI (39.0 vs 36.3 kg m
−
2
) and was older (56 vs 48 years). Among clients continuing on program, the cohorts with and without D/HBS lost, on average, 5.6 vs 5.8 kg (NS) (5.0 vs 5.6%;
P
=0.005) of baseline weight at 4 weeks, 11.0 vs 11.6 kg (NS) (9.9 vs 11.1%;
P
=0.027) at 12 weeks and 16.3 vs 17.1 kg (13.9 vs 15.7%; NS) at 24 weeks, respectively. In a mixed model regression controlling for baseline weight, gender and meal plan, and an intention-to-treat analysis, there was no significant difference in weight loss between the cohorts at any time point. Over 70% in both cohorts lost ⩾5% of their baseline weight by the final visit on their originally assigned meal plan. Both cohorts had significant reductions from baseline in body fat, blood pressure, pulse and abdominal circumference.
Conclusion:
Adults who were overweight/obese and with D/HBS following a commercial weight-loss program incorporating MRs and one-on-one behavioral support achieved therapeutic weight loss. The program was equally effective for weight loss and reductions in cardiometabolic risk factors among adults with and without D/HBS.</description><subject>692/163/2743/137</subject><subject>692/163/2743/2815</subject><subject>692/699/1702/393</subject><subject>692/699/2743/393</subject><subject>Adiposity</subject><subject>Adult</subject><subject>Aged</subject><subject>Blood Pressure</subject><subject>Body Composition</subject><subject>Body Weight</subject><subject>Clinical Nutrition</subject><subject>Cohort Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - diet therapy</subject><subject>Diet, Diabetic</subject><subject>Diet, Reducing</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperglycemia</subject><subject>Hyperglycemia - diet therapy</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Meals</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Middle Aged</subject><subject>Original</subject><subject>original-article</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Waist Circumference</subject><subject>Weight Loss</subject><subject>Weight Reduction Programs</subject><issn>2044-4052</issn><issn>2044-4052</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkU1r3DAQhk1paEKSW89F0EsP9UaSZa98KZSlXxDoJTkLfYy9CrLkSnJCfkX_cuVuGraluszAPLwzr96qek3whuCGX_klmw3FZLtp6IvqjGLGaoZb-vKoP60uU7rD5XWY8o6_qk5L6Smm-Kz6uQvTLKPM9h4QDAPotfOQEgoDkmgOMdvgax18jsE5MGgC6VCE2UkNE_iM5hjGKCc0hIgewI77jFwoAtYjaRaXE3qweY-kN7-bsGRkrFSQIV3tC46UC8GgtIwyXlQng3QJLp_qeXX7-dPN7mt9_f3Lt93H61o3XUtr3myxNIzwgTLFMeNGAbRMqw50gxmlBG85UVjjAfoBOqWMJrpnFJhqegrNefXhoDsvagKji48onZijnWR8FEFa8ffE270Yw71oW9bTlhaBd08CMfxYIGUx2aTBOekhLEmQnmy7ruVtX9C3_6B3YYm-2DtQvOe0KdT7A6Vj-bwIw_MxBIs1bLGGLdawRbPuf3Ns4Bn-E20B6gOQysiPEI-2_k_wF3G0uKA</recordid><startdate>20170710</startdate><enddate>20170710</enddate><creator>Coleman, C D</creator><creator>Kiel, J R</creator><creator>Mitola, A H</creator><creator>Arterburn, L M</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170710</creationdate><title>Comparative effectiveness of a portion-controlled meal replacement program for weight loss in adults with and without diabetes/high blood sugar</title><author>Coleman, C D ; Kiel, J R ; Mitola, A H ; Arterburn, L M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3652-8370ad418f24b8048dbee54cb6ec3042210781b0c0fe9fe6bbdc1c942e4b392e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>692/163/2743/137</topic><topic>692/163/2743/2815</topic><topic>692/699/1702/393</topic><topic>692/699/2743/393</topic><topic>Adiposity</topic><topic>Adult</topic><topic>Aged</topic><topic>Blood Pressure</topic><topic>Body Composition</topic><topic>Body Weight</topic><topic>Clinical Nutrition</topic><topic>Cohort Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - diet therapy</topic><topic>Diet, Diabetic</topic><topic>Diet, Reducing</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperglycemia</topic><topic>Hyperglycemia - diet therapy</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Meals</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Middle Aged</topic><topic>Original</topic><topic>original-article</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Waist Circumference</topic><topic>Weight Loss</topic><topic>Weight Reduction Programs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Coleman, C D</creatorcontrib><creatorcontrib>Kiel, J R</creatorcontrib><creatorcontrib>Mitola, A H</creatorcontrib><creatorcontrib>Arterburn, L M</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nutrition & diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coleman, C D</au><au>Kiel, J R</au><au>Mitola, A H</au><au>Arterburn, L M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative effectiveness of a portion-controlled meal replacement program for weight loss in adults with and without diabetes/high blood sugar</atitle><jtitle>Nutrition & diabetes</jtitle><stitle>Nutr. Diabetes</stitle><addtitle>Nutr Diabetes</addtitle><date>2017-07-10</date><risdate>2017</risdate><volume>7</volume><issue>7</issue><spage>e284</spage><epage>e284</epage><pages>e284-e284</pages><issn>2044-4052</issn><eissn>2044-4052</eissn><abstract>Background:
Individuals with type 2 diabetes (DM2) may be less successful at achieving therapeutic weight loss than their counterparts without diabetes. This study compares weight loss in a cohort of adults with DM2 or high blood sugar (D/HBS) to a cohort of adults without D/HBS. All were overweight/obese and following a reduced or low-calorie commercial weight-loss program incorporating meal replacements (MRs) and one-on-one behavioral support.
Subjects/Methods:
Demographic, weight, body composition, anthropometric, pulse and blood pressure data were collected as part of systematic retrospective chart review studies. Differences between cohorts by D/HBS status were analyzed using Mann–Whitney
U
-tests and mixed model regression.
Results:
A total of 816 charts were included (125 with self-reported D/HBS). The cohort with D/HBS had more males (40.8 vs 25.6%), higher BMI (39.0 vs 36.3 kg m
−
2
) and was older (56 vs 48 years). Among clients continuing on program, the cohorts with and without D/HBS lost, on average, 5.6 vs 5.8 kg (NS) (5.0 vs 5.6%;
P
=0.005) of baseline weight at 4 weeks, 11.0 vs 11.6 kg (NS) (9.9 vs 11.1%;
P
=0.027) at 12 weeks and 16.3 vs 17.1 kg (13.9 vs 15.7%; NS) at 24 weeks, respectively. In a mixed model regression controlling for baseline weight, gender and meal plan, and an intention-to-treat analysis, there was no significant difference in weight loss between the cohorts at any time point. Over 70% in both cohorts lost ⩾5% of their baseline weight by the final visit on their originally assigned meal plan. Both cohorts had significant reductions from baseline in body fat, blood pressure, pulse and abdominal circumference.
Conclusion:
Adults who were overweight/obese and with D/HBS following a commercial weight-loss program incorporating MRs and one-on-one behavioral support achieved therapeutic weight loss. The program was equally effective for weight loss and reductions in cardiometabolic risk factors among adults with and without D/HBS.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28692020</pmid><doi>10.1038/nutd.2017.32</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Nutrition & diabetes, 2017-07, Vol.7 (7), p.e284-e284 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; Springer Nature OA Free Journals; Elektronische Zeitschriftenbibliothek (Open access); Nature Free; PubMed Central |
| subjects | 692/163/2743/137 692/163/2743/2815 692/699/1702/393 692/699/2743/393 Adiposity Adult Aged Blood Pressure Body Composition Body Weight Clinical Nutrition Cohort Studies Diabetes Diabetes Mellitus - diet therapy Diet, Diabetic Diet, Reducing Epidemiology Female Humans Hyperglycemia Hyperglycemia - diet therapy Internal Medicine Male Meals Medicine Medicine & Public Health Metabolic Diseases Middle Aged Original original-article Retrospective Studies Risk Factors Waist Circumference Weight Loss Weight Reduction Programs |
| title | Comparative effectiveness of a portion-controlled meal replacement program for weight loss in adults with and without diabetes/high blood sugar |
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