Published in:
01-08-2012 | Original Article
A Randomised Trial of a Weight Loss Intervention for Overweight and Obese People Diagnosed with Coronary Heart Disease and/or Type 2 Diabetes
Authors:
Robyn Gallagher, RN BA MN PhD, Ann Kirkness, RN, Elizabeth Zelestis, LLB BA (Hons) MPysch, Dan Hollams, BSc (Sports Science) AEP, Caryn Kneale, Elizabeth Armari, BMedSc MRMed, Tania Bennett, BSc MND, John Daly, RN PhD, Geoff Tofler, MBBS MD
Published in:
Annals of Behavioral Medicine
|
Issue 1/2012
Login to get access
Abstract
Background
Weight reduction limits disease progression in obese people with coronary heart disease (CHD) and/or type 2 diabetes mellitus (T2DM).
Purpose
To test a 16-week group-based weight reduction intervention combining exercise, diet and behaviour change strategies aimed to increase self-efficacy (Healthy Eating and Exercise Lifestyle Program—HEELP) on weight, body mass index (BMI), waist circumference and exercise.
Methods
Participants with CHD and/or T2DM and BMI between 27 to 39 kg/m2 were randomised to HEELP (n = 83) or usual care (n = 65).
Results
Participants were aged a mean 63.47 years (SD 8.9), male (58 %) and Caucasian (79 %). HEELP participants lost significantly more weight, BMI and waist circumference and exercised more days/week for a longer duration/week than usual care. Clinically significant weight loss (≥5 %) was more common in HEELP than usual care.
Conclusion
The HEELP resulted in weight loss and improved exercise behaviour in obese people with CHD and T2DM.