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Published in: Annals of Behavioral Medicine 1/2012

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

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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.
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Metadata
Title
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
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 1/2012
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-012-9369-2

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