Annals of Behavioral Medicine

, Volume 44, Issue 1, pp 119–128

A Randomised Trial of a Weight Loss Intervention for Overweight and Obese People Diagnosed with Coronary Heart Disease and/or Type 2 Diabetes

Authors

    • Faculty of Nursing, Midwifery and HealthThe University of Technology, Sydney
  • Ann Kirkness
    • North Shore Cardiovascular Education CentreRoyal North Shore Hospital
  • Elizabeth Zelestis
    • Diabetes Education ServiceRoyal North Shore Hospital
  • Dan Hollams
    • North Shore Cardiovascular Education CentreRoyal North Shore Hospital
  • Caryn Kneale
    • Diabetes Education ServiceRoyal North Shore Hospital
  • Elizabeth Armari
    • Faculty of Nursing, Midwifery and HealthThe University of Technology, Sydney
  • Tania Bennett
    • Diabetes Education ServiceRoyal North Shore Hospital
  • John Daly
    • Faculty of Nursing, Midwifery and HealthThe University of Technology, Sydney
  • Geoff Tofler
    • Northern Sydney Clinical SchoolRoyal North Shore Hospital
Original Article

DOI: 10.1007/s12160-012-9369-2

Cite this article as:
Gallagher, R., Kirkness, A., Zelestis, E. et al. ann. behav. med. (2012) 44: 119. doi:10.1007/s12160-012-9369-2

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.

Keywords

ObesityCoronary heart diseaseType II diabetesWeight reductionBehaviour changeExercise

Copyright information

© The Society of Behavioral Medicine 2012