Original Article

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

  • Robyn GallagherAffiliated withFaculty of Nursing, Midwifery and Health, The University of Technology, Sydney Email author 
  • , Ann KirknessAffiliated withNorth Shore Cardiovascular Education Centre, Royal North Shore Hospital
  • , Elizabeth ZelestisAffiliated withDiabetes Education Service, Royal North Shore Hospital
  • , Dan HollamsAffiliated withNorth Shore Cardiovascular Education Centre, Royal North Shore Hospital
  • , Caryn KnealeAffiliated withDiabetes Education Service, Royal North Shore Hospital
  • , Elizabeth ArmariAffiliated withFaculty of Nursing, Midwifery and Health, The University of Technology, Sydney
  • , Tania BennettAffiliated withDiabetes Education Service, Royal North Shore Hospital
  • , John DalyAffiliated withFaculty of Nursing, Midwifery and Health, The University of Technology, Sydney
  • , Geoff ToflerAffiliated withNorthern Sydney Clinical School, Royal North Shore Hospital

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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.

Keywords

Obesity Coronary heart disease Type II diabetes Weight reduction Behaviour change Exercise