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First versus repeat treatment with a lifestyle intervention program: attendance and weight loss outcomes

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A Corrigendum to this article was published on 12 January 2009

Abstract

Objective:

Following unblinding of the Diabetes Prevention Program (DPP) results, a 16-session lifestyle intervention program was offered to all study participants, including those who had initially been randomized to lifestyle treatment. This study compares the effects of the lifestyle program between participants who had previous exposure and those who had not.

Design:

A 16-session behavioral intervention was conducted in groups at each of the 27 DPP sites during a transitional (bridge) period from the DPP trial to the DPP Outcomes Study (DPPOS). Session participation for this 6-month behavioral weight loss program was confirmed by originally randomized treatment groups.

Subjects and measurements:

Independently assessed weight measurements were available within a 7-month period before and after the program for 2808 ethnically diverse participants.

Results:

Participants from the lifestyle group in the DPP were the least likely to attend a repeat offering of a 16-session behavioral weight loss program conducted in groups. Weight loss during the transitional lifestyle program was strongly related to the duration of attendance in the three groups that were participating in the program for the first time (metformin, placebo and troglitazone), but not related to amount of earlier weight loss.

Conclusion:

Individuals who were naive to the behavioral program lost a greater amount of weight and this was strongly related to their degree of participation. A second exposure to a behavioral weight loss program resulted in unsatisfactory low attendance rates and weight loss.

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Acknowledgements

Supported by NIH U01DK.

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Authors and Affiliations

  1. Psychiatric Institute and Clinic, Pittsburgh, PA, USA

    E M Venditti

  2. Pennington Biomedical Research Center, Baton Rouge, LA, USA

    G A Bray

  3. University of California, San Diego, La Jolla, San Diego, CA, USA,

    M L Carrion-Petersen

  4. Diabetes Research Center, Massachusetts General Hospital, Boston, MA, USA

    L M Delahanty

  5. George Washington University Biostatistics Center, Rockville, MD, USA

    S L Edelstein & Y Ma.

  6. University of Colorado at Denver and Health Sciences Center, Denver, CO, USA

    R F Hamman

  7. NIDDK, Phoenix, AZ, USA

    M A Hoskin & W C Knowler

Authors
  1. E M Venditti
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  2. G A Bray
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  3. M L Carrion-Petersen
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  4. L M Delahanty
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  5. S L Edelstein
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  6. R F Hamman
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  7. M A Hoskin
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  8. W C Knowler
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  9. Y Ma.
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The Diabetes Prevention Program Research Group

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Correspondence to E M Venditti.

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Venditti, E., Bray, G., Carrion-Petersen, M. et al. First versus repeat treatment with a lifestyle intervention program: attendance and weight loss outcomes. Int J Obes 32, 1537–1544 (2008). https://doi.org/10.1038/ijo.2008.134

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  • DOI: https://doi.org/10.1038/ijo.2008.134

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