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Current Diabetes Reports

, Volume 12, Issue 2, pp 138–146 | Cite as

Necessary Components for Lifestyle Modification Interventions to Reduce Diabetes Risk

  • Elizabeth M. Venditti
  • M. Kaye Kramer
Translational Strategies for Diabetes Prevention (D Marrero, Section Editor)

Abstract

Several efficacy trials and subsequent dissemination studies indicate that behavioral lifestyle interventions for diabetes risk reduction require, at a minimum, provision of 4 to 6 months of frequent intervention contact to induce clinically meaningful weight losses of at least 5% of initial body weight. Weekly contact during the first several months of intervention, followed by less frequent but regular therapeutic contact for a longer time period, appears necessary for participants to adopt and enact behavioral self-regulatory skills such as the self-monitoring of diet, weight, and physical activity and the problem solving of common physical, social, and cognitive barriers that impede sustained weight loss. In-person contact is associated with the largest effect sizes but may not be a necessary component for clinically meaningful weight loss. Regardless of intervention mode, setting, or provider, the interactive process of feedback and social support is crucial for skill development and sustained weight loss.

Keywords

Diabetes risk Lifestyle intervention Behavior modification Weight management Weight loss Diet Physical activity Maintenance Prevention 

Notes

Disclosure

Conflicts of interest: E.M. Venditti: has been a consultant for UPMC Health Plan; is employed by the University of Pittsburgh; has received grant support from NIH-NIDDK, DOD; and has received payment for lectures including service on speakers bureaus from the American Diabetes Association; M.K. Kramer: is employed by the University of Pittsburgh; has received grant support from NIH-NIDDK, DOD; and has received payment for lectures including service on speakers bureaus from the American Diabetes Association.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Diabetes Prevention Program Outcomes StudyWestern Psychiatric Institute and Clinics, University of Pittsburgh Medical CenterPittsburghUSA
  2. 2.Diabetes Prevention Support CenterGraduate School of Public Health, University of PittsburghPittsburghUSA

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