Annals of Behavioral Medicine

, Volume 44, Issue 1, pp 119–128 | Cite as

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

  • Robyn Gallagher
  • Ann Kirkness
  • Elizabeth Zelestis
  • Dan Hollams
  • Caryn Kneale
  • Elizabeth Armari
  • Tania Bennett
  • John Daly
  • Geoff Tofler
Original Article



Weight reduction limits disease progression in obese people with coronary heart disease (CHD) and/or type 2 diabetes mellitus (T2DM).


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.


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).


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.


The HEELP resulted in weight loss and improved exercise behaviour in obese people with CHD and T2DM.


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



The authors acknowledge the University of Technology, Sydney and the Australian Technology Network of Universities for funding the trial. We are grateful to Ms. Joan Burford and Mrs. Julia Brooke for their valuable assistance with the trial.

Conflict of Interest Statement

The authors have no conflict of interest to disclose.


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Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Robyn Gallagher
    • 1
  • Ann Kirkness
    • 2
  • Elizabeth Zelestis
    • 3
  • Dan Hollams
    • 2
  • Caryn Kneale
    • 3
  • Elizabeth Armari
    • 1
  • Tania Bennett
    • 3
  • John Daly
    • 1
  • Geoff Tofler
    • 4
  1. 1.Faculty of Nursing, Midwifery and HealthThe University of Technology, SydneyBroadwayAustralia
  2. 2.North Shore Cardiovascular Education CentreRoyal North Shore HospitalSydneyAustralia
  3. 3.Diabetes Education ServiceRoyal North Shore HospitalSydneyAustralia
  4. 4.Northern Sydney Clinical SchoolRoyal North Shore HospitalSydneyAustralia

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