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Cardiovascular Effects of Intensive Lifestyle Intervention in Type 2 Diabetes

  • Nutrition (JP Foreyt, Section Editor)
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Abstract

Look AHEAD (Action for Health in Diabetes) was a randomized controlled trial that examined the impact of long-term participation in an intensive weight loss intervention on cardiovascular disease (CVD) morbidity and mortality in people with type 2 diabetes (T2D). The results from this trial suggest that intensive lifestyle interventions are effective in helping patients to achieve management of cardiovascular risk factors and reducing the need to initiate medication usage to manage these conditions, though the benefits in terms of the prevention of CVD morbidity and mortality beyond those achieved through aggressive medical management of hypertension and dyslipidemia is not clear. Additional benefits of participation in an intensive lifestyle intervention such as lowered chronic kidney disease risk, blood pressure, medication usage, improved sleep apnea, and partial remission of diabetes are discussed.

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Acknowledgments

The authors would like to thank the Children’s Nutrition Research Center for their continued support. This research was funded by institutional support from the US Department of Agriculture, Agricultural Research Service (Cooperative Agreement no. 58-6250-6001).

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Craig A. Johnston, Jennette P. Moreno, and John P. Foreyt declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Craig A. Johnston.

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Johnston, C.A., Moreno, J.P. & Foreyt, J.P. Cardiovascular Effects of Intensive Lifestyle Intervention in Type 2 Diabetes. Curr Atheroscler Rep 16, 457 (2014). https://doi.org/10.1007/s11883-014-0457-6

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