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Lifestyle intervention strategies to prevent and control type 2 diabetes

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Abstract

The intensive lifestyle intervention of the DPP (Diabetes Prevention Program) showed weight loss to be a dominant predictor of reduced diabetes incidence for those at high risk for the disease. The intensive lifestyle intervention of Look AHEAD (Action for Health in Diabetes) has also shown that weight loss is associated with improved diabetes control and cardiovascular risk factors and reduced medicine for those with the disease. DPP and Look AHEAD implemented the use of motivational incentives and campaigns to assist participants in their commitment to lifestyle change. Other studies have also used incentives as effective strategies to engage individuals in weight loss and in making positive physical activity and dietary changes. Special consideration should be given to implementing various incentive strategies to assist overweight and obese individuals with weight loss. Using these motivational incentive strategies can be an effective means to help individuals succeed with their weight loss efforts.

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References and Recommended Reading

  1. Geiss LS, Pan L, Cadwell B, et al.: Changes in incidence of diabetes in U.S. adults, 1997–2003. Am J Prev Med 2006, 30:371–377.

    Article  PubMed  Google Scholar 

  2. Harris MI, Flegal KM, Cowie CC, et al.: Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in U.S. adults. The Third National Health and Nutrition Examination Survey, 1988–1994. Diabetes Care 1998, 21:518–524.

    Article  PubMed  CAS  Google Scholar 

  3. Ogden CL, Carroll MD, Curtin LR, et al.: Prevalence of overweight and obesity in the United States, 1999–2004. JAMA 2006, 295:1549–1555.

    Article  PubMed  CAS  Google Scholar 

  4. Narayan KM, Boyle JP, Geiss LS, et al.: Impact of recent increase in incidence on future diabetes burden: U.S., 2005–2050. Diabetes Care 2006, 29:2114–2116.

    Article  PubMed  Google Scholar 

  5. Hamman RF, Wing RR, Edelstein SI, et al.: Effect of weight loss with lifestyle intervention on risk of diabetes. Diabetes Care 2006, 29:2102–2107.

    Article  PubMed  Google Scholar 

  6. Pi-Sunyer X, Blackburn G, Brancati FL, et al.: Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the look AHEAD trial. Diabetes Care 2007, 30:1374–1383.

    Article  PubMed  Google Scholar 

  7. Wadden TA, West DS, Delahanty L, et al.: The Look AHEAD study: a description of the lifestyle intervention and the evidence supporting it. Obesity 2006, 14:737–752.

    Article  PubMed  Google Scholar 

  8. Diabetes Prevention Program (DPP) Research Group: The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care 2002, 25:2165–2171.

    Article  Google Scholar 

  9. The Diabetes Prevention Program. Design and methods for a clinical trial in the prevention of type 2 diabetes [no authors listed]. Diabetes Care 1999, 22:623–634.

  10. Knowler WC, Barrett-Connor E, Fowler SE, et al.: Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002, 346:393–403.

    Article  PubMed  CAS  Google Scholar 

  11. Ryan DH, Espeland MA, Foster GD, et al.: Look AHEAD (Action for Health in Diabetes): design and methods for a clinical trial of weight loss for the prevention of cardiovascular disease in type 2 diabetes. Control Clin Trials 2003, 24:610–628.

    Article  PubMed  Google Scholar 

  12. Seidel MC, Powell RO, Zgibor JC, et al.: Translating the Diabetes Prevention Program into an urban medically underserved community: a nonrandomized prospective intervention study. Diabetes Care 2008, 31:684–689.

    Article  PubMed  Google Scholar 

  13. Pagoto SL, Kantor L, Bodenlos JS, et al.: Translating the diabetes prevention program into a hospital-based weight loss program. Health Psychol 2008, 27:S91–S98.

    Article  PubMed  Google Scholar 

  14. Wing, RR: Behavioral treatment of severe obesity. Am J Clin Nutr 1992, 55:545S–551S.

    PubMed  CAS  Google Scholar 

  15. Wall J, Mhurchu CN, Blakely T, et al.: Effectiveness of monetary incentives in modifying dietary behavior: a review of randomized, controlled trials. Nutr Rev 2006, 64:518–531.

    Article  PubMed  Google Scholar 

  16. Forster JL, Jeffery RW, Sullivan S, Snell MK: A work-site weight control program using financial incentives collected through payroll deduction. J Occup Med 1985, 27:804–808.

    Article  PubMed  CAS  Google Scholar 

  17. Jeffery RW, Drewnowski A, Epstein LH, et al.: Long-term maintenance of weight loss: current status. Health Psychol 2000, 19:5–16.

    Article  PubMed  CAS  Google Scholar 

  18. Kane RL, Johnson PE, Town RJ, Butler M: Economic incentives for preventive care. Evid Rep Technol Assess (Summ) 2004, Aug:1–7.

  19. Otto AD, Jakicic JM, Gallagher KI, et al.: Effect of an incentive-based motivational campaign on weight loss and physical activity in overweight women [abstract]. Med Sci Sports Exerc 2004, 36:S299–S300.

    Google Scholar 

  20. Seidman LS, Sevelius GG, Ewald P: A cost-effective weight loss program at the worksite. J Occup Med 1984, 26:725–730.

    Article  PubMed  CAS  Google Scholar 

  21. Stein AD, Shakour SK, Zuidema RA: Financial incentives, participation in employer-sponsored health promotion, and changes in employee health and productivity: HealthPlus Health Quotient Program. J Occup Environ Med 2000, 42:1148–1155.

    Article  PubMed  CAS  Google Scholar 

  22. Wing RR, Gillis B: The Diabetes Prevention Program’s Lifestyle Change Program. Appendix G: Toolbox. Available at http://www.bsc.gwu.edu/dpp/lifestyle/apndxg.pdf. Accessed May 2008.

  23. Abrahms J, Allen GJ: Comparative effectiveness of situational programming financial pay-offs and group pressure in weight reduction. Behav Ther 1974, 5:391–400.

    Article  Google Scholar 

  24. Butsch WS, Ard JD, Allison DB, et al.: Effects of a reimbursement incentive on enrollment in a weight control program. Obesity 2007, 15:2733–2738.

    Article  PubMed  Google Scholar 

  25. Jeffery RW, Thompson PD, Wing RR: Effects on weight reduction of strong monetary contracts for calorie restriction or weight loss. Behav Res Ther 1978, 16:363–369.

    Article  PubMed  CAS  Google Scholar 

  26. Jeffery Rw, Wing RR: Long-term effects of interventions for weight loss using food provision and monetary incentives. J Consult Clin Psychol 1995, 63:793–793.

    Article  PubMed  CAS  Google Scholar 

  27. Jeffery RW, Gerber WM, Rosenthal BS, Lindquist RA: Monetary contracts in weight control: effectiveness of group and individual contracts of varying size. J Consult Clin Psychol 1983, 51:242–248.

    Article  PubMed  CAS  Google Scholar 

  28. Epstein L, Wing RR, Thompson K, Griffin W: Attendance and fitness in aerobics exercise: the effects of contract and lottery procedures. Behav Modif 1980, 4:465–479.

    Article  Google Scholar 

  29. Follick MJ, Fowler JL, Brown RA: Attrition in worksite weight-loss interventions: the effects of an incentive procedure. J Consult Clin Psychol 1984, 52:139–140.

    Article  PubMed  CAS  Google Scholar 

  30. Jeffery RW, Wing RR, Thorson C, Burton LR: Use of personal trainers and financial incentives to increase exercise in a behavioral weight-loss program. J Consult Clin Psychol 1998, 66:777–783.

    Article  PubMed  CAS  Google Scholar 

  31. Butryn ML, Phelan S, Hill JO, Wing RR: Consistent self-monitoring of weight a key component of successful weight loss maintenance. Obesity 2007, 15:3091–3096.

    Article  PubMed  Google Scholar 

  32. Pate RR, Pratt M, Blair SN, et al.: Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995, 273:402–407.

    Article  PubMed  CAS  Google Scholar 

  33. Jakicic JM, Clark K, Coleman E, et al.: American College of Sports Medicine position stand. Appropriate intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc 2001, 33:2145–2156.

    Article  PubMed  CAS  Google Scholar 

  34. Jakicic JM, Otto AD: Physical activity recommendations in the treatment of obesity. Psychiatr Clinic North Am 2005, 28:141–150, ix.

    Article  Google Scholar 

  35. Jakicic JM, Otto AD: Physical activity considerations for the treatment and prevention of obesity. Am J Clin Nutr 2005, 82:226S–229S.

    PubMed  CAS  Google Scholar 

  36. Jakicic JM, Otto AD: Treatment and prevention of obesity: what is the role of exercise? Nutr Rev 2006, 64:S57–S61.

    Article  PubMed  Google Scholar 

  37. Miller WC, Koceja DM, Hamilton EJ: A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention. Int J Obes Relat Metab Disord 1997, 21:941–947.

    Article  PubMed  CAS  Google Scholar 

  38. Pronk NP, Wing RR: Physical activity and long-term maintenance of weight loss. Obes Res 1994, 2:588–599.

    Google Scholar 

  39. Pavlou KN, Krey S, Steffee WP: Exercise as an adjunct to weight loss and maintenance in moderately obese subjects. Am J Clin Nutr 1989, 49:1115–1123.

    PubMed  CAS  Google Scholar 

  40. Wing RR, Phelan S: Long-term weight loss maintenance. Am J Clin Nutr 2005, 82:222S–225S.

    PubMed  CAS  Google Scholar 

  41. Klem ML: Successful losers. The habits of individuals who have maintained long-term weight loss. Minn Med 2000, 83:43–45.

    PubMed  CAS  Google Scholar 

  42. McGuire MT, Wing RR, Klem ML, HIll JO: Behavioral strategies of individuals who have maintained long-term weight losses. Obes Res 1999, 7:334–341.

    PubMed  CAS  Google Scholar 

  43. Otto AD, Jakicic JM: Examination of usefulness of time-based strategies on weight loss and physical activity in overweight adults [abstract]. Obes Res 2007, 15:Supplement.

  44. Tudor-Locke, Myers AM: Methodological considerations for researchers and practitioners using pedometers to measure physical (ambulatory) activity. Res Q Exerc Sport 2001, 72:1–12.

    PubMed  CAS  Google Scholar 

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Correspondence to Amy D. Otto.

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Otto, A.D., Garcia, D.O. & Jakicic, J.M. Lifestyle intervention strategies to prevent and control type 2 diabetes. Curr Diab Rep 8, 407–412 (2008). https://doi.org/10.1007/s11892-008-0070-6

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