PMID- 25757855
OWN - NLM
STAT- MEDLINE
DCOM- 20160418
LR  - 20220317
IS  - 1541-1087 (Electronic)
IS  - 0731-5724 (Linking)
VI  - 34
IP  - 4
DP  - 2015
TI  - Impact of a Shared Medical Appointment Lifestyle Intervention on Weight and Lipid 
      Parameters in Individuals with Type 2 Diabetes: A Clinical Pilot.
PG  - 300-9
LID - 10.1080/07315724.2014.933454 [doi]
AB  - BACKGROUND: There is a growing awareness that lifestyle behavior modifications 
      may reduce weight and the atherogenic dyslipidemia associated with obesity and 
      type 2 diabetes mellitus (T2DM). OBJECTIVE: We pilot the effectiveness of a 
      diabetes educational program combining shared medical appointments (SMAs) with an 
      8-week DVD-based diabetes education program emphasizing a plant-based diet in 
      lowering weight and lipids in individuals with T2DM. This pilot also employed a 
      nonrandomized convenience sample to explore which of the educational program's 
      target behaviors were associated with the greatest risk factor reduction. DESIGN: 
      Forty-six adult patients with T2DM voluntarily self-selected to enroll in the 
      educational quality improvement initiative run as part of a community clinical 
      practice. Target behaviors measured weekly were (1) days with beans for 
      breakfast, (2) days of exercise, (3) minutes of exercise per day, (4) days with 
      light evening meals, (5) days with no evening meals, (6) days with no red meat, 
      (7) days with plant-based diet, and (8) number of 8-ounce cups of water per day. 
      Biometric measurements were taken at the beginning and end of the 2-month 
      program. These included high-density lipoprotein (HDL), low-density lipoprotein 
      (LDL), total cholesterol, and triglycerides. Weight was measured weekly. 
      Regression analysis was performed to identify which target behaviors were 
      associated with changes in lipids and weight. RESULTS: There was a statistically 
      significant (F = 2.429; df = 8.21; p < 0.05) decrease in weight (mean -8.9 lbs, 
      or 4.05 kg, or 4.1% body weight, p < 0.01) during the 8-week study period. There 
      was a positive trend in all lipid parameters, but none reached statistical 
      significance with this sample. Exploratory weighted least-squares regression 
      found that weight loss in the study group was most associated with higher water 
      consumption (t = 3.16; p < 0.01), days per week with no evening meal (t = 3.03; p 
      < 0.01), and days per week consuming beans for breakfast (t = 2.06; p = 0.05. 
      CONCLUSIONS: In this pilot study, the DVD-based educational program delivered as 
      part of an SMA was associated with significant weight loss but insignificant 
      lipid changes. Behavior changes most closely associated with weight loss were 
      increasing water consumption, eliminating evening meals, and increasing the 
      consumption of beans for breakfast. These potentially important findings in this 
      small sample suggest the need for a randomized clinical trial with a larger and 
      planned sample.
FAU - Guthrie, George E
AU  - Guthrie GE
AD  - a University of Central Florida, Community Faculty, Loma Linda 
      University-Preventive Medicine , Winter Park , Florida.
FAU - Bogue, Richard J
AU  - Bogue RJ
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150311
PL  - United States
TA  - J Am Coll Nutr
JT  - Journal of the American College of Nutrition
JID - 8215879
RN  - 0 (Lipids)
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Audiovisual Aids
MH  - Diabetes Mellitus, Type 2/blood/complications/*therapy
MH  - *Diet
MH  - Exercise
MH  - *Feeding Behavior
MH  - Female
MH  - Health Behavior
MH  - Health Education/*methods
MH  - Humans
MH  - *Life Style
MH  - Lipids/*blood
MH  - Male
MH  - Middle Aged
MH  - Obesity/blood/complications/therapy
MH  - Office Visits
MH  - Pilot Projects
MH  - *Weight Loss
OTO - NOTNLM
OT  - diabetes
OT  - diets
OT  - metabolism
OT  - obesity
OT  - type 2 diabetes
EDAT- 2015/03/12 06:00
MHDA- 2016/04/19 06:00
CRDT- 2015/03/12 06:00
PHST- 2015/03/12 06:00 [entrez]
PHST- 2015/03/12 06:00 [pubmed]
PHST- 2016/04/19 06:00 [medline]
AID - 10.1080/07315724.2014.933454 [doi]
PST - ppublish
SO  - J Am Coll Nutr. 2015;34(4):300-9. doi: 10.1080/07315724.2014.933454. Epub 2015 
      Mar 11.