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04-02-2016

Lifestyle modification and weight reduction among low-income patients with the metabolic syndrome: the CHARMS randomized controlled trial

Auteurs: Diana A. Chirinos, Ronald B. Goldberg, Maria M. Llabre, Marc Gellman, Miriam Gutt, Judith McCalla, Armando Mendez, Neil Schneiderman

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2016

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Abstract

Although weight is an important intervention target among patients with metabolic syndrome, few trials have recruited low-income minority populations. The Community Health and Risk-reduction for Metabolic Syndrome randomized controlled trial aimed to examine the effects of a lifestyle intervention on weight and metabolic syndrome components among low-income minority adults. We randomized 120 adults with metabolic syndrome to standard medical care (N = 60) or a lifestyle intervention (N = 60). Using an intent-to-treat approach, we found significant intervention effects on weight [B = −0.452; SE = 0.122; 95 % confidence intervals (CI) −0.653 to −0.251) and glucose levels at 6-months (B = −0.522, SE = 0.234, 95 % CI −0.907 to −0.138). These changes were maintained through the 12-month assessment. No significant effects were observed on insulin resistance or other metabolic syndrome components. Our intervention was successful in achieving modest but significant weight loss and reduction in fasting glucose among low-income minority subjects with metabolic syndrome.
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Metagegevens
Titel
Lifestyle modification and weight reduction among low-income patients with the metabolic syndrome: the CHARMS randomized controlled trial
Auteurs
Diana A. Chirinos
Ronald B. Goldberg
Maria M. Llabre
Marc Gellman
Miriam Gutt
Judith McCalla
Armando Mendez
Neil Schneiderman
Publicatiedatum
04-02-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2016
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-016-9721-2