Posted on 06/27/2013 10:23:20 PM PDT by Jyotishi
Adults with diabetes can begin to realize many of these health benefits with even modest reductions in body weight and modest increases in physical activity.
People undergoing weight management and increased physical activity have no difference in heart attacks and strokes, a new study has suggested.
The landmark study investigating the long-term effects of weight loss on the risks of cardiovascular disease among patients with Type 2 diabetes, which was conducted at the University of Pittsburgh and at clinical facilities throughout the United States, the multicenter clinical trial investigated the effects of an intensive lifestyle intervention program, intended to achieve and maintain weight loss in overweight or obese people with Type 2 diabetes, on rates of cardiovascular disease.
Begun in 2001, the trial enrolled more than 5,000 people at 16 clinical centers across the US.
The study found that weight loss among members of the study’s Intensive Lifestyle Intervention group, provided with a program of weight management and increased physical activity, resulted in no difference in heart attacks and strokes when compared with the study’s control group, the Diabetes Support and Education group, which was provided with only general health information and social support.
The effect of the intervention program on weight loss, however, was significant: Participants in the intervention group lost 8.7 percent of their initial body weight after one year of the study versus 0.7 percent among the control group’s members; the intervention group also maintained a greater weight loss, 6 percent of their initial weight, versus 3.5 percent for the control group, at the study’s conclusion.
The Look AHEAD (Action for Health in Diabetes) study is the first to achieve such sustained weight loss. A weight loss of 5 percent or more in short-term studies is considered to be clinically significant and has been shown to improve control of blood pressure, blood sugar, cholesterol, and other risk factors. Comparable weight loss can also help prevent the development of Type 2 diabetes in overweight and obese adults.
John Jakicic, chair and professor in the Department of Health and Physical Activity in Pitt’s School of Education and Director of the Physical Activity and Weight Management Research Center, said weight loss improves physical function and quality of life, and causes reduction in risk factors like lipids and blood pressure with less reliance on medication, better diabetes control with less reliance on medication, improved sleep, psychological and emotional health benefits, and many others.
He said that adults with diabetes can begin to realize many of these health benefits with even modest reductions in body weight and modest increases in physical activity.
The study has been published online in the New England Journal of Medicine.
Any excuse not to lose weight. Great.
Anyone remember Lysenko the “scientist”?
Anyone knows a really fat person who lived into his 80s?
Eat foods that are right for your blood type and it’ll reduce the stroke probability.
And I saw an article on FR about a possible cure for diabetes! We’re in the clear! Time to pig out!
There’s a list of foods that are proven to be good for different blood types?
The headline is misleading, right? The weight loss only applies to people with diabetes.
Sounds to me like they can’t make up their minds if weight loss is good or not.
There’s a book called, “Eat Right 4 Your Type” by Dr. Peter D’Adamo with the list of foods that work well with each blood type. There is a companion book called, “Cook Right 4 Your Type,” also.
Companion website that lists those foods and types.
http://www.dadamo.com/
I’m pretty sensitive to foods and I can verify for my blood type that it is 100% accurate. The others I can’t say yea or nay.
Here they go again, changing all the rules. Any time now they’ll determine that smoking is good for you. They’ve already found that moderate drinking reduces risk of heart disease, unless they’re changing that again too.
I don’t buy it.
My dad’s side of family dad, uncle, Grandmother and even my younger brother had/have type II diabetes, all overweight, all eat lost of the wrong foods, and I know for a fact that losing weight AND KEEPING IT OFF makes big difference.
They get very destructive symptoms when their blood sugar rises which raises their weight.
The problem is they crave eating crap and then yo-yo diet and that is what kills them faster.
Define fat.
Obese, no. But over weight? yes many older people I know in their 70s and 80s got about 10 to 20 extra pounds or even more. I had a tiny grand mom who died of an aneurism at 70 and a pudgy grand mom who lived to be 9O and died of natural causes; she got a bad case of influenza and never recovered.
yo yo dieting screws up your metabolism but it does not hurt your heart like every one used to say.
Do Lifestyle Changes Reduce Serious Outcomes in Diabetes?
Hertzel C. Gerstein, M.D.
The New England Journal of Medicine
June 24, 2013 DOI: 10.1056/NEJMe1306987
http://www.nejm.org/doi/full/10.1056/NEJMe1306987
My dad was type 2 and yo-yoed because of diabetic symptoms (sores that dont heal and other nasty stuff) and a heart attack took him at 59 just after the diet cycle.
His brother did the same and got his bad stroke after he lost weight, years after a heart attack..
Obviously there is no one simple cause as its all connected.
Gubmint grant money involved?
Might be on many levels. Besides the focus on Diabetes, the study further doesn't seem to address the effect of chronic obesity, only recent weight loss. IOW, do they really mean to imply that a fit person has the same risk factors as a heavy one? Their results could simply mean the damage to their subjects was already done, not that there's no difference in the CV health of different body types.
This reminds me of a Tom Edison quote I once ran across; it went something like: I hate scientists. You ask them a simple question, they fill a blackboard with X's and Y's and give you the wrong answer.
My father in law is 82 and at least 100 pounds overweight. Low cholesterol too and lives on his own. His weight does inhibit his lifestyle though he manages to get to Perkins every day for breakfast. Errgghh!
Also, there’s a guy I know that is about 300 lbs. and smokes a big, fat cigar everyday at my mom’s AL. He sits in the bright sun everyday tanning and is 90.
My very fit, healthy dad that did tri-athalons at 77 died of brain cancer. He was lean, all muscle mass, and ate very healthfully.
I see all kinds of fat elders at my mom’s AL, mostly women. I’d guesstimate they’re in their 80’s.
Generalities don’t always hold true.
It’s my opinion that it is the actual caloric intake that is detrimental, rather than the weight gain per se. A frugal diet allows the body to metabolise in moderation, whereas excessive intake strains the metabolism. Of course, a steady frugal diet leads to a slimmer body, which is a help, but I think it is the reduced metabolism which is the principal benefit.
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