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Cited by 166Diabetes Management and EducationObesity and Health PracticesPhysical Activity and Health

Clinic-Based Support to Help Overweight Patients With Type 2 Diabetes Increase Physical Activity and Lose Weight

Christian, James G.·2008·Archives of Internal Medicine
DOI 10.1001/archinternmed.2007.13
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Abstract

BACKGROUND: Our objective was to test the effect of physicians providing brief health lifestyle counseling to patients with type 2 diabetes mellitus during usual care visits. METHODS: We conducted a randomized controlled trial of a 12-month intervention at 2 large community health centers, enrolling 310 patients with a body mass index (calculated as weight in kilograms divided by height in meters squared) of 25 or greater. In the intervention group, self-management goals for nutrition and physical activity were set using a tailored computer program. Goals were then reviewed at each clinic visit by physicians. The control group received only printed health education materials. The main outcome measures included change in physical activity and body weight. RESULTS: In the intervention group, recommended levels of physical activity increased from 26% at baseline to 53% at 12 months (P< .001) compared with controls (30% to 37%; P= .27), and 32% of patients in the intervention group lost 6 or more pounds at 12 months compared with 18.9% of controls (odds ratio, 2.2; P= .006). CONCLUSION: A brief intervention to increase the dialogue between patients and health care providers about behavioral goals can lead to increased physical activity and weight loss.

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  • Long-term weight loss in the enhanced lifestyle counseling group and in the brief lifestyle counseling group was greater than weight loss observed in other primary care trials, with the exception of a study involving extremely obese patients treated with intensive group lifestyle modification and weight-loss medications.

    “Long-term weight loss in the group that received enhanced lifestyle counseling (as well as in the group that received brief lifestyle counseling without enhancement) was greater than weight loss observed in other primary care trials,5–7,30,31 with the exception of a study involving extremely obese patients who were treated with intensive group lifestyle modification and weight-loss medications.32”

    From A Two-Year Randomized Trial of Obesity Treatment in Primary Care Practice (2011) · cites this paper as [6]

  • Trials in which primary care providers offer counseling about diet and activity have led to weight loss of 2.5 kg or less over study periods ranging from 6 to 18 months.

    “Trials in which primary care providers (PCPs) offer counseling about diet and activity (i.e., lifestyle counseling) have led to weight loss of 2.5 kg or less over study periods ranging from 6 to 18 months.5–7”

    From A Two-Year Randomized Trial of Obesity Treatment in Primary Care Practice (2011) · cites this paper as [6]

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Authors
Christian, J. G.
Affiliations
Phcc (United States) (US)
Corresponding author
Christian, James G.
Venue
Archives of Internal Medicine
Publisher
American Medical Association (AMA)
Published
2008-01-28
Volume
168
Issue
2
Pages
141
ISSN
0003-9926 (ISSN-L)
DOI
10.1001/archinternmed.2007.13
OpenAlex
W2167137952
Cited by
166
References
31
Citations by year
2026: 3 · 2025: 6 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 4 · 2020: 7 · 2019: 4 · 2018: 6 · 2017: 12 · 2016: 9 · 2015: 12 · 2014: 17 · 2013: 22 · 2012: 14
FWCI
8.44
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (R44DK060272, 5R44DK060272-3)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
type 2 diabetes, overweight, physical activity, weight loss, lifestyle counseling, physician-patient communication, health education materials, community health centers, behavioral objectives
MeSH terms
Adult, Counseling, Diabetes Mellitus, Type 2, Exercise Therapy, Female, Humans, Male, Middle Aged, Motor Activity, Office Visits, Patient Education as Topic, Physician-Patient Relations, Weight Loss, Health Behavior, Body Mass Index, Overweight

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