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The Look AHEAD Trial: A Review and Discussion of Its Outcomes
Open accessAbstract
The LookAhead trial was a randomized controlled trial comparing an Intensive Lifestyle Intervention (ILI) to a Diabetes Support and Education (DSE) in overweight and obese type 2 diabetes patients to track the development of cardiovascular disease over time. The triaI intervention was stopped for futility after a median follow-up of 9.6 years. While there was a differential effect on weight loss and fitness between the two groups, there was no effect on cardiovascular outcomes. Cardiovascular events were less than half the projected rate per year in the DSE group: thus there was a very low over-all rate of events in both groups. There were many other health benefits of ILI, including improved biomarkers of glucose and lipid control, less sleep apnea, lower liver fat, less depression, improved insulin sensitivity, less urinary incontinence, less kidney disease, reduced need of diabetes medications, maintenance of physical mobility, improved quality of life and lower costs.
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“The intensive lifestyle intervention group, which included dietary modification and unsupervised exercise, achieved significantly greater improvements in CRF, blood glucose control, weight loss, blood pressure, and quality of life (QOL) [108] .”
From Physical activity, cardiorespiratory fitness, and cardiovascular health: A clinical practice statement of the American Society for Preventive Cardiology Part II: Physical activity, cardiorespiratory fitness, minimum and goal intensities for exercise training, prescriptive methods, and special patient populations (2022) · cites this paper as [108]
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“Large-scale studies such as LOOK-AHEAD226 and PREDIMED227 established that individuals have different responses and outcomes to dietary interventions based on individual and genetic characteristics.”
From Sarcopenic obesity in older adults: a clinical overview (2024) · cites this paper as [226]
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Maula, A., Kendrick, D., Kai, J., & Griffiths, F. E. (2020) · Diabetic Medicine · doi:10.1111/dme.14394 · Cited by 10
Folie, S., Radlinger, B., Goebel, G., Salzmann, K., Staudacher, G., Ress, C., Tilg, H., & Kaser, S. (2021) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2021.108837 · Cited by 9
Clark, D. O., Srinivas, P., Bodke, K., Keith, N. R., Hood, S. M., & Tu, W. (2018) · Contemporary Clinical Trials · doi:10.1016/j.cct.2018.01.006 · Cited by 9
England, C. Y., & Andrews, R. C. (2019) · Diabetic Medicine · doi:10.1111/dme.14217 · Cited by 8
The 10-Year Effects of Intensive Lifestyle Intervention on Kidney Outcomes
Lavenburg, L.-M. U., Schaubel, D. E., Chao, A. M., Reese, P. P., & Cohen, J. B. (2024) · Kidney Medicine · doi:10.1016/j.xkme.2024.100814 · Cited by 7
Factors influencing adults to drop out of intensive lifestyle interventions for weight loss
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Community Engagement in Behavioral Medicine: A Scoping Review
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Metadata
- Authors
- Pi-Sunyer, X.
- Venue
- Current Nutrition Reports
- Published
- 2014-09-28
- Volume
- 3
- Issue
- 4
- Pages
- 387-391
- ISSN
- 2161-3311 (ISSN-L)
- PMC
- PMC4339027
- OpenAlex
- W2077801798
- Cited by
- 176
- References
- 35
- Citations by year
- 2026: 14 · 2025: 13 · 2024: 19 · 2023: 21 · 2022: 21 · 2021: 13 · 2020: 23 · 2019: 16 · 2018: 14 · 2017: 12 · 2016: 4 · 2015: 6
- FWCI
- 5.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Nutrition Reports (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (U01DK057178)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- Look AHEAD trial, intensive lifestyle intervention, type 2 diabetes, obesity, overweight, diabetes support and education, cardiovascular disease, weight loss, physical fitness, sleep apnea, liver fat, insulin sensitivity, kidney disease, depression, urinary incontinence, quality of life, cost-effectiveness
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