Adherence
A DPP-inspired lifestyle intervention providing low-cost, minimal-support options (simplified diet plans, YMCA membership, weekly phone calls) fails to produce significant weight loss in indigent, obese adults, whereas behavioral engagement (using the provided YMCA membership) and older age are associated with success.
For low-income individuals, simply giving them gym access or diet sheets is not enough to drive weight loss. Success requires active behavioral engagement, such as actually using the gym membership, and often benefits from older age or more intensive, individualized support to overcome logistical barriers like transportation and childcare.
A DPP-inspired lifestyle intervention tailored to low-SES patients through low cost, minimal record keeping options did not lead to the hypothesized loss of 5% body weight in this sample of patients. Factors associated with weight loss success included age quartile and a behavioral commitment to physical activity.
Why this rating
Single-arm observational study with no control group, high attrition, and self-reported adherence proxies.
Source
Efficacy of a Lifestyle Program Designed to Help Indigent, Obese Adult Patients Lose Weight
Maurice Duggins et al. · Kansas Journal of Medicine · 2019
DOI 10.17161/kjm.v9i4.8623
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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