Research
Adherence
Intensive lifestyle intervention (diet and exercise) fails to reduce cardiovascular disease or mortality in type 2 diabetic patients because long-term weight loss cannot be sustained in real-world clinical settings.
Strict diet and exercise programs are unlikely to prevent heart attacks or death in diabetics if you cannot maintain them for years. Focus on consistent, moderate lifestyle habits and optimal medical management of risk factors instead of chasing extreme weight loss.
GoodRefutesHIGH confidence
Look-AHEAD trial failed to demonstrate the benefit of intensive lifestyle intervention (ILI) for the prevention of CVD or CVD-associated mortality... ILI group did not maintain effective weight loss
Why this rating
Based on the large, high-quality Look-AHEAD trial, though the paper is an opinion piece interpreting it.
Source
The Effects of Therapeutic Lifestyle Change on Cardiovascular Disease and Mortality in Diabetic Patients
Min Jeong Kwon et al. · Journal of Korean Diabetes · 2014
narrative_reviewCited 1×
Read the paper This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →