Energy balance
Intensive lifestyle interventions focused on weight loss do not reduce cardiovascular morbidity or all-cause mortality in adults with type 2 diabetes and overweight or obesity.
If you have type 2 diabetes and are overweight, focusing intensely on losing weight through strict diet and exercise may not protect your heart or extend your life as much as previously thought. Prioritize sustainable health behaviors and mental well-being over the scale number, as the medical evidence for mortality benefits from weight loss in this specific group is lacking.
Look AHEAD... did not reduce the rate of cardiovascular events in adults with type 2 diabetes and overweight or obesity... A follow-up study found that the lifestyle intervention also did not significantly reduce mortality risk.
Why this rating
Based on large-scale randomized controlled trials (Look AHEAD, ADAPT) with long-term follow-up.
Source
Use and Misuse of BMI Categories
Katherine M. Flegal · The AMA Journal of Ethic · 2023
DOI 10.1001/amajethics.2023.550
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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