Mixed
A hybrid intensive lifestyle intervention (HM) combining 2 in-person and 10 virtual sessions is as effective as fully in-person or fully virtual models for reducing body weight and improving glycemic control in patients with diabetes and obesity over 12 weeks.
If you have diabetes and obesity, a hybrid lifestyle program that mixes a few clinic visits with online coaching can help you lose weight and control blood sugar just as well as going to the clinic every week. This approach saves you travel time and money while still providing the necessary medical supervision and support to succeed.
Overall, HM is as effective as VM and iPM in reducing body weight and A1C after 12 weeks.
Why this rating
Retrospective study with a small sample size (n=56) and no randomization, limiting causal inference compared to RCTs.
Source
Hybrid model of intensive lifestyle intervention is potentially effective in patients with diabetes & obesity for post-COVID era
Shilton Dhaver et al. · Frontiers in Endocrinology · 2023
DOI 10.3389/fendo.2022.1050527
Related findings · Mixed
- Bariatric surgery (VSG and RYGB) is the most effective and sustainable treatment for obesity, producing marked and sustained weight loss that non-surgical interventions cannot match.Strong
- Severely protein-deficient diets (2–3% energy) induce lean body mass loss and metabolic imbalance, whereas adequate protein intake (0.66 g/kg/d minimum) is a prerequisite for maintaining muscle, bone, and physiological function.Strong
- For patients with Class III obesity (BMI >39.9 kg/m2), metabolic bariatric surgery (MBS) is significantly more effective than any currently approved medication, with BilioPancreatic Diversion (BPD) showing the highest estimated weight loss.Strong
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