Adherence
Intensive lifestyle intervention (ILI) preserves physical health-related quality of life (HRQoL) by slowing the age-related decline in physical functioning compared to standard diabetes support and education (DSE) in overweight/obese individuals with type 2 diabetes.
For those with type 2 diabetes, committing to a structured lifestyle program can help maintain physical function and quality of life over the long term, even if it doesn't drastically reverse age-related decline. The key benefit is slowing the rate of physical deterioration compared to those receiving standard care.
Although SF-36 PCS scores worsened over time in both groups, ILI participants reported better physical function than DSE throughout the first 8 years (all P values <0.01).
Why this rating
Large-scale RCT with long-term follow-up and validated outcome measures (SF-36).
Source
Impact of Intensive Lifestyle Intervention on Depression and Health-Related Quality of Life in Type 2 Diabetes: The Look AHEAD Trial
The Look AHEAD Research Group · Diabetes Care · 2014
DOI 10.2337/dc13-1928
More from this paper
- Intensive lifestyle intervention (ILI) designed to induce weight loss significantly reduces the incidence of mild or greater depression symptoms in overweight/obese individuals with type 2 diabetes compared to diabetes support and education (DSE).Weak
- Intensive lifestyle intervention (ILI) does not significantly reduce the use of antidepressant medications (ADMs) compared to diabetes support and education (DSE) in overweight/obese individuals with type 2 diabetes.Weak
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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