Mixed
A 4-year intensive lifestyle intervention (diet modification and physical activity) produces sustained weight loss and improvements in cardiovascular risk factors (fitness, glycemic control, blood pressure, HDL-C) in individuals with type 2 diabetes compared to usual care.
For individuals with type 2 diabetes, committing to a structured lifestyle program involving calorie-controlled meals (1200-1800 kcal/day) and at least 175 minutes of moderate exercise per week can lead to significant, sustained weight loss and improved cardiovascular health over several years. Consistency is key, with regular support and monitoring helping to maintain these benefits.
Intensive lifestyle intervention can produce sustained weight loss and improvements in fitness, glycemic control, and CVD risk factors in individuals with type 2 diabetes.
Why this rating
Large multicenter randomized clinical trial (n=5145) with high retention (>93%) and long-term follow-up (4 years).
Source
Long-term Effects of a Lifestyle Intervention on Weight and Cardiovascular Risk Factors in Individuals With Type 2 Diabetes Mellitus
Rena R Wing · Archives of Internal Medicine · 2010
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