Adherence
A structured, theory-driven group lifestyle intervention (Waste the Waist) significantly improves weight loss outcomes in high cardiovascular risk adults compared to usual care, but only when co-interventions and comorbidities are statistically controlled.
For high cardiovascular risk individuals, a structured, multi-session group program focusing on behavior change (planning, self-monitoring) is more effective for weight loss than standard brief advice, provided that other concurrent health changes are accounted for. Aim for 150 minutes of moderate activity weekly and dietary improvements.
Based on last observations carried forward, the intervention group did not lose significantly more weight than controls at 12 months, although the difference was significant when co-interventions and co-morbidities that could affect weight were taken into account (Mean Diff 2.6Kg. 95%CI: −4.8 to −0.3, p = 0.025).
Why this rating
Pilot RCT with small sample size (n=108) and significant loss to follow-up; results are promising but not definitive.
Source
Waste the waist: a pilot randomised controlled trial of a primary care based intervention to support lifestyle change in people with high cardiovascular risk
Colin Greaves et al. · International Journal of Behavioral Nutrition and Physical Activity · 2015
DOI 10.1186/s12966-014-0159-z
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
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 →