Key result
HEELP intervention drives greater weight loss and higher rates of achieving ≥5% reduction vs usual care.
RCT (n=148)
randomized
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BACKGROUND: Weight reduction limits disease progression in obese people with coronary heart disease (CHD) and/or type 2 diabetes mellitus (T2DM). PURPOSE: To test a 16-week group-based weight reduction intervention combining exercise, diet and behaviour change strategies aimed to increase self-efficacy (Healthy Eating and Exercise Lifestyle Program-HEELP) on weight, body mass index (BMI), waist circumference and exercise. METHODS: Participants with CHD and/or T2DM and BMI between 27 to 39 kg/m(2) were randomised to HEELP (n=83) or usual care (n=65). RESULTS: Participants were aged a mean 63.47 years (SD 8.9), male (58 %) and Caucasian (79 %). HEELP participants lost significantly more weight, BMI and waist circumference and exercised more days/week for a longer duration/week than usual care. Clinically significant weight loss (≥5 %) was more common in HEELP than usual care. CONCLUSION: The HEELP resulted in weight loss and improved exercise behaviour in obese people with CHD and T2DM.
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Gallagher et al. (2012) conducted an RCT in Coronary Heart Disease and/or Type 2 Diabetes (n=148). Healthy Eating and Exercise Lifestyle Program (HEELP) vs. usual care was evaluated on weight, body mass index (BMI), waist circumference and exercise. The 16-week HEELP intervention resulted in significantly greater reductions in weight, BMI, and waist circumference, and higher rates of clinically significant weight loss (≥5%) than usual care.
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