Evidence map›Paper›PMID 26052698›Full record

ArticlePloS one2015

Impact of Education on Weight in Newly Diagnosed Type 2 Diabetes: Every Little Bit Helps.

Kristen M J Azar, Sukyung Chung, Elsie J Wang, Beinan Zhao, Randolph B Linde, Janet Lederer, Latha P Palaniappan

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Kristen M J AzarPalo Alto Medical Foundation Research Institute, Palo Alto, California, United States of America.
Sukyung ChungPalo Alto Medical Foundation Research Institute, Palo Alto, California, United States of America.
Elsie J WangStanford University School of Medicine, Palo Alto, California, United States of America.
Beinan ZhaoPalo Alto Medical Foundation Research Institute, Palo Alto, California, United States of America.
Randolph B LindePalo Alto Medical Foundation, Palo Alto, California, United States of America.
Janet LedererPalo Alto Medical Foundation, Palo Alto, California, United States of America.
Latha P PalaniappanStanford University School of Medicine, Palo Alto, California, United States of America.
Palo Alto Institute · USPalo Alto University · USStanford University · US

Funding

Strength Training Regimen fOr Normal weiGht Diabetics (STRONG-D)R01DK081371 · NIDDK · STANFORD UNIVERSITY · PI CHURCH, TIMOTHY STEPHEN, PALANIAPPAN, LATHA P · 2009 to 2018
$6.0M
META - Mentor, Educate, Train, Advocate: Patient Oriented Researchers in Cardiometabolic DiseaseK24HL150476 · NHLBI · STANFORD UNIVERSITY · PI Latha P Palaniappan · 2020 to 2026
$846k
Measuring and Compensating Primary Care Physician EffortK01HS019815 · AHRQ · PALO ALTO MEDICAL FOUNDATION RES INST · PI CHUNG, SUKYUNG · 2012 to 2016
$804k
AHRQ HHS K01 HS019815NHLBI NIH HHS K24 HL150476NIDDK NIH HHS R01 DK081371NIDDK NIH HHS R01DK081371-01
6 · The paper itself

Abstract

aimsHighly structured, intensive behavioral lifestyle interventions have been shown to be efficacious in research settings for type 2 diabetes management and weight loss. We sought to evaluate the benefit of participation in more limited counseling and/or education among individuals with newly diagnosed type 2 diabetes in more modest real-world clinical settings.

methodsElectronic Health Records of newly diagnosed type 2 diabetes patients age 35-74 from a large ambulatory group practice were analyzed (n = 1,314). We examined participation in clinic-based lifestyle counseling/education and subsequent weight loss.

resultsOf the total cohort, 599 (45.6%) patients received counseling/education with (26.2%) and without (19.4%) medication, 298(22.7%) patients received a prescription for medication alone, and 417(31.7%) patients were only monitored. On average, those who participated in counseling/education attended 2.5 sessions (approximately 2-3 hours). The average weight loss of patients who received counseling/education alone during the follow-up period (up to three years post-exposure to participation) was 6.3 lbs. (3.3% of body weight), and, if received with medication prescription, 8.1 lbs. (4.0% of body weight) (all at P<0.001). The weight loss associated with medication was only 3.5 lbs. (P<0.001). No significant weight change was observed in the monitoring only group.

conclusionsWhile efforts to improve both the short-term and long-term effectiveness of behavioral lifestyle interventions in real-world settings are ongoing, it is important for clinicians to continue to utilize less intensive, existing resources. Even relatively small "doses" of health education may help in promoting weight loss and may potentially reduce cardiometabolic risk.

Indexed as

Body WeightPatient Education as TopicAdultAgedCounselingDemographyDiabetes Mellitus, Type 2Dose-Response Relationship, DrugFemaleFollow-Up StudiesHumansMaleMiddle AgedPrescription DrugsTime FactorsPrescription Drugs

Identifiers

PMID26052698
PMCPMC4459994
OpenAlexW2336559716

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.