Evidence map›Paper›PMID 31478460›Full record

ArticleThe Diabetes educator2019

Longitudinal Weight Outcomes From a Behavioral Lifestyle Intervention in Clinical Practice.

Robert J Romanelli, Hsiao-Ching Huang, Vidita Chopra, Jun Ma, Elizabeth M Venditti, Sylvia Sudat, Deborah A Greenwood, Alice R Pressman, Kristen M J Azar

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in The Diabetes educator, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

9 authors.

Robert J RomanelliPalo Alto Medical Foundation Research Institute, Sutter Health, Palo Alto, California.ORCID 0000-0001-6686-9962
Hsiao-Ching HuangPalo Alto Medical Foundation Research Institute, Sutter Health, Palo Alto, California.
Vidita ChopraPalo Alto Medical Foundation Research Institute, Sutter Health, Palo Alto, California.
Jun MaDepartment of Medicine, Institute for Health Research and Policy, and Center for Behavioral Research, University of Illinois Chicago, Chicago, Illinois.
Elizabeth M VendittiDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania.
Sylvia SudatDivision of Research, Development & Dissemination, Sutter Health, Walnut Creek, California.
Deborah A GreenwoodIndependent Consultant, Granite Bay, California.
Alice R PressmanDivision of Research, Development & Dissemination, Sutter Health, Walnut Creek, California.
Kristen M J AzarDivision of Research, Development & Dissemination, Sutter Health, Walnut Creek, California.

Funding

Evaluation of a Lifestyle Intervention Adopted for Clinical Practice for Diabetes Prevention (ELEVATE-DP)R18DK110739 · NIDDK · PALO ALTO MEDICAL FOUNDATION RES INST · PI AZAR, KRISTEN M.J. · 2017 to 2021
$3.2M
NIDDK NIH HHS R18 DK110739
6 · The paper itself

Abstract

purposeThe purpose of this electronic health record (EHR)-based retrospective cohort study was to characterize a population of patients participating in a 12-month, lifestyle change program in a community-based health system and to examine longitudinal weight outcomes.

methodsProgram participants were identified in the EHRs of a health care delivery system across 18 sites between 2010 and 2017. Outcomes were mean weight change and proportion of patients with ≥5% weight loss through 24 months from program initiation.

resultsAmong 4463 program participants, 3156 met study eligibility criteria, with a mean ± SD age of 53.5 ± 13.1 years; 77.7% were women. Mean baseline weight ± SD was 101.3 ± 23.8 kg. Three main cardiometabolic risk groups were identified: prediabetes/high risk for diabetes (47.3%), overweight/obese in the absence of elevated diabetes risk (27.2%), and existing diabetes (23.9%). Maximal mean weight loss was 3.9% at 6 months from baseline. At 12 and 24 months from baseline, mean weight loss was 3.2% and 2.3%, respectively, with 31% and 29% of participants attaining ≥5% weight loss. Long-term weight outcomes were similar across risk groups.

conclusionsA lifestyle change program in a clinical practice setting is associated with modest weight loss, sustained through 24 months, among participants with a range of cardiometabolic risk factors. More than one-quarter of participants achieve ≥5% weight loss, regardless of cardiometabolic risk.

Indexed as

AdultAgedBehavior TherapyDiabetes Mellitus, Type 2Electronic Health RecordsFemaleHumansLife StyleLongitudinal StudiesMaleMiddle AgedOverweightPrediabetic StateProgram EvaluationRetrospective StudiesRisk Factors

Identifiers

PMID31478460
PMCPMC6931394

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.