Evidence map›Paper›PMID 36621902›Full record

Trial reportObesity (Silver Spring, Md.)2023

Effect of behavioral weight-loss program on biomarkers of cardiometabolic disease risk: Heart Health Study randomized trial.

Katherine A Collins, William E Kraus, Renee J Rogers, Elizabeth R Hauser, Wei Lang, Rong Jiang, Erik B Schelbert, Kim M Huffman, John M Jakicic

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. 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

9 authors.

Katherine A CollinsDuke Molecular Physiology Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.ORCID 0000-0001-9712-8980
William E KrausDuke Molecular Physiology Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Renee J RogersWondr Health, Dallas, Texas, USA.
Elizabeth R HauserDuke Molecular Physiology Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
Wei LangCenter on Aging and Mobility, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Rong JiangDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Erik B SchelbertSchool of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kim M HuffmanDuke Molecular Physiology Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina, USA.
John M JakicicDivision of Physical Activity and Weight Management, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Enhanced Behavioral Intervention to Improve Long-Term Weight Loss in Young AdultsU01HL096770 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BELLE, STEVEN H., JAKICIC, JOHN M · 2009 to 2014
$5.4M
Effect of Exercise and Weight Loss on Cardiovascular HealthR01HL103646 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JAKICIC, JOHN M · 2011 to 2015
$3.6M
Preparing Genetic Counselors for Genomic Medicine ResearchT32HG008955 · NHGRI · DUKE UNIVERSITY · PI COONEY, KATHLEEN A, HAGA, SUSANNE · 2017 to 2021
$2.0M
NCATS NIH HHS UL1 TR001857NHGRI NIH HHS T32 HG008955NHLBI NIH HHS R01 HL103646NHLBI NIH HHS U01 HL096770
6 · The paper itself

Abstract

objectiveThis study aimed to determine whether novel biomarkers of cardiometabolic health improve in response to a 12-month behavioral weight-loss intervention and to compare benefits of diet alone with diet plus physical activity for these biomarkers.

methodsParticipants (N = 374) were randomized to either diet alone (DIET), diet plus 150 min/wk of prescribed moderate-intensity physical activity (DIET + PA150), or diet plus 250 min/wk of prescribed moderate-intensity physical activity (DIET + PA250). Biomarker concentrations were determined using nuclear magnetic resonance spectroscopy. Mixed models assessed for a time effect, group effect, or group by time interaction.

resultsAll groups significantly improved body weight (time: p < 0.0001), Lipoprotein Insulin Resistance Index score (time: p < 0.0001), Diabetes Risk Index score (time: p < 0.0001), branched-chain amino acid concentration (time: p < 0.0001), and GlycA concentration (time: p < 0.0001), with no group effect or group by time interactions.

conclusionsAll intervention groups prompted a notable beneficial change among biomarkers of insulin resistance and cardiometabolic health. However, the addition of at least moderate-intensity physical activity to a diet-only intervention did not provide any additional benefit. These findings highlight that an average weight loss of approximately 10% profoundly impacts biomarkers of insulin resistance and cardiometabolic disease in adults with overweight or obesity.

Indexed as

Cardiovascular DiseasesInsulin ResistanceWeight Reduction ProgramsAdultBiomarkersHumansObesityOverweightWeight LossBiomarkers

Identifiers

PMID36621902
PMCPMC9877129

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.