A 12-Month Lifestyle Intervention Program Improves Body Composition and Reduces the Prevalence of Prediabetes in Obese Patients

Obes Facts. 2018;11(5):393-399. doi: 10.1159/000492604. Epub 2018 Oct 17.

Abstract

Background: The present study investigated the effects of a 12-month interdisciplinary standardized lifestyle program addressing physical activity and changes in dietary and lifestyle behavior in 2,227 obese prediabetic participants.

Methods: Measures of obesity (BMI, waist circumference), cardiopulmonary fitness, and metabolic parameters were determined before and after the intervention period.

Results: From the 2,227 participants who were initially prediabetic, 839 participants (-37.7%) did no longer show the criteria of prediabetes after the intervention and had normal HbA1c levels.

Conclusion: The clinical effects are substantial, and it is likely that the applied intense and multidisciplinary lifestyle interventions could reduce the risk of developing diabetes and the prevalence of a full-blown metabolic syndrome in obese and prediabetic patients.

Keywords: Diabetes prevention; Lifestyle intervention; Prediabetes.

Publication types

  • Clinical Trial
  • Multicenter Study

MeSH terms

  • Adult
  • Behavior Therapy / methods*
  • Body Composition*
  • Body Weight
  • Cohort Studies
  • Diet
  • Exercise
  • Female
  • Germany / epidemiology
  • Humans
  • Life Style*
  • Male
  • Metabolic Syndrome / complications
  • Metabolic Syndrome / epidemiology
  • Metabolic Syndrome / therapy
  • Middle Aged
  • Obesity / complications
  • Obesity / epidemiology*
  • Obesity / therapy*
  • Prediabetic State / complications
  • Prediabetic State / epidemiology*
  • Prediabetic State / therapy*
  • Prevalence
  • Risk Reduction Behavior
  • Waist Circumference
  • Weight Reduction Programs / methods*