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    Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial

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    Name:
    Two-Year Results of Think Health! ...
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    Genre
    Pre-print
    Date
    2018-09-01
    Author
    Kumanyika, SK
    Morales, KH
    Allison, KC
    Russell Localio, A
    Sarwer, DB
    Phipps, E
    Fassbender, JE
    Tsai, AG
    Wadden, TA
    Subject
    Adult
    Female
    Humans
    Male
    Middle Aged
    Time Factors
    Weight Reduction Programs
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/4407
    
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    DOI
    10.1002/oby.22258
    Abstract
    © 2018 The Obesity Society Objective: Think Health! ¡Vive Saludable! evaluated a moderate-intensity, lifestyle behavior-change weight-loss program in primary care over 2 years of treatment. Final analyses examined weight-change trajectories by treatment group and attendance. Methods: Adult primary care patients (n = 261; 84% female; 65% black; 16% Hispanic) were randomly assigned to Basic Plus (moderate intensity; counseling by primary care clinician and a lifestyle coach) or Basic (clinician counseling only). Intention-to-treat analyses used all available weight measurements from data collection, treatment, and routine clinical visits. Linear mixed-effects regression models adjusted for treatment site, gender, and age, and sensitivity analyses evaluated treatment attendance and the impact of loss to follow-up. Results: Model-based estimates for 24-month mean (95% CI) weight change from baseline were −1.34 kg (−2.92 to 0.24) in Basic Plus and −1.16 kg (−2.70 to 0.37) in Basic (net difference −0.18 kg [−2.38 to 2.03]; P = 0.874). Larger initial weight loss in Basic Plus was attenuated by a ~0.5-kg rebound at 12 to 16 months. Each additional coaching visit was associated with a 0.37-kg greater estimated 24-month weight loss (P = 0.01). Conclusions: These findings in mostly black and Hispanic female primary care patients suggest that strategies to improve treatment attendance may improve weight loss resulting from moderate-intensity counseling.
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    Wiley
    Has part
    Obesity
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    ae974a485f413a2113503eed53cd6c53
    http://dx.doi.org/10.34944/dspace/4389
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