Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates

Amena Sadiya,1,* Sarah Abdi,1,* Salah Abusnana2 1Lifestyle Clinic, 2Research and Education Department, Rashid Center for Diabetes and Research, Ajman, United Arab Emirates *These authors contributed equally to this work Background: Lifestyle Intervention for Weight Loss (LIFE-8) is developed as a...

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Autores principales:	Sadiya A, Abdi S, Abusnana S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Obesity type 2 diabetes weight loss lifestyle Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/241a666bc2ad4a7399f00c4243d96901
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spelling	oai:doaj.org-article:241a666bc2ad4a7399f00c4243d969012021-12-02T03:37:51ZLifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates1178-7007https://doaj.org/article/241a666bc2ad4a7399f00c4243d969012016-03-01T00:00:00Zhttps://www.dovepress.com/lifestyle-intervention-for-weight-loss-a-group-based-program-for-emira-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Amena Sadiya,1,* Sarah Abdi,1,* Salah Abusnana2 1Lifestyle Clinic, 2Research and Education Department, Rashid Center for Diabetes and Research, Ajman, United Arab Emirates *These authors contributed equally to this work Background: Lifestyle Intervention for Weight Loss (LIFE-8) is developed as a structured, group-based weight management program for Emiratis with obesity and type 2 diabetes. It is a 3-month program followed by a 1-year follow-up. The results from the first 2 years are presented here to indicate the possibility of its further adaptation and implementation in this region. Methodology: We recruited 45 participants with obesity and/or type 2 diabetes based on inclusion/exclusion criteria. The LIFE-8 program was executed by incorporating dietary modification, physical activity, and behavioral therapy, aiming to achieve up to 5% weight loss. The outcomes included body weight, fat mass, waist circumference, blood pressure, fasting blood glucose (FBG), hemoglobin A1c (HbA1c), and nutritional knowledge at 3 months and 12 months. Results: We observed a reduction of 5.0% in body weight (4.8±2.8 kg; 95% CI 3.7–5.8), fat mass (–7.8%, P<0.01), and waist circumference (Δ=4±4 cm, P<0.01) in the completed participants (n=28). An improvement (P<0.05) in HbA1c (7.1%±1.0% vs 6.6%±0.7%) and FBG (8.2±2.0 mmol/L vs 6.8±0.8 mmol/L) was observed in participants with obesity and type 2 diabetes after the program. Increase in nutritional knowledge (<0.01) and overall evaluation of the program (9/10) was favorable. On 1-year follow-up, we found that the participants could sustain weight loss (–4.0%), while obese, type 2 diabetic participants sustained HbA1c (6.6%±0.7% vs 6.4%±0.7%) and further improved (P<0.05) the level of FBG (6.8±0.8 mmol/L vs 6.7±0.4 mmol/L). Conclusion: LIFE-8 could be an effective, affordable, acceptable, and adaptable lifestyle intervention program for the prevention and management of diabetes in Emiratis. It was successful not only in delivering a modest weight loss but also in improving glycemic control in diabetic participants. Keywords: obesity, type 2 diabetes, UAESadiya AAbdi SAbusnana SDove Medical PressarticleObesitytype 2 diabetesweight losslifestyleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2016, Iss Issue 1, Pp 101-108 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Obesity type 2 diabetes weight loss lifestyle Specialties of internal medicine RC581-951
spellingShingle	Obesity type 2 diabetes weight loss lifestyle Specialties of internal medicine RC581-951 Sadiya A Abdi S Abusnana S Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates
description	Amena Sadiya,1,* Sarah Abdi,1,* Salah Abusnana2 1Lifestyle Clinic, 2Research and Education Department, Rashid Center for Diabetes and Research, Ajman, United Arab Emirates *These authors contributed equally to this work Background: Lifestyle Intervention for Weight Loss (LIFE-8) is developed as a structured, group-based weight management program for Emiratis with obesity and type 2 diabetes. It is a 3-month program followed by a 1-year follow-up. The results from the first 2 years are presented here to indicate the possibility of its further adaptation and implementation in this region. Methodology: We recruited 45 participants with obesity and/or type 2 diabetes based on inclusion/exclusion criteria. The LIFE-8 program was executed by incorporating dietary modification, physical activity, and behavioral therapy, aiming to achieve up to 5% weight loss. The outcomes included body weight, fat mass, waist circumference, blood pressure, fasting blood glucose (FBG), hemoglobin A1c (HbA1c), and nutritional knowledge at 3 months and 12 months. Results: We observed a reduction of 5.0% in body weight (4.8±2.8 kg; 95% CI 3.7–5.8), fat mass (–7.8%, P<0.01), and waist circumference (Δ=4±4 cm, P<0.01) in the completed participants (n=28). An improvement (P<0.05) in HbA1c (7.1%±1.0% vs 6.6%±0.7%) and FBG (8.2±2.0 mmol/L vs 6.8±0.8 mmol/L) was observed in participants with obesity and type 2 diabetes after the program. Increase in nutritional knowledge (<0.01) and overall evaluation of the program (9/10) was favorable. On 1-year follow-up, we found that the participants could sustain weight loss (–4.0%), while obese, type 2 diabetic participants sustained HbA1c (6.6%±0.7% vs 6.4%±0.7%) and further improved (P<0.05) the level of FBG (6.8±0.8 mmol/L vs 6.7±0.4 mmol/L). Conclusion: LIFE-8 could be an effective, affordable, acceptable, and adaptable lifestyle intervention program for the prevention and management of diabetes in Emiratis. It was successful not only in delivering a modest weight loss but also in improving glycemic control in diabetic participants. Keywords: obesity, type 2 diabetes, UAE
format	article
author	Sadiya A Abdi S Abusnana S
author_facet	Sadiya A Abdi S Abusnana S
author_sort	Sadiya A
title	Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates
title_short	Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates
title_full	Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates
title_fullStr	Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates
title_full_unstemmed	Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates
title_sort	lifestyle intervention for weight loss: a group-based program for emiratis in ajman, united arab emirates
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/241a666bc2ad4a7399f00c4243d96901
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Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates

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