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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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-03-01
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| Series: | Diabetes, Metabolic Syndrome and Obesity |
| Subjects: | |
| Online Access: | https://www.dovepress.com/lifestyle-intervention-for-weight-loss-a-group-based-program-for-emira-peer-reviewed-article-DMSO |
| _version_ | 1811173650109300736 |
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| author | Sadiya A Abdi S Abusnana S |
| author_facet | Sadiya A Abdi S Abusnana S |
| author_sort | Sadiya A |
| collection | DOAJ |
| 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 |
| first_indexed | 2024-04-10T17:50:33Z |
| format | Article |
| id | doaj.art-241a666bc2ad4a7399f00c4243d96901 |
| institution | Directory Open Access Journal |
| issn | 1178-7007 |
| language | English |
| last_indexed | 2024-04-10T17:50:33Z |
| publishDate | 2016-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Diabetes, Metabolic Syndrome and Obesity |
| spelling | doaj.art-241a666bc2ad4a7399f00c4243d969012023-02-02T21:39:39ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072016-03-012016Issue 110110826069Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab EmiratesSadiya AAbdi SAbusnana SAmena 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, UAEhttps://www.dovepress.com/lifestyle-intervention-for-weight-loss-a-group-based-program-for-emira-peer-reviewed-article-DMSOObesitytype 2 diabetesweight losslifestyle |
| spellingShingle | Sadiya A Abdi S Abusnana S Lifestyle Intervention for Weight Loss: a group-based program for Emiratis in Ajman, United Arab Emirates Diabetes, Metabolic Syndrome and Obesity Obesity type 2 diabetes weight loss lifestyle |
| title | 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_short | 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 |
| topic | Obesity type 2 diabetes weight loss lifestyle |
| url | https://www.dovepress.com/lifestyle-intervention-for-weight-loss-a-group-based-program-for-emira-peer-reviewed-article-DMSO |
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