Type 2 & other diabetes

Impact of weight loss and weight gain trajectories on body composition in a population at high risk of type 2 diabetes: A prospective cohort analysis

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

Weight cycling may be associated with a progressive loss in FFM and/or gain in FM in those with overweight and obesity at-risk of type 2 diabetes.

Study context

Population
Primary care adults at high risk of T2D, recruited 2009/10; mean age 63.6 years, BMI 32.0 kg/m², 35.4% women1,163 observations
Participants
622 adults
Exposure
Weight change trajectories over 24 months
Outcome
Change in fat mass (FM) and fat-free mass (FFM) by bioelectrical impedance
Follow-up
24 months
Methodological detailssecondary analysis of the Walking Away from Type 2 Diabetes trial cohort, generalized estimating equations, up to two 24-month observation periods per participant
  • Secondary analysis of the Walking Away from Type 2 Diabetes trial cohort
  • Generalized estimating equations
  • Up to two 24-month observation periods per participant

Main finding

As reported in the abstract

FM and FFM change by weight trajectory
Weight maintained: share of observations, no change to fat mass (FM) or fat-free mass (FFM)
69.2%
Loss then regain: share of observations
4.6%
Loss then regain: FM regained to baseline; FFM lost (adjusted)
1.50 (0.66, 2.35) kg
Gain then loss: share of observations
5.5%
Gain then loss: net FM gain (no change to FFM)
1.70 (0.27, 3.12) kg

Observational data: associations, not effects.

Original publication

Impact of weight loss and weight gain trajectories on body composition in a population at high risk of type 2 diabetes: A prospective cohort analysis. Diabetes Obes Metab. Published 14 December 2023. doi:10.1111/dom.15400

Composed by AI from the published abstract and checked against it. How Briefs are made →

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