Type 2 & other diabetes

Long‐term sustained effects of the Look AHEAD lifestyle intervention on body composition among adults with type 2 diabetes

Obesity (Silver Spring)Published Secondary analysis of the Look AHEAD randomised trial

Authors' conclusion

ILI-related changes in weight, fat, and lean mass were detectable 12 to 16 years after randomization in men but, for unknown reasons, not in women. There was no evidence that the intervention led to a disproportionate loss of lean mass by the end of the study.

Study context

Population
Adults with T2D in the Look AHEAD DXA substudy who completed the final visit; mean (SD) age 57.2 (6.4) years and BMI 34.9 (5.1) kg/m² at randomizationcompleted final visit
Comparison
Intensive lifestyle intervention vs diabetes support and education
Primary endpoint
Weight and body composition (total and regional fat and lean masses by DXA)
Follow-up
12 to 16 years after randomization
Methodological detailsDXA substudy, linear mixed-effects regression adjusted for group, clinic, sex, age, race/ethnicity and baseline body composition
  • DXA substudy
  • Linear mixed-effects regression adjusted for group, clinic, sex, age, race/ethnicity and baseline body composition

Primary result

As reported in the abstract

Weight and body composition

Men: weight and most body compartments reduced with intensive lifestyle intervention (ILI) vs diabetes support and education (DSE)

2% to 8%

Men: BMI reduced with ILI vs DSE

4%

Further findings

Percent lean mass · 16 years after randomization

ILI-induced loss of lean tissue did not show a lower percent lean mass vs DSE

Original publication

Long‐term sustained effects of the Look AHEAD lifestyle intervention on body composition among adults with type 2 diabetes. Obesity (Silver Spring). Published 13 May 2024. doi:10.1002/oby.24025

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