Type 2 & other diabetes

Physical Activity and Weight Loss Among Adults With Type 2 Diabetes and Overweight or Obesity: A Post Hoc Analysis of the Look AHEAD Trial

JAMA Netw OpenPublished Post hoc analysis of the Look AHEAD randomised trial

Primary result · Composite cardiovascular outcomeResult — go to the resultHazard ratio 0.39 95% CI 0.19–0.81

Authors' conclusion

In this cohort study, maintaining weight loss and higher PA volume was associated with a lower risk of the composite cardiovascular outcome. The findings suggest that the cardiovascular benefits of PA may vary and be enhanced by weight loss among individuals with T2D and overweight or obesity.

Study context

Population
Adults with T2D and overweight or obesity in the accelerometry-measured physical activity (PA) substudy of Look AHEAD; mean age 60 years, 43% male
Participants
1,229 adults
Comparison
Maintained weight loss and high PA volume vs low PA volume and no weight loss
  • High PA + weight lossn = 105
Primary endpoint
Composite of:
  • Cardiovascular death
  • Nonfatal MI
  • Nonfatal stroke
  • Hospitalization for angina
Follow-up
Median 9.5 years
Methodological detailscohort study, accelerometry substudy, 8 US locations, Conducted June 2001 to September 2012; data analyzed June to August 2023
  • Cohort study
  • Accelerometry substudy
  • 8 US locations
  • Conducted June 2001 to September 2012; data analyzed June to August 2023

Primary result

Composite cardiovascular outcome · median 9.5 years

Hazard ratio

0.39

95% CI 0.19–0.81

P = 0.01

High PA + weight lossvs Low PA, no weight loss
HR 0.39 (95% CI 0.19–0.81); P = 0.01

As reported in the abstract

Participants experiencing the primary outcome overall
198 (16.1%)
Multiplicative interaction between weight loss and PA
P for interaction = 0.01

Original publication

Physical Activity and Weight Loss Among Adults With Type 2 Diabetes and Overweight or Obesity: A Post Hoc Analysis of the Look AHEAD Trial. JAMA Netw Open. Published 5 February 2024. doi:10.1001/jamanetworkopen.2024.0219

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