Weight Loss Interventions and Outcomes: Type 2 Diabetes
|Marion J Franz*|
|Nutrition Concepts by Franz, Inc. Minneapolis, MN, USA|
|Corresponding Author :||Marion J Franz, MS, RD, CDE
Nutrition Concepts by Franz, Inc
6635 Limerick Drive, Minneapolis, MN 55439, USA
E-mail: [email protected]
|Received: May 21, 2015 Accepted: July 22, 2015 Published: July 30, 2015|
|Citation: Franz MJ (2015) Weight Loss Interventions and Outcomes: Type 2 Diabetes. J Obes Weight Loss Ther S5:005. doi: 10.4172/2165-7904.S5-005|
|Copyright: © 2015 Franz MJ. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Background: Benefits of moderate weight loss for the prevention of prediabetes and diabetes are well documented; however, the benefits of weight loss interventions in overt type 2 diabetes are controversial.
Objective: To summarize the role of weight loss interventions for the prevention of prediabetes and diabetes and to report the association between weight loss interventions in adults with type 2 diabetes resulting in weight loss greater or less than 5% on metabolic outcomes.
Results: Weight loss interventions of 5% to 10% decrease risk factors for prediabetes and diabetes. However, in a systematic review and meta-analysis of weight loss interventions in persons with type 2 diabetes, the majority of the weight loss interventions resulted in weight losses less than 5% and had nonsignificant beneficial effects on A1C and other metabolic outcomes. In another systematic review, reduced-energy eating plans implemented by registered dietitian/nutritionists in persons with type 2 diabetes, regardless of weight loss, resulted in improved A1C levels.
Conclusion: Nutrition therapy for persons with type 2 diabetes should encourage a reduced-energy healthful eating plan, regular physical activity, education, and continued support as primary treatment strategies.