Implications of Look AHEAD for clinical trials and clinical practice

Diabetes Obes Metab. 2014 Dec;16(12):1183-91. doi: 10.1111/dom.12318. Epub 2014 Jun 22.

Abstract

Look AHEAD (Action for Health in Diabetes) was a randomized clinical trial designed to examine the long-term health effects of weight loss in overweight and obese individuals with type 2 diabetes. The primary result was that the incidence of cardiovascular events over a median follow-up of 9.6 years was not reduced in the Intensive Lifestyle Group relative to the control group. This finding is discussed, with emphasis on its implications for design of trials and clinical treatment of obese persons with type 2 diabetes.

Keywords: cardiovascular disease; dietary intervention; type 2 diabetes.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • Blood Pressure
  • Cardiovascular Diseases / epidemiology*
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control*
  • Cholesterol, HDL / blood
  • Cholesterol, LDL / blood
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Monitoring, Physiologic
  • Obesity / blood
  • Obesity / complications
  • Obesity / therapy*
  • Overweight / therapy
  • Patient Education as Topic
  • Research Design*
  • Risk Reduction Behavior*
  • Surveys and Questionnaires
  • Time Factors
  • Triglycerides / blood
  • United States / epidemiology
  • Weight Loss*

Substances

  • Biomarkers
  • Blood Glucose
  • Cholesterol, HDL
  • Cholesterol, LDL
  • Triglycerides