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  • An internet behavioural counselling weight loss programme reduced weight and BMI in patients at risk of type 2 diabetes

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Therapeutics
An internet behavioural counselling weight loss programme reduced weight and BMI in patients at risk of type 2 diabetes

https://doi.org/10.1136/ebm.8.6.181

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    (2003) JAMA 289, 1833. Tate DF, Jackvony EH, Wing RR.. Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: a randomized trial.. ;. :. –6.
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 QUESTION: In patients at risk of type 2 diabetes mellitus, is an internet behavioural counselling weight loss programme better than a basic internet weight loss programme for reducing weight?

    Design

    Randomised {allocation concealed*}†, {unblinded*}†, controlled trial with 12 months of follow up.

    Setting

    A research centre in Providence, Rhode Island, USA.

    Patients

    92 overweight or obese (body mass index [BMI] 27–40 kg/m2) patients (mean age 48 y, 90% women) with ≥1 other risk factor for type 2 diabetes, and access to a computer. Exclusion criteria were major health or psychiatric disease, pregnancy, or recent weight loss ≥4.5 kg. Follow up was 84% at 12 months; all patients were included in the analysis.

    Intervention

    All patients received a 1 hour internet tutorial; a written guide; and a standard behavioural weight control instruction on diet, exercise, and behaviour change. Patients were allocated to …

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    Footnotes

    • Source of funding: American Diabetes Association.

    • For correspondence: Dr D F Tate, Brown University School of Medicine/Miriam Hospital, Providence, RI, USA. dtate{at}lifespan.org

    • ↵* See glossary.

    • ↵† Information provided by author.