Dissemination of the Look AHEAD Intensive Lifestyle Intervention in the United States Military

A Randomized Controlled Trial

Rebecca Krukowski, Marion Hare, Gerald W. Talcott, Leslie A. Gladney, Karen Johnson, Phyllis Richey, Mehmet Kocak, Patrick L. Keller, Ann Hryshko-Mullen, Robert C. Klesges

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: The purpose of this study, “Fit Blue,” was to compare a translation of the Look AHEAD (Action for Heath in Diabetes) intensive lifestyle intervention with a self-paced version of the same intervention among active duty military personnel. Methods: Active duty military personnel (N = 248; 49% male, 34% racial minority) with overweight or obesity were randomized to 12-month distance-based (i.e., phone and email) parallel programs, counselor-initiated (CI) condition or self-paced (SP) condition, from 2014 to 2016. Trained lay interventionists were retired military personnel or had extensive familiarity with the military. Results: The CI condition had greater weight loss at 4 months (CI: mean ± SD = −3.2 ± 3.4 kg; SP: −0.6 ± 2.9 kg; P < 0.0001) and at 12 months (CI: mean ± SD = −1.9 ± 4.1 kg; SP: −0.1 ± 3.8 kg; P < 0.001). Participants in the CI condition also had a greater percent weight loss at both 4 months (CI: 3.5% ± 3.8, SP: 0.6% ± 3.1; P < 0.0001) and 12 months (CI: 2.1% ± 4.7, SP: 0.0% ± 4.0; P < 0.001). In addition, a greater proportion of CI participants lost 5% or more at 4 months (CI: 29.8%, SP: 10.5%; P < 0.001) and at 12 months (CI: 29.5%, SP: 15.6%; P < 0.05). Conclusions: The CI behavioral weight loss intervention translated from Look AHEAD was well received and is a promising approach for managing weight in an active duty military population.

Original languageEnglish (US)
Pages (from-to)1558-1565
Number of pages8
JournalObesity
Volume26
Issue number10
DOIs
StatePublished - Oct 1 2018

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Life Style
Randomized Controlled Trials
Military Personnel
Weight Loss
Counselors
Obesity
Weights and Measures

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology
  • Nutrition and Dietetics

Cite this

Dissemination of the Look AHEAD Intensive Lifestyle Intervention in the United States Military : A Randomized Controlled Trial. / Krukowski, Rebecca; Hare, Marion; Talcott, Gerald W.; Gladney, Leslie A.; Johnson, Karen; Richey, Phyllis; Kocak, Mehmet; Keller, Patrick L.; Hryshko-Mullen, Ann; Klesges, Robert C.

In: Obesity, Vol. 26, No. 10, 01.10.2018, p. 1558-1565.

Research output: Contribution to journalArticle

Krukowski, Rebecca ; Hare, Marion ; Talcott, Gerald W. ; Gladney, Leslie A. ; Johnson, Karen ; Richey, Phyllis ; Kocak, Mehmet ; Keller, Patrick L. ; Hryshko-Mullen, Ann ; Klesges, Robert C. / Dissemination of the Look AHEAD Intensive Lifestyle Intervention in the United States Military : A Randomized Controlled Trial. In: Obesity. 2018 ; Vol. 26, No. 10. pp. 1558-1565.
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title = "Dissemination of the Look AHEAD Intensive Lifestyle Intervention in the United States Military: A Randomized Controlled Trial",
abstract = "Objective: The purpose of this study, “Fit Blue,” was to compare a translation of the Look AHEAD (Action for Heath in Diabetes) intensive lifestyle intervention with a self-paced version of the same intervention among active duty military personnel. Methods: Active duty military personnel (N = 248; 49{\%} male, 34{\%} racial minority) with overweight or obesity were randomized to 12-month distance-based (i.e., phone and email) parallel programs, counselor-initiated (CI) condition or self-paced (SP) condition, from 2014 to 2016. Trained lay interventionists were retired military personnel or had extensive familiarity with the military. Results: The CI condition had greater weight loss at 4 months (CI: mean ± SD = −3.2 ± 3.4 kg; SP: −0.6 ± 2.9 kg; P < 0.0001) and at 12 months (CI: mean ± SD = −1.9 ± 4.1 kg; SP: −0.1 ± 3.8 kg; P < 0.001). Participants in the CI condition also had a greater percent weight loss at both 4 months (CI: 3.5{\%} ± 3.8, SP: 0.6{\%} ± 3.1; P < 0.0001) and 12 months (CI: 2.1{\%} ± 4.7, SP: 0.0{\%} ± 4.0; P < 0.001). In addition, a greater proportion of CI participants lost 5{\%} or more at 4 months (CI: 29.8{\%}, SP: 10.5{\%}; P < 0.001) and at 12 months (CI: 29.5{\%}, SP: 15.6{\%}; P < 0.05). Conclusions: The CI behavioral weight loss intervention translated from Look AHEAD was well received and is a promising approach for managing weight in an active duty military population.",
author = "Rebecca Krukowski and Marion Hare and Talcott, {Gerald W.} and Gladney, {Leslie A.} and Karen Johnson and Phyllis Richey and Mehmet Kocak and Keller, {Patrick L.} and Ann Hryshko-Mullen and Klesges, {Robert C.}",
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AU - Gladney, Leslie A.

AU - Johnson, Karen

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