weight loss

Encouraging everyone to have a healthy weight could help combat type 2 diabetes

by Barbara Hewitt on February 8, 2017

Public health strategies that aim to prevent adult weight gain in the whole population have the potential to prevent twice as many cases of type 2 diabetes as strategies that target individuals, new research has found.

Currently such programmes tend generally to target those at high risk of type 2 diabetes, such as people who are obese and have higher than normal blood glucose. While there is evidence to show that these programmes are effective for the individuals who are targeted, their potential to impact the prevalence of diabetes in the whole population is limited, it is suggested.

The researchers from the University of Cambridge in England and Umea University in Sweden found a lack of evidence concerning the impact of moderate weight loss or weight maintenance in adults across the whole population on the occurrence of type 2 diabetes.

Their study sought to determine the potential to reduce the occurrence of diabetes of strategies that aim to shift the distribution of body weight in the whole population. It looked at data from 33,184 people aged 30 to 60 years who attended two health examinations 10 years apart between 1990 and 2013.

By analysing these data they were able to determine the association between change in body weight between baseline and 10 year follow-up and occurrence of newly diagnosed diabetes at 10 year follow-up, and assessed the impact of population-level shifts in body weight on the occurrence of diabetes.

In their analysis they made adjustments for potential confounding factors, including sex, age, calendar year, family history of diabetes, tobacco use, education and marital status.

During 10 years of follow-up 1,087 or 3.3% if participants developed diabetes, some 17,876 or 53.9% gained more than 1 kg/m2 relative to their starting weight and 12,020 or 36.2% maintained their weight. Compared to those who maintained their weight, people who gained more than 1 kg/m2 had a 52% higher risk of diabetes.

The researchers estimated that if everyone who gained weight had maintained their weight, regardless of their starting weight one in five of all type 2 diabetes cases in the population could have been prevented.

By contrast the researchers estimated, based on previous research, that if everyone in the population at high risk of diabetes due to having a BMI over 30 kg/m2 was referred to a commercial weight management programme, only one in 10 type 2 diabetes cases could be prevented.

‘We have shown that a population based strategy that promotes prevention of weight gain in adulthood has the potential to prevent more than twice as many diabetes cases as a strategy that only promotes weight loss in obese individuals at high risk of diabetes,’ said Dr Adina Feldman, from the Medical Research Council (MRC) Epidemiology Unit at the University of Cambridge.

‘Thus, when it comes to body weight and diabetes, from a public health perspective it would be advisable to consider both high risk and population based strategies for diabetes prevention,’ she added.

The researchers caution that the modelling estimates should be interpreted carefully as they represent outcomes under idealised conditions, but they are useful to contrast the potential impact of different diabetes prevention strategies.

{ 0 comments }

Thumbnail image for Weight Loss Helps Obese People with Type 2 Diabetes Combat Health Problems

Weight Loss Helps Obese People with Type 2 Diabetes Combat Health Problems

January 10, 2017 Diabetes General

Even if it’s just a few pounds, losing weight can help obese people with type 2 diabetes reduce their risk of heart disease and manage their insulin levels better, new research from the Joslin Diabetes Centre in Boston, United States has found. And those who can achieve a 7% weight loss after a year are […]

Read the full article →
Thumbnail image for Drinking water rather than diet drinks helps type 2 diabetics lose more weight

Drinking water rather than diet drinks helps type 2 diabetics lose more weight

November 25, 2016 Diets

Replacing diet drinks with water helps overweight women with type 2 diabetes lose weight and improve their insulin sensitivity, new research has found. Experts in diet and metabolism at the University of Nottingham in England and Tehran University of Medical Sciences compared weight loss in two groups of women on weight loss programmes; one which […]

Read the full article →
Thumbnail image for Early weight loss surgery can maximise type 2 diabetes remission rates

Early weight loss surgery can maximise type 2 diabetes remission rates

June 6, 2016 Diets

Obese people who develop early onset type 2 diabetes may maximise their chances of remission with surgery to reduce their weight, new research has found. Prompt action leads to significantly greater weight loss and higher rates of remission, according to the work done by a team at the Min-Sheng General Hospital in Taiwan. This discovery […]

Read the full article →
Thumbnail image for New long acting insulin injection improves glucose control and aids weight loss

New long acting insulin injection improves glucose control and aids weight loss

March 16, 2016 News

A multinational clinical trial has found that injection of a new long acting insulin combined with another drug improves glucose control in patients with type 2 diabetes. The trial, led by the University of Texas Southwestern Medical Centre in the United States also found that is assists with weight loss. The trial compared glucose control […]

Read the full article →
Thumbnail image for Just 5% weight loss helps reduce risk of type 2 diabetes in overweight people

Just 5% weight loss helps reduce risk of type 2 diabetes in overweight people

February 25, 2016 Diets

A relatively small amount of weight loss markedly lowers an overweight person’s risk of type 2 diabetes and cardiovascular disease, new research has found. Indeed, a weight loss of just 5% of body weight is sufficient to produce the greatest health benefit, according to the study conducted by researchers at Washington University School of Medicine […]

Read the full article →
Thumbnail image for Research looks at making exercise programmes more efficient in combating type 2 diabetes

Research looks at making exercise programmes more efficient in combating type 2 diabetes

December 22, 2015 News

New research in the United States focussed on a protein called Calmodulin Kinase Kinase is looking into how exercise can reduce the onset of type 2 diabetes. Learning how exercise increases glucose absorption into muscle cells is an important first step towards new pharmaceutical treatments for type 2 diabetes that could yield similar benefits as […]

Read the full article →
Thumbnail image for UK scientists announce breakthrough weight loss treatment for type 2 diabetes

UK scientists announce breakthrough weight loss treatment for type 2 diabetes

August 24, 2015 Diabetes Research Polls

A daily dose of a diabetes drug could help combat obesity in people with type 2 diabetes, according to a study scientists are calling a breakthrough in weight loss management. The results of the international study involving nine countries are significant, according to Melanie Davies, professor of Diabetes Medicine at the Leicester Research Centre, University […]

Read the full article →
Thumbnail image for Research Reveals How Sleep Loss Increases Weight and Type 2 Diabetes Risk

Research Reveals How Sleep Loss Increases Weight and Type 2 Diabetes Risk

March 19, 2015 Diabetes General

Losing just 30 minutes of sleep in a 24 hour period on weekdays could have a significant effect on obesity and insulin resistance, new research suggests. While previous studies have shown that short sleep duration is associated with obesity and diabetes, the research from the University of Bristol and the Weill Cornell Medical College in […]

Read the full article →
Thumbnail image for Weight loss surgery cuts risk of type 2 diabetes, study confirms

Weight loss surgery cuts risk of type 2 diabetes, study confirms

November 4, 2014 Diabetes Research Polls

Weight loss surgery, such as gastric bypass or gastric banding, could reduce the risk of developing type 2 diabetes by around 80% in obese people when compared with standard care, new research shows. Using electronic health records from the UK Clinical Practice Research Datalink, Martin Gulliford, Professor of Public Health in the Division of Health […]

Read the full article →
Thumbnail image for Cause for Inflammation Determined

Cause for Inflammation Determined

February 25, 2012 News

A recent research from the University at California-Davis has found one of the key indicators that result in inflammation common in diabetes and heart disease. The elevated levels of a receptor found in leucocytes in the immune system of these individuals suffering from these two conditions. These receptors are the immune system’s first line of […]

Read the full article →