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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EParticipation in a lifestyle change program operated by the Veterans\u0027 Administration (VA) was associated with modest but sustained weight loss, according to results studying the MOVE! program. It is the largest lifestyle change program in the United States; however, \u0026lt;10% of the 402,693 veterans involved in this program met the VA\u0027s criteria for \u201cintense and sustained\u201d participation (ie, they participated in =8 sessions over 6 months, with at least 129 days between the first and last session attended).\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EObesity\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EDiabetes \u0026amp; Endocrinology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EPrevention \u0026amp; Screening\u003C\/li\u003E\u003C\/ul\u003E\u003Cul class=\u0022kwd-group clinical-trial\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EObesity\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EDiabetes \u0026amp; Endocrinology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EPrevention \u0026amp; Screening\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EEndocrinology\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EDiabetes \u0026amp; Metabolic Syndrome\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EParticipation in a lifestyle change program operated by the Veterans\u0027 Administration (VA) was associated with modest but sustained weight loss, according to Sandra L. Jackson, MPH, Emory University and Atlanta VA Medical Center, Atlanta, Georgia, USA, who presented results studying the MOVE! program. It is the largest lifestyle change program in the United States; however, \u0026lt;10% of the 402,693 veterans involved in this program met the VA\u0027s criteria for \u201cintense and sustained\u201d participation (ie, they participated in \u22658 sessions over 6 months, with at least 129 days between the first and last session attended).\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EMOVE!, instituted in 2005, was modeled on the Diabetes Prevention Program (DPP) of the National Institutes of Health, but has had more limited success. Participants in the DPP had to be prediabetic, while MOVE! participants must have a body mass index (BMI) of \u226525 kg\/m\u003Csup\u003E2\u003C\/sup\u003E with a weight-related condition or of \u226530 kg\/m\u003Csup\u003E2\u003C\/sup\u003E, and may be advised by their physician to enter the program, or may learn of it and become involved through the MOVE! website. The DPP lasted for 16 sessions, while MOVE! duration is 8 to 12 sessions.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EAt baseline, MOVE! participants had a mean age of 57 years, 88% of them were male, and \u223c50% were married. Twenty-two percent were black.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EThree-year follow-up data were available for 135,686 participants. Over this period, mean BMI fell from 36.3 to 35.8 kg\/m\u003Csup\u003E2\u003C\/sup\u003E. A total of 8.7% participated actively (ie, achieved \u201cintense and sustained\u201d participation), and lost 2.7% of their body weight at 3 years compared with those who participated less actively, who lost 1.1% (p\u0026lt;0.001). By comparison, those in the DPP lost 4% of their body weight at 3 years. The researchers hypothesized that participants in DPP, who volunteered to take part in a research study, may have been more motivated, and the DPP was a more intensive program.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EThirty-eight percent of MOVE! participants had diabetes at baseline. Diabetic patients were more likely to participate actively compared with those who did not have diabetes (9.6% vs 7.8%; p\u0026lt;0.01). Furthermore, diabetic participants lost 1.7% of their weight at 3-year follow-up, compared with nondiabetic patients, who lost 0.9% of their weight (p\u0026lt;0.01).\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003EOf the 66,933 participants for whom 3-year follow-up data were available and who did not have diabetes at baseline, 18.7% went on to develop diabetes. Among participants, losing more weight was associated with a lower risk of developing diabetes.\u003C\/p\u003E\u003Cp id=\u0022p-8\u0022\u003EResearch is ongoing in 2.5 million patients (both participants and eligible nonparticipants) to investigate the impact of MOVE! participation on diabetes incidence and other health outcomes.\u003C\/p\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2013 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/13\/11\/10.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nznqjp\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}