{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:23:27Z","timestamp":1761708207779},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,9,6]],"date-time":"2012-09-06T00:00:00Z","timestamp":1346889600000},"content-version":"vor","delay-in-days":4632,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Obesity Research"],"published-print":{"date-parts":[[2000,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Objectives:<\/jats:italic> Characterize degree of weight loss with stage of diabetes and describe its effect on cardiovascular disease risk factors in obese patients with and without diabetes.<\/jats:p><jats:p><jats:italic>Research Methods and Procedures:<\/jats:italic> Retrospective cohort analysis from patients participating in a long\u2010term weight management protocol using diet, exercise, behavioral modification, and appetite\u2010suppressant therapy. Patient groups, with (<jats:italic>n<\/jats:italic> = 19) and without diabetes (<jats:italic>n<\/jats:italic> = 19) were matched for age, gender, and weight before weight loss therapy. The effect of 12 months of therapy on weight, blood pressure, glycemic control, lipid profile, and medication requirements were tested. Additionally, patients were grouped or staged based upon therapy required for control of diabetes at the beginning of weight loss intervention. Analysis of covariance described relationships between diabetes disease stage and weight loss at 12 months.<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> Nondiabetic patients had greater mean reduction in BMI than the diabetic group (7.98 kg\/m<jats:sup>2<\/jats:sup> vs. 4.77 kg\/m<jats:sup>2<\/jats:sup>, <jats:italic>p<\/jats:italic> &lt; 0.01). A significant linear trend (<jats:italic>p<\/jats:italic> &lt; 0.001) for decreasing weight loss with stage of diabetes was observed. Blood pressure, lipid profile, and glycemia improved significantly. The average daily glyburide\u2010equivalent dose decreased from 9.4 to 3.0 mg (<jats:italic>p<\/jats:italic> &lt; 0.01).<\/jats:p><jats:p><jats:italic>Discussion:<\/jats:italic> Patients with diabetes lost less weight than similarly obese patients without diabetes. Regardless of differential weight loss between groups, cardiovascular disease risk factors improved. Hypoglycemic medication requirements decreased with weight loss therapy. A predictive relationship may exist between diabetes disease stage before weight loss therapy and future weight loss potential.<\/jats:p>","DOI":"10.1038\/oby.2000.7","type":"journal-article","created":{"date-parts":[[2008,4,15]],"date-time":"2008-04-15T11:24:22Z","timestamp":1208258662000},"page":"43-48","source":"Crossref","is-referenced-by-count":50,"title":["Diabetes Disease Stage Predicts Weight Loss Outcomes with Long\u2010Term Appetite Suppressants"],"prefix":"10.1002","volume":"8","author":[{"given":"Mehmood A.","family":"Khan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John V.","family":"St. Peter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail A.","family":"Breen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilford G.","family":"Hartley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John T.","family":"Vessey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,9,6]]},"reference":[{"issue":"2","key":"e_1_2_6_2_2","first-page":"51S","article-title":"Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults\u2014The evidence report","author":"Anonymous","year":"1998","journal-title":"Obes Res."},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.280.5368.1367"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1126\/science.280.5368.1364"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.17.1855"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.5.466"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.2337\/diab.35.9.990"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/51.5.768"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1987.00370100063012"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.6.1.50"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.1994.tb00336.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8227(97)00038-7"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1993.tb121695.x"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.2337\/diab.35.2.155"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/j.1550-8528.1995.tb00158.x"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.2337\/diab.20.4.214"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.10.5.563"},{"key":"e_1_2_6_18_2","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1093\/ajcn\/39.3.380","article-title":"Decreased glucose\u2010induced thermogenesis after weight loss in obese subjects: a predisposing factor for relapse of obesity?","volume":"39","author":"Schutz Y.","year":"1984","journal-title":"Am J Clin Nutr"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.1990.tb01375.x"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI111060"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.2337\/diab.45.12.1661"},{"key":"e_1_2_6_22_2","first-page":"58S","article-title":"Long\u2010term results from phentermine, fenfluramine, diet, behavior modification, and exercise for treatment of obesity","volume":"5","author":"Hartley G. 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