{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:59:24Z","timestamp":1787029164271,"version":"build-2736575974"},"reference-count":43,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The Diabetes Prevention Program (DPP) is effective for the prevention of type 2 diabetes by weight loss with diet and physical activity. However, there is little evidence as to whether this program could be translated into real-world clinical practice in Latin American countries. The objective of this work was to evaluate the effectiveness of the DPP for the management of overweightness and obesity at 6 and 12 months in clinical practice in Mexico. This was a non-controlled intervention study implemented in five public clinics in northern Mexico. Two hundred and thirty-seven adults aged 45.7 \u00b1 9.9 years with a Body Mass Index (BMI) of 34.4 \u00b1 5.4 kg\/m2 received group sessions with an adaptation of the DPP, in addition to nutrition counseling. One hundred and thirty-three (56%) participants concluded the 6 month phase. They showed a significant weight loss, ranging from 2.76 \u00b1 4.76 to 7.92 \u00b1 6.85 kg (p \u2264 0.01) in the clinics. The intention-to-treat analysis showed a more conservative weight loss. Participant retention at the end of 12 months was low (40%). The implementation of the DPP in different public clinics in Mexico was effective in the management of obesity in the short term, but better strategies are required to improve participant retention in the long term.<\/jats:p>","DOI":"10.3390\/nu11102324","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T11:11:16Z","timestamp":1569928276000},"page":"2324","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effectiveness of the Diabetes Prevention Program for Obesity Treatment in Real World Clinical Practice in a Middle-Income Country in Latin America"],"prefix":"10.3390","volume":"11","author":[{"given":"Brianda","family":"Armenta-Guirado","sequence":"first","affiliation":[{"name":"Department of Health Sciences, University of Sonora, Blvd. Bordo Nuevo S\/N, Blvd. Antiguo Ejido Providencia, Cajeme, Sonora 85010, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresita","family":"Mart\u00ednez-Contreras","sequence":"additional","affiliation":[{"name":"Department of Chemical and Biological Sciences, University of Sonora, Blvd. Luis Encinas y Rosales S\/N. Hermosillo, Sonora 83000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria C.","family":"Candia-Plata","sequence":"additional","affiliation":[{"name":"Department of Medicine and Health Sciences, University of Sonora, Blvd. Luis Encinas y Rosales S\/N. Hermosillo, Sonora 83000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juli\u00e1n","family":"Esparza-Romero","sequence":"additional","affiliation":[{"name":"Diabetes Research Units, Department of Public Nutrition and Health, Research Center for Food and Development CIAD, A.C., Camino Gustavo Enrique Astiazar\u00e1n Rosas No. 46 Col. La Victoria. Hermosillo, Sonora 83000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ra\u00fal","family":"Mart\u00ednez-Mir","sequence":"additional","affiliation":[{"name":"Department of Psychology and Communication, University of Sonora, Blvd. Luis Encinas y Rosales S\/N. Hermosillo, Sonora 83000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle M.","family":"Haby","sequence":"additional","affiliation":[{"name":"Department of Chemical and Biological Sciences, University of Sonora, Blvd. Luis Encinas y Rosales S\/N. Hermosillo, Sonora 83000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro E.","family":"Valencia","sequence":"additional","affiliation":[{"name":"Department of Chemical and Biological Sciences, University of Sonora, Blvd. Luis Encinas y Rosales S\/N. Hermosillo, Sonora 83000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9104-409X","authenticated-orcid":false,"given":"Rolando G.","family":"D\u00edaz-Zavala","sequence":"additional","affiliation":[{"name":"Department of Chemical and Biological Sciences, University of Sonora, Blvd. Luis Encinas y Rosales S\/N. Hermosillo, Sonora 83000, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,10,1]]},"reference":[{"key":"ref_1","unstructured":"NCD Risk Factor Collaboration (NCD-RisC) (2016). Worldwide trends in diabetes since 1980: A pooled analysis of 751 population-based studies with 4\u00b74 million participants. Lancet, 387, 1513\u20131530."},{"key":"ref_2","unstructured":"World Health Organization (2016). 10 Facts on Diabetes, World Health Organization. Available online: https:\/\/www.who.int\/features\/factfiles\/diabetes\/en\/."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1186\/s12992-014-0081-9","article-title":"Non-Communicable Diseases (NCDs) in developing countries: A symposium report. Commentary","volume":"10","author":"Islam","year":"2014","journal-title":"Glob. 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