Weight Loss Success in Metabolic Syndrome by Telephone Interventions: Results from the SHINE Study

BACKGROUND: The Diabetes Prevention Program (DPP) intensive lifestyle intervention resulted in significant weight loss, reducing the development of diabetes, but needs to be adapted to primary care provider (PCP) practices. To compare a DPP-translation using individual (IC) vs. conference (CC) calls delivered by PCP staff for the outcome of percent weight loss over 2 years. Randomized clinical trial. Five PCP sites. Obese patients with metabolic syndrome, without diabetes (IC, n = 129; CC, n = 128). Telephone delivery of the DPP Lifestyle Balance intervention [16-session core curriculum in year 1, 12-session continued telephone contact in year 2 plus telephone coaching sessions (dietitians). Weight (kg), body mass index (BMI), and waist circumference. Baseline data: age = 52 years, BMI = 39 kg/m(2), 75 % female, 85 % non-Hispanic White, 13 % non-Hispanic Black, and 48 % annual incomes