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• W2964679881 abstract "Abstract Centers for Disease Control and Prevention aligned lifestyle change programs are effective in promoting weight loss among those with elevated cardiometabolic risk; yet, variability in weight outcomes among participants is high. Little is known about heterogeneity of short-term weight changes among participants in real-world clinical practice. We sought to identify short-term weight trajectory clusters among lifestyle change program participants in real-world clinical practice and to examine the relationship between cluster membership and long-term weight outcomes. We identified participants from the electronic health records (2010–2017) with weight measured ≤30 days prior to program initiation (baseline) and in four intervals (3-week segments) in the 12 weeks after baseline. Clustering analysis was performed to identify distinct trajectories in percent weight change over 12 weeks. Cluster-specific differences in weight change at 12 and 52 weeks were assessed. Among 1,148 participants, across 18 clinic sites, three clusters were identified: minimal-to-no weight loss (MWL), delayed-minimal weight loss (DWL), and steady-moderate weight loss (SWL), corresponding to mean weight changes of 0.4%, −2.3%, and −4.8% at 12 weeks follow-up, respectively. Mean weight changes were 0.4%, −1.8%, and −5.1% for MWL, DWL, and SWL clusters, respectively, at 52 weeks follow-up, which correlated in direction and magnitude with short-term weight changes. Clustering analysis reveals heterogeneous, short-term weight trajectories among lifestyle change program participants in real-world clinical practice. Given the relationship between the magnitudes of short- and long-term weight change, individual participant weight trajectories may be useful in identifying potential non-responders in need of adjunctive or alternative therapy." @default.
• W2964679881 created "2019-08-13" @default.
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• W2964679881 date "2019-08-01" @default.
• W2964679881 modified "2023-09-24" @default.
• W2964679881 title "Short-term weight trajectories and long-term weight outcomes from a lifestyle intervention in real-world clinical practice" @default.
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• W2964679881 doi "https://doi.org/10.1093/tbm/ibz118" @default.
• W2964679881 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7796704" @default.
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