@article{2e145fd6eea14c89b5f5b73d0605fb48,
title = "Impact of an intensive lifestyle intervention on use and cost of medical services among overweight and obese adults with type 2 diabetes: The action for health in diabetes",
abstract = "OBJECTIVE: To assess the relative impact of an intensive lifestyle intervention (ILI) on use and costs of health care within the Look AHEAD trial. RESEARCH DESIGN AND METHODS A total of 5,121 overweight or obese adults with type 2 diabetes were randomly assigned to an ILI that promoted weight loss or to a comparison condition of diabetes support and education (DSE). Use and costs of health-care services were recorded across an average of 10 years. RESULTS: ILI led to reductions in annual hospitalizations (11%, P = 0.004), hospital days (15%, P = 0.01), and number of medications (6%, P < 0.001), resulting in cost savings for hospitalization (10%, P = 0.04) and medication (7%, P < 0.001). ILI produced a mean relative per-person 10-year cost savings of $5,280 (95% CI 3,385-7,175); however, these were not evident among individuals with a history of cardiovascular disease. CONCLUSIONS: Compared with DSE over 10 years, ILI participants had fewer hospitalizations, fewer medications, and lower health-care costs.",
author = "Espeland, {Mark A.} and Glick, {Henry A.} and Alain Bertoni and Brancati, {Frederick L.} and Bray, {George A.} and Clark, {Jeanne M.} and Curtis, {Jeffrey M.} and Caitlin Egan and Mary Evans and Foreyt, {John P.} and Siran Ghazarian and Gregg, {Edward W.} and Hazuda, {Helen P.} and Hill, {James O.} and Don Hire and Horton, {Edward S.} and Hubbard, {Van S.} and Jakicic, {John M.} and Jeffery, {Robert W.} and Johnson, {Karen C.} and Kahn, {Steven E.} and Tina Killean and Kitabchi, {Abbas E.} and Knowler, {William C.} and Andrea Kriska and Lewis, {Cora E.} and Marsha Miller and Montez, {Maria G.} and Anne Murillo and Nathan, {David M.} and Ebenezer Nyenwe and Jennifer Patricio and Peters, {Anne L.} and Xavier Pi-Sunyer and Henry Pownall and Redmon, {J. Bruce} and Julia Rushing and Ryan, {Donna H.} and Monika Safford and Tsai, {Adam G.} and Wadden, {Thomas A.} and Wing, {Rena R.} and Yanovski, {Susan Z.} and Ping Zhang",
year = "2014",
month = sep,
doi = "10.2337/dc14-0093",
language = "English (US)",
volume = "37",
pages = "2548--2556",
journal = "Diabetes care",
issn = "0149-5992",
publisher = "American Diabetes Association Inc.",
number = "9",
}
