title: Long-term outcomes from Healthy Eating and Exercise Lifestyle Program for overweight people with heart disease and diabetes.
abstract: BACKGROUND
  The benefits of exercise and weight reduction for overweight or obese people with coronary heart disease and/or diabetes mellitus are well recognised. The Healthy Eating and Exercise Lifestyle Program demonstrated these outcomes at 4 months, but longer-term outcomes are not yet reported.
  
  
  OBJECTIVE
  To determine whether positive weight, body mass index, waist and exercise duration outcomes were sustained in the long term (12 months) and to identify the independent predictors of these outcomes at 4 and 12 months.
  
  
  METHODS
  Longitudinal design, combining data of all Healthy Eating and Exercise Lifestyle Program participants (intervention and wait-list control, n = 134). Participants had a body mass index between 27 and 39 kg/m(2) and had completed cardiac rehabilitation and/or diabetes education programmes. Healthy Eating and Exercise Lifestyle Program intervention included an active phase of two 1-hour group-based supervised structured exercise sessions every week for 4 months and four 90-minute group information and support sessions. The maintenance phase included one 90-minute group-based booster information session and three 15-minute goal-focused telephone follow-up calls over 8 months.
  
  
  RESULTS
  Participants had statistically significant reductions from baseline in weight, body mass index and waist circumference and improvements in exercise duration and capacity at 4 and 12 months. Time, self-efficacy, depressive symptoms and male gender were independent predictors for body mass index, waist and/or exercise duration (p < 0.05).
  
  
  CONCLUSIONS
  The Healthy Eating and Exercise Lifestyle Program was an effective programme to achieve and sustain weight loss and increase exercise participation over 1 year.
authors.affiliation: Charles Perkins Centre, University of Sydney, Australia malh1196@uni.sydney.edu.au.
authors.forename: Muaddi
authors.initials: M
authors.lastname: Alharbi
authors.affiliation: Charles Perkins Centre, University of Sydney, Australia.
authors.forename: Robyn
authors.initials: R
authors.lastname: Gallagher
authors.affiliation: North Shore Cardiovascular Education Centre, Royal North Shore Hospital, Australia.
authors.forename: Ann
authors.initials: A
authors.lastname: Kirkness
authors.affiliation: Faculty of Health, University of Technology, Australia.
authors.forename: David
authors.initials: D
authors.lastname: Sibbritt
authors.affiliation: Northern Sydney Clinical School, Royal North Shore Hospital, Australia.
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Tofler
mesh_terms: D000328:Adult; D000368:Aged; D001315:Australia; D001521:Behavior Therapy; D003920:Diabetes Mellitus / Q000517:prevention & control*; D005260:Female; D006331:Heart Diseases / Q000517:prevention & control*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000628:therapy*; D010353:Patient Education as Topic; D040242:Risk Reduction Behavior; D061217:Weight Reduction Programs
keywords: Overweight; coronary heart disease; diabetes; exercise; obesity; weight loss