The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    If you found the information here helpful, please consider supporting this site.If you found the information here helpful, please consider supporting this site.

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  • Recent Comments

    Motivational interviewing helps obese women with diabetes lose weight

    Motivational interviewing is designed to help people explore and resolve ambivalence.

    In this study, it appeared to help manage obesity in women with type 2 diabetes.

    First, the details.

    • 217 overweight women (body mass index of 27 to 50 kg/m2) received an 18-month, group-based behavioral obesity treatment
    • Some were also randomized to 5 individual sessions of motivational interviewing or attention control.

    And the results, with a little help from Medscape.

    • Those receiving motivational interviewing had greater weight loss vs the attention control group (-4.7 vs -3.1 kg [-10.3 vs -6.8 lb]).
    • At 6 months, African-American women lost less weight than Caucasian women (-3.0 vs -4.5 kg [-6.6 vs -9.9 lb]).
    • Significantly greater A1C reductions (better diabetes control) were observed in both groups at 6 months but not at 18 months.
    • The effect of motivational interviewing at 12 months was not sustained in African-American women.

    The bottom line
    Adding motivational interviewing for 6 months to a behavioral weight program in overweight and obese women with type 2 diabetes appears to lead to greater weight loss at 12 and 18 months and improved A1c values for up to 12 months.

    In this study, the benefits of motivational interviewing were more likely to be sustained and greater in Caucasian vs African-American women with type 2 diabetes.

    5/20/07 20:38 JR

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