Aim:
To describe the multidisciplinary lifestyle intervention model used in an experimental CURIAMO (Centro Universitario Ricerca Interdipartimentale Attività Motoria) project designed to validate the short- and long-term efficacy of the model in obesity and Type 2 diabetes.
Research Design And Methods:
Over a 3-yr period, about 1000 adults (70% diabetes-free and overweight or obese; 30% with Type 2 diabetes and overweight or obese).
Inclusion Criteria:
Age range 18-80 yr, body mass index >27 kg/m2 with or without Type 2 diabetes mellitus; participants will be divided into three age groups (18-45, 45-65, 65-80 yr). The study duration will be from 5 to 6 yr: 1 yr of intervention followed by a mean follow-up period of 4 yr. In the first years, after a 4- month intensive lifestyle intervention, subjects will follow a maintenance programme. The intervention, which includes seven steps, involves the following experts: endocrinologists, sport medicine doctors or cardiologists, psychologists, dietitians, educators, nurses, exercise physiologists, and promoters of outdoor activities.
Results:
The main endpoint of the study is to measure the efficacy of the lifestyle improvement intervention, defined as a loss of at least 7% of body weight combined with an increase of at least 10 MET/h-1·week-1 of energy expenditure by physical activity, after 1 yr and during the follow-up. A cost/utility analysis of the model will be made in participants with diabetes.
Conclusions:
We expect that the CURIAMO model will be highly effective, and that the aim of the intervention will be achieved in more than 70% of cases.
Citing Articles
Supervised Exercise in Water: Is It a Viable Alternative in Overweight/Obese People with or without Type 2 Diabetes? A Pilot Study.
Pippi R, Vandoni M, Tortorella M, Bini V, Fanelli C
Nutrients. 2022; 14(23).
PMID: 36500993
PMC: 9737856.
DOI: 10.3390/nu14234963.
Effects of a Mixed Exercise Program on Overweight and Obese Children and Adolescents: A Pilot, Uncontrolled Study.
Pippi R, Mascherini G, Izzicupo P, Bini V, Fanelli C
Int J Environ Res Public Health. 2022; 19(15).
PMID: 35954616
PMC: 9368334.
DOI: 10.3390/ijerph19159258.
Impact of BMI, Physical Activity, and Sitting Time Levels on Health-Related Outcomes in a Group of Overweight and Obese Adults with and without Type 2 Diabetes.
Pippi R, Cugusi L, Bergamin M, Bini V, Fanelli C, Bullo V
J Funct Morphol Kinesiol. 2022; 7(1).
PMID: 35076606
PMC: 8788475.
DOI: 10.3390/jfmk7010012.
Effects of a Supervised Nordic Walking Program on Obese Adults with and without Type 2 Diabetes: The C.U.R.I.A.Mo. Centre Experience.
Pippi R, Di Blasio A, Aiello C, Fanelli C, Bullo V, Gobbo S
J Funct Morphol Kinesiol. 2021; 5(3).
PMID: 33467277
PMC: 7739339.
DOI: 10.3390/jfmk5030062.
A nutritional web-based approach in obesity and diabetes before and during the COVID-19 lockdown.
Fraticelli F, Di Nicola M, Vitacolonna E
J Telemed Telecare. 2020; 29(2):91-102.
PMID: 33081596
PMC: 9816630.
DOI: 10.1177/1357633X20966933.
Physical Activity Habits and Well-Being among 6-Year-Old Children: The "Improving Umbrian Kids' Healthy Lifestyle", an Uncontrolled Pilot Study Project.
Pippi R, Buratta L, Germani A, Fanelli C, Mazzeschi C
Int J Environ Res Public Health. 2020; 17(17).
PMID: 32825418
PMC: 7503798.
DOI: 10.3390/ijerph17176067.
Effect of Short Term Intensive Lifestyle Intervention on Hepatic Steatosis Indexes in Adults with Obesity and/or Type 2 Diabetes.
Reginato E, Pippi R, Aiello C, Sbroma Tomaro E, Ranucci C, Buratta L
J Clin Med. 2019; 8(6).
PMID: 31207986
PMC: 6616932.
DOI: 10.3390/jcm8060851.
Multidisciplinary Team-Based Obesity Treatment in Patients With Diabetes: Current Practices and the State of the Science.
Foster D, Sanchez-Collins S, Cheskin L
Diabetes Spectr. 2017; 30(4):244-249.
PMID: 29151714
PMC: 5687103.
DOI: 10.2337/ds17-0045.
Improving Self-Management of Type 2 Diabetes in Overweight and Inactive Patients Through an Educational and Motivational Intervention Addressing Diet and Physical Activity: A Prospective Study in Naples, South Italy.
Galle F, Di Onofrio V, Cirella A, Di Dio M, Miele A, Spinosa T
Diabetes Ther. 2017; 8(4):875-886.
PMID: 28631241
PMC: 5544619.
DOI: 10.1007/s13300-017-0283-2.
Analysis of the barriers and enablers to implementing lifestyle management practices for women with PCOS in Singapore.
Ko H, Teede H, Moran L
BMC Res Notes. 2016; 9:311.
PMID: 27306216
PMC: 4910192.
DOI: 10.1186/s13104-016-2107-2.
Stage of Change and Motivation to a Healthier Lifestyle before and after an Intensive Lifestyle Intervention.
Livia B, Elisa R, Claudia R, Roberto P, Cristina A, Emilia S
J Obes. 2016; 2016:6421265.
PMID: 27239339
PMC: 4864539.
DOI: 10.1155/2016/6421265.
Description of the EUROBIS program: a combination of an Epode community-based and a clinical care intervention to improve the lifestyles of children and adolescents with overweight or obesity.
Mazzeschi C, Pazzagli C, Laghezza L, Battistini D, Reginato E, Perrone C
Biomed Res Int. 2014; 2014:546262.
PMID: 25162015
PMC: 4137627.
DOI: 10.1155/2014/546262.
The impact of strenuous group physical activity on mood states, personal views, body composition, and markers of myocardial damage in overweight/obese adults: the "Step-by-step Italy's coast to coast" trek.
Mazzeschi C, Piana N, Capezzali D, Mommi A, Aiello C, Gatti M
Biomed Res Int. 2014; 2014:854129.
PMID: 25143947
PMC: 4131115.
DOI: 10.1155/2014/854129.
Is physical exercise a core therapeutical element for most patients with type 2 diabetes?.
De Feo P, Schwarz P
Diabetes Care. 2013; 36 Suppl 2:S149-54.
PMID: 23882040
PMC: 3920782.
DOI: 10.2337/dcS13-2024.