Episode
New Study Questions Weight Loss Claims in Diabetes Prevention Programs - Part 1 Authors and Premise
- Podcast
- Weight and Healthcare
- Published
- May 2, 2026
- Duration seconds
- 597
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Summary
This is the Weight and Healthcare newsletter ! If you like what you are reading, please consider subscribing and/or sharing! Diabetes Prevention Programs are a group of programs that are created to prevent the onset of Type 2 Diabetes, often in people who have been identified as at-risk. Most include behavior changes, social support, and include weight loss as a metric and/or the primary outcome. The assumption is typically that any health changes and/or reductions in the development of T2D are because of any weight loss. In discussing these programs previously I’ve expressed the concern that any differences in health/T2D development were more likely d ue to behavior changes/support than any weight loss and that, because of their insistence on a weight-loss focus, the programs likely included much more restriction than is necessary to create any health changes, which could create harms including weight cycling ( which can actually drive T2D ,) weight stigma ( which can actually drive T2D ,) and disengagement from behaviors that might actually support health and make T2D less likely (with the clear and critical understanding that whether or not someone develops T2D involves myriad factors, many of which are completely outside of their control, including genetics.) Enter the new systematic review “Potential mechanisms for change in diabetes prevention programs” which sought “to investigate potential mechanisms for change in diabetes prevention programs (DPPs), and assess the strength of associations.” Their hypothesis was that “ Weight loss would be less strongly associated with improved health than other mechanisms.” Summary A group of researchers, several of whom work in weight inclusive Type 2 Diabetes preventions and management, sought to fill a gap in research aroun…