JOURNAL CLUB PRESENTATION
HM8338
JournalClubpresentation.pptxStudy for the purpose of the template
PICO: "Among adults with type 2 diabetes (P), how does physical activity (I) intervention effects maintenance of glucose (o)".
1
IMPACT OF UNDER WATER TREADMILL
Student Name
Course Name
Semester Year
In place of Journal Club Presentation Template – use a title that reflects the study
You can use a design of your choice but make sure it is not distracting. The goal of this template is to give an idea of how to present the information, but this is not the only way.
2
Introduction
Give background on why this topic should be studied
Increasing rates of obesity
X% over the past Z years
Associations between obesity and chronic conditions
Diabetes, CVD, metabolic syndrome
Value of MNT for weight loss
All the above points would need citations
3
Introduction
Aim of the study presented
Hypothesis of the study presented
4
Methodology
Study Design
RCT
Population of interest
Recruitment
Adults age 18-64 years old
BMI > 30kg/m2
Excluded those with
DM, HTN, and CVD
Normal BMI
5
You can choose to identify limitations in the individual components of the study or wait until the end.
Methodology
Study sample
Recruited N=1234
Randomized into 2 groups
Intervention: MNT + physical activity (PA) (n=617)
Control: PA alone (n=617)
Both groups received the same physical activity recommendations
Duration of study
16 weeks
6
You can choose to identify limitations in the individual components of the study or wait until the end.
Methodology
Timing of intervention
MNT with RD (intervention only)
Weekly 1 hour meeting with RD
Physical activity (intervention and control)
Weekly 30 minute meeting
Timing of measurements
Baseline
Weight, height, waist circumference (WC)
16 weeks
Weight, height, waist circumference (WC)
7
You can choose to identify limitations in the individual components of the study or wait until the end.
Methodology
Statistical analysis by SPSS version 22
Comparison of groups at baseline
T-test
Comparison of change within group
Baseline to 16 weeks – paired t test
Comparison between groups
Baseline to 16 weeks – unpaired t test
ANOVA
Controlling for differences at baseline
8
You can choose to identify limitations in the individual components of the study or wait until the end.
Results
Analyzed 1230 participants
Four participants did not complete all assessments
9
| Intervention (n=615) | Control(n=615) | |
| Age (years) | 45+2.6 | 45+3.5 |
| Weight (kg) | 114+4.3 | 118+2.8* |
| Males (%) | 52.5 | 62.9* |
| BMI (kg/m2) | 36+2.6 | 37+2.1 |
| WC (cm) | Women 80.4+1.5 Men 94+1.2 | Women 79.9+1.3 Men 95+1.4* |
| *p<0.05 |
Results
| Intervention (n=615) | Control (n=615) | |
| Weight change (kg) Baseline to 16wk | -3.99+089** | -1.26+0.23 |
| WC change (cm) Baseline to 16wk | -12.5+0.75* | -8.2+0.96 |
10
*p<0.005
**p<0.001
Only weight loss remained significant after controlling for differences at baseline (p=0.03)
Both groups lost a significant amount of weight from baseline to 16 weeks. When comparing the weight loss changes between the Intervention and the Control group, the intervention group lost a statistically significant more amount of weight than the control group, with a p value of less than 0.001.
Both groups lost a significant amount of cm on their weight circumference from baseline to 16 weeks. When comparing the weight circumference changes between the Intervention and the Control group, the intervention group lost a statistically significant more amount of weight circumference than the control group, with a p value of less than 0.05
Due to the differences between the groups noted at baseline, weight, % males and male WC, these variables were controlled for in analysis. After controlling for these variables, only change in weight remained statistically significant between the two groups (p=0.03)
10
Discussion
Conclusion
The combination of MNT and physical activity resulted greater weight reductions compared to physical activity alone
Application
If an adult with obesity is looking to lose weight, incorporating physical activity alone can reduce weight, although more weight loss is achieved by combining MNT and physical activity.
11
Discussion
Strengths
Limitations
Future Research
What specifically should change or stay the same
12
Reference
Provide citation of study and any other references used in AMA format
13
