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Updated: Jun 9, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Implementing a state-based cardiovascular disease and diabetes prevention program
Karl K Vanderwood1, Taryn O Hall, Todd S Harwell
1Montana Department of Public Health and Human Services, Helena, Montana, USA. kvanderwood@mt.gov
Objective:
To evaluate weight loss and cardiometabolic risk reduction achieved through an adapted Diabetes Prevention Program intervention among adults at high risk for cardiovascular disease (CVD) and diabetes.
Research Design And Methods:
Eight health care facilities implemented a group-based lifestyle intervention beginning in 2008. Participants attended 16 weekly core sessions followed by 6 monthly after core sessions.
Results:
A total of 1,003 participants were enrolled, 816 (81%) completed the core and 578 (58%) completed the after core. Of participants completing the core and after core, 45 and 49% achieved the 7% weight loss goal, respectively. There were significant improvements in blood pressure, fasting glucose, and LDL cholesterol among participants completing the intervention.
Conclusions:
Our findings indicate it is feasible for state-coordinated CVD and diabetes prevention programs to achieve significant weight loss and improve cardiometabolic risk.
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