TABLE 7.

Clinical Trials of Comprehensive Risk Factor Control and Lifestyle Management on Cardiovascular Risk

TRIAL,
YEARS (REF.)
INTERVENTIONCONTROLSAMPLE SIZEAVERAGE
FOLLOW-UP (YEARS)
CARDIOVASCULAR ENDPOINTRELATIVE RISK REDUCTIONP-VALUE
Steno-2 Trial,
1993–2006
(216,217)
Intensive therapy to lower LDL cholesterol, blood pressure, and glucoseUsual care1607.8Total CVD events53%<0.001
Diabetes Prevention Program,
1996–2001
(219)
Intensive lifestyle with 7% weight loss and 150 minutes per week physical activity, or metforminUsual care3,2342.8Incident diabetes (not a CVD outcomes trial)58% from lifestyle
31% from metformin
<0.001
Look AHEAD,
2001–2012
(223)
Intensive lifestyleUsual care5,1459.6Total CVD events5%0.51

CVD, cardiovascular disease; LDL, low-density lipoprotein; Look AHEAD, Action for Health in Diabetes.

SOURCE: References are listed within the table.

From: Heart Disease and Diabetes

Cover of Diabetes in America
Diabetes in America [Internet].
Lawrence JM, Casagrande SS, Herman WH, et al., editors.
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