Table 1.
LIFT Eligibility Criteria
| Inclusion Criteria | |
|---|---|
| Demographics | Adults ≥ 21 years of age residing in the Forsyth County, NC region |
| English Proficiency | Able to read/understand English at or above a level sufficient to comprehend recruitment and intervention materials |
| Type II Diabetes | Diagnosis of Type II DM with physician evaluation to confirm its presence |
| Mellitus | in 21–30 year olds; all others will be identified by the use of oral agents and/or age of onset after 30; if taking insulin, no clinical features of Type I DM can be present. |
| Hemoglobin A1c | 5% ≤ HbA1c ≤ 11% in persons on hypoglycemic medications 6.5% ≤ HbA1c ≤ 11% in persons not on hypoglycemic medications |
| BMI | ≥ 25 kg/m2 or ≥ 27 kg/m2 if on insulin |
| Blood Pressure | Resting BP of ≤ 160/100 mmHg |
| Primary Care | Persons must have a source for ongoing care and a primary physician |
| Physician | that can sign a medical clearance form, indicating that they are aware of the patient’s participation in the program |
| Exclusion Criteria | |
| History of CVD | Clinical history or new diagnosis of cardiovascular disease (CVD) including myocardial infarction, heart failure, ischemic heart disease, stroke, and other vascular disease |
| Weight Loss | Currently involved in a supervised medical or surgical weight loss program or history of prior weight loss surgery |
| Pregnancy | Women who are currently pregnant, planning to become pregnant within the next 12 months, or who recently gave birth and are breastfeeding |
| Serious Illness | Presence of serious illness with anticipated decreased life expectancy during the 24 month intervention |
| Inability to Exercise | Patients who are wheelchair bound, have had an amputation, are undergoing treatment for lower extremity infections, or self-report inability to ambulate 400 meters without assistance |
| Renal Disease | Advanced stage 3 chronic renal disease: Estimated glomerular filtration rate (GFR) < 45 ml/min |
| Other | Criteria likely to interfere with participation and acceptance of randomized assignment, including the following: inability or unwillingness to give informed consent, major psychiatric or cognitive problems, alcohol abuse (> 14 drinks/week for men or > 7 drinks/week for women or adults ≥ 65 years of age, and participation in another research study involving interventions that would affect any component of cardiovascular risk. |
Note: BMI = body mass index; DM = diabetes mellitus, CVD = cardiovascular disease, BP = blood pressure, HbA1c = hemoglobin A1c