The aim of this study is to investigate weather gradual weight loss achieved with healthy lifestyle changes influence hormonal factors affecting appetite and blood glucose control in obese people without presence of diabetes.
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Inclusion criteria: 1. BMI between 30-39.9kg/m2 2. Family history of diabetes (self reported) 3. Normal and impaired glucose tolerance 4. Obtain informed consent Exclusion criteria: 1. BMI less than 30kg/m2 or more than 39.9kg/m2 2. Presence of diabetes or any other chronic disease or disability that might interfere with the study results 3. Anti-obesity or any other prescription medications that may interfere with the study results 4. Pregnancy 5. Unable to converse competently in English as special arrangements would need to be made for such people and this would be impractical in a group setting 6. Attending another weight management programme 7. Patients who would be unable to attend at least 75% of the programme sessions for medical or other reasons 8. Unable to provide informed consent.