PERFORM Publications

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Title		Authors	PubMed ID
1	A Fully Virtual Graded Exertion Test Is Safe and Feasible in Symptomatic and Asymptomatic Children With Concussion	Coupal J; Shabanova D; Gagnon I; Grilli L; Beaulieu C; Teel E;	41816309 SOH
2	Characteristics and associated weight-loss responses to the diabetes prevention program for adults with acquired brain injury: secondary analysis of two randomized control trials	Quilico E; Alrawi S; Callender L; McShan E; Park S; Bennett M; Driver S;	41610975 CONCORDIA
3	Preexisting Mental Health Disorders Are Associated With Acute Clinical Presentation and Longitudinal Recovery Trajectories in Adolescents With Concussion	Iuliano SG; Gagnon IJ; Iverson GL; Cook NE; Zemek R; Teel EF;	41505351 SOH
4	Mechanism of Injury and Clinical Recovery Outcomes Following Pediatric Concussion	Gudymenko A; Iuliano SG; Gagnon IJ; Iverson GL; Cook NE; Zemek R; Teel EF;	40244878 SOH
5	A Concussion Management Policy Change Promoted Earlier Initiation of Rehabilitation Services and Improved Clinical Recovery Outcomes in Concussion	Teel EF; Dobney D; Friedman D; Grilli L; Beaulieu C; Gagnon IJ;	39798559 HKAP
6	Feasibility and acceptability of an adapted peer-based walking intervention for adults with moderate-to-severe traumatic brain injury	Quilico EL; Wilkinson S; Duncan LR; Sweet SN; Alarie C; Bédard E; Gheta I; Brodeur CL; Colantonio A; Swaine BR;	39051571 CONCORDIA
7	Athlete Fear Avoidance, Depression, and Anxiety Are Associated with Acute Concussion Symptoms in Athletes	Patlan I; Gamelin G; Khalaj K; Castonguay T; Dover G;	38673675 HKAP
8	An At-Home, Virtually Administered Graded Exertion Protocol for Use in Concussion Management: Preliminary Evaluation of Safety and Feasibility for Determining Clearance to Return to High-Intensity Exercise in Healthy Youth and Children With Subacute Concussion	Teel E; Alarie C; Swaine B; Cook NE; Iverson GL; Gagnon I;	37212272 HKAP
9	COVID-19's impact on a community-based physical activity program for adults with moderate-to-severe TBI	Quilico EL; Wilkinson S; Bédard E; Duncan LR; Sweet SN; Swaine BR; Colantonio A;	37184357 AHSC
10	Exploring a peer-based physical activity program in the community for adults with moderate-to-severe traumatic brain injury	Quilico E; Sweet S; Duncan L; Wilkinson S; Bonnell K; Alarie C; Swaine B; Colantonio A;	37157834 AHSC
11	Participatory co-creation of an adapted physical activity program for adults with moderate-to-severe traumatic brain injury	Quilico E; Wilkinson S; Duncan L; Sweet S; Bédard E; Trudel E; Colantonio A; Swaine B;	36188895 AHSC

Title:	Characteristics and associated weight-loss responses to the diabetes prevention program for adults with acquired brain injury: secondary analysis of two randomized control trials
Authors:	Quilico E, Alrawi S, Callender L, McShan E, Park S, Bennett M, Driver S
Link:	https://pubmed.ncbi.nlm.nih.gov/41610975/
DOI:	10.1016/j.apmr.2026.01.017
Publication:	Archives of physical medicine and rehabilitation
Keywords:	CVA; Cerebrovascular Accident; DPP; Stroke; TBI; Traumatic Brain Injury;
PMID:	41610975	Category:	Date Added:	2026-01-30
Dept Affiliation:	CONCORDIA 1 Baylor Scott & White Research Institute, Baylor Scott & White Health, Dallas, TX, USA; Applied Human Sciences, Concordia University, Montreal, QC, Canada. Electronic address: equilico@mgb.org. 2 Baylor Scott & White Research Institute, Baylor Scott & White Health, Dallas, TX, USA.

Description:

Objective: Examine the association and temporal relationship between weight-loss and participant characteristics in a sample of community-dwelling adults with acquired brain injury (ABI), including cerebral vascular accident (CVA) and traumatic brain injury (TBI).

Design: Secondary data analysis of a wait-list control assessor-blinded randomized control trial (RCT) and parallel-group assessor-blinded RCT.

Setting: Community-based interventions through in-person and telehealth delivery.

Participants: 69 participants (45 CVA; 24 TBI) with 12-month follow-up assessments.

Interventions: The diabetes prevention program group lifestyle balance (DPP-GLB) program is a theoretically-grounded self-management intervention adapted for people with CVA (GLB-CVA) and TBI (GLB-TBI). Both interventions shared program goals of losing body weight through decreased caloric intake and increased physical activity (150 minutes/week).

Main outcome measures: Assessments for body weight completed at baseline, 3, 6, and 12 months, in addition to a range of biopsychosocial factors (demographic, injury-related, physiological, fitness-related, and self-reported outcomes).

Results: Race and private/public insurance had statistically significant associations with change in weight. Associations between baseline measures, biomarkers, walk scales, self-report outcomes, and corresponding weight change from baseline to 12-months showed a significant association for 6-minute walk test (6MWT). Regression analysis demonstrated variables with a P < .05, including 8-year diabetes risk (8YDR) and 6MWT showed a positive relationship with weight change.

Conclusions: Factors related to racial background and private/public insurance may correspond with weight-loss and further change after injury. Greater body weight associated with higher scores on 6MWT and/or 8YDR emphasize the need to examine associations between dimensions of fitness, diabetes predictors, and GLB outcomes.

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