Discussion
fatigue, As mood disturbances
REGRESSION
Achieving weight-loss and weight-loss maintenance, key components of T2D-prevention, can be very challenging even when supportive behavioral interventions are offered [As expected based on the previous research, overall lower QoL was associated with both intervention cessation and chronic stress [In accordance with previous research [As mood disturbances are closely associated with stress [While it was hypothesized that higher primary care utilization prior to intervention enrolment [Elevated stress is considered to lower the likelihood of successful weight-loss and weight-loss maintenance in lifestyle change interventions [From the results, it was notable that high chronic stress was associated with significantly lower physical health QoL especially for women. Physical health QoL encompasses concepts such as energy and fatigue, sleep and rest, and mobility. As stress has been associated with physical inactivity [Targeted strategies are required to improve T2D-prevention especially in primary care settings [There are numerous strengths associated with the study, particularly the large sample size. Nonetheless, the study is not without limitations. Specifically, participants were divided in the groups retrospectively, and it is recognized that different group divisions could have influenced the results. While logistic regression as an analysis method places few limitations on the data, stress and mood states were, as expected, correlated (