Team-based "Get-a-Grip" lifestyle management programme in the treatment of obesity.

Autor:	Taurio J; Department of Internal Medicine, Tampere University Hospital, P.O. Box 2000, FI-33521 Tampere, Finland., Järvinen J; Department of Internal Medicine, Tampere University Hospital, P.O. Box 2000, FI-33521 Tampere, Finland., Hautaniemi EJ; Department of Internal Medicine, Tampere University Hospital, P.O. Box 2000, FI-33521 Tampere, Finland.; Faculty of Medicine and Health Technology, Tampere University, FI-33014, Finland., Eräranta A; Faculty of Medicine and Health Technology, Tampere University, FI-33014, Finland., Viitala J; Faculty of Medicine and Health Technology, Tampere University, FI-33014, Finland., Nordhausen K; Faculty of Social Sciences, Tampere University, FI-33014, Finland.; Institute of Statistics & Mathematical Methods in Economics, Vienna University of Technology, Wiedner Hauptstr. 7, A-1040 Vienna, Austria., Kaukinen K; Department of Internal Medicine, Tampere University Hospital, P.O. Box 2000, FI-33521 Tampere, Finland.; Faculty of Medicine and Health Technology, Tampere University, FI-33014, Finland., Mustonen J; Department of Internal Medicine, Tampere University Hospital, P.O. Box 2000, FI-33521 Tampere, Finland.; Faculty of Medicine and Health Technology, Tampere University, FI-33014, Finland., Pörsti IH; Department of Internal Medicine, Tampere University Hospital, P.O. Box 2000, FI-33521 Tampere, Finland.; Faculty of Medicine and Health Technology, Tampere University, FI-33014, Finland.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2020 May 13; Vol. 19, pp. 101119. Date of Electronic Publication: 2020 May 13 (Print Publication: 2020).
DOI:	10.1016/j.pmedr.2020.101119
Abstrakt:	This study examined weight loss during an extensive 1-year lifestyle programme in primary care in Finland in overweight subjects (n = 134, age 18-69 years; BMI > 30, or BMI > 25 with a comorbidity that would benefit from weight loss) between 2009 and 2013 in a single arm design. The programme included four medical doctor visits, five sessions by a dietitian (advice on diet and on-location shopping behaviour), cooking classes, exercise supervised by personal trainer, and group discussions. A motivational interview method was applied. Of the 134 participants, 92 (69%) completed the 1-year programme. Among the participants 44% lost ≥ 5%, while 21% lost ≥ 10% of their initial body weight. In intention-to-treat-analyses, the mean weight loss during one year was 4.8 kg (p < 0.001). Mean BMI decreased by 1.7 kg/m 2 (p < 0.001) and waist circumference by 5.6 cm (p < 0.001). Mean muscle mass increased by 3.3% (p < 0.001), and body fat decreased by 5.0% (p < 0.001). After the programme mean visceral fat content was reduced by 6.4%, systolic blood pressure by 8 mmHg (p < 0.001), and diastolic blood pressure by 6 mmHg (p < 0.001). In conclusion, retention to the team-based lifestyle management programme resulted in moderate but significant weight loss with beneficial changes in body composition, and the trend to lose weight was maintained throughout the year. Trial registration: Clinicaltrials.gov identifier NCT04003259. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2020 The Author(s).)
Databáze:	MEDLINE
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