Family Physician-Led Group Visits for Lifestyle Modification in Women with Weight Problems: A Pilot Intervention and Follow-Up Study

Autor: Sevgi Özcan, Hatice Kurdak, Merthan Tunay, Zeliha Yelda Özer, Çiğdem Özdemir
Přispěvatelé: Çukurova Üniversitesi
Rok vydání: 2017
Předmět:
Health (social science)
Office Visits
Pilot Projects
030204 cardiovascular system & hematology
Overweight
0302 clinical medicine
Quality of life
Weight loss
Behavior Therapy
Weight management
Medicine
030212 general & internal medicine
lcsh:RC620-627
Obesity management
Physicians
Family
Middle Aged
lcsh:Nutritional diseases. Deficiency diseases
Self-Help Groups
Psychotherapy
Group
Female
medicine.symptom
lcsh:Nutrition. Foods and food supply
Research Article
Adult
medicine.medical_specialty
lcsh:TX341-641
03 medical and health sciences
Young Adult
Physiology (medical)
Weight Loss
Humans
Obesity
Physician's Role
Exercise
Life Style
business.industry
Weight change
Family physician
Body Weight
Group medical visits
Anthropometry
Diet
Leadership
Blood pressure
Family medicine
Basal metabolic rate
Quality of Life
Feasibility Studies
business
Follow-Up Studies
Zdroj: Obesity Facts, Vol 11, Iss 1, Pp 1-14 (2018)
BASE-Bielefeld Academic Search Engine
ISSN: 1662-4033
Popis: PubMedID: 29402785 Objective: Lifestyle modification requires extensive information sharing and counseling. However, one-on-one primary care consultations are lacking to cover all necessary components due to time constraints. This preliminary study aims to investigate the feasibility and effects of lifestyle-changing intervention by family physician-led group visits (GVs) on weight management in overweight and obese women. Methods: 60 volunteers fulfilling the inclusion criteria were enrolled. Baseline and 6th month assessments consisted of anthropometric measurements, SF-36 Health Survey, blood variables, exercise test, and resting metabolic rate. Weight maintenance was controlled at the 12th month. Results: Although weight loss among participants varied, the mean body weights were significantly decreased by 8.2% in full-attenders (n = 30). A significant increase in HDL-cholesterol and decreases in heart rate and blood pressure were found. SF-36 summary scales were significantly improved. Weight change was moderately correlated with exercise duration, compliance to diet, and baseline mental component score. It was determined that 62.5% of the participants either lost or maintained body weight at the 12th month. Conclusion: Significant weight loss and quality of life improvement was achieved in this pilot study. GVs may be a promising alternative to primary care consultations for obesity management; however, the high dropout level and diverse outcomes need further assessment. © 2018 The Author(s). Published by S. Karger GmbH, Freiburg. Firat University Scientific Research Projects Management Unit The research team would like to thank all participants for their valuable contributions and sharing and would also express their gratitude to Betül Karateke for her nursing services throughout the study. The intervention part of this work was supported by the Çukurova University Scientific Research Project with the grant number TF ????LTP ???
Databáze: OpenAIRE
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