Trial of prevention and reduction of obesity through active living in clinical settings: a randomized controlled trial
| Autor: | Steven N. Blair, Marshall Godwin, Miu Lam, Timothy S. Church, Susan MacDonald, Robert Ross, Stephen B. Hotz, Peter T. Katzmarzyk, Lucie Lévesque, Ana Johnson |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Waist law.invention Body Mass Index Patient satisfaction Randomized controlled trial law Weight loss Active living Behavior Therapy Intervention (counseling) Weight Loss Internal Medicine Medicine Humans Obesity Exercise Life Style Ontario Primary Health Care business.industry medicine.disease Diet Treatment Outcome Patient Satisfaction Physical therapy Patient Compliance Female medicine.symptom Waist Circumference business Body mass index |
| Zdroj: | Archives of internal medicine. 172(5) |
| ISSN: | 1538-3679 |
| Popis: | The efficacy of physical activity with a healthful diet to reduce obesity is established; however, little is known about the translation of effective lifestyle strategies for obesity reduction in primary care settings.We assessed the effectiveness of a 2-year behaviorally based physical activity and diet program implemented entirely within clinical practices to reduce obesity. A total of 490 sedentary, obese adults were randomized to usual care (n = 241) or to the behavioral intervention (n = 249). The usual care group received advice from their physicians about lifestyle as a strategy for obesity reduction. The behavioral intervention included individual counseling from health educators to promote physical activity with a healthful diet. The primary outcome was change in waist circumference (WC).A total of 396 participants completed the trial (80.8%). A significant main effect was observed for WC change within the intervention compared with usual care (P.001) that was sustained at 24 months (mean [SE], -0.9 [0.4] vs 0.2 [0.4] cm; P = .05). Secondary analyses revealed significant main effects for change in WC in men (P = .009) and women (P = .02). In men, the mean (SE) reduction in WC at 24 months was greater with behavioral intervention compared with usual care (-1.6 [0.6] vs 0.1 [0.6] cm; P = .049). In women, the behavioral intervention was associated with differences in WC compared with usual care at 6 and 12 months (P ≤ .01) but not at 24 months (P = .10).Behavioral intervention in clinical settings is associated with modest reductions in WC during a 2-year study in obese patients. However, the effectiveness of the intervention is restricted to men.clinicaltrials.gov Identifier: NCT00665158. |
| Databáze: | OpenAIRE |
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