Two-year weight, risk and health factor outcomes of a weight-reduction intervention programme: Primary prevention for overweight in a multicentre primary healthcare setting

Autor: Håkan Bergh, Marie Lydell, Cathrine Hildingh, Jörgen Månsson, Amir Baigi, Marie Bräutigam-Ewe
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Counseling
medicine.medical_specialty
obesity
Sense of Coherence
Motivational interviewing
Motivational Interviewing
Overweight
Anxiety
Body Mass Index
03 medical and health sciences
0302 clinical medicine
Quality of life
Patient Education as Topic
Weight loss
Weight Loss
Medicine
Humans
overweight
030212 general & internal medicine
Medical prescription
Exercise
Depression (differential diagnoses)
Research Articles
Aged
business.industry
Depression
030503 health policy & services
sweden
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health
weight-reduction programme
lcsh:RA1-1270
Middle Aged
medicine.disease
Obesity
Diet
Primary Prevention
Weight Reduction Programs
primary health care
Prescriptions
quality of life
Physical therapy
medicine.symptom
0305 other medical science
business
Research Article
Zdroj: Scandinavian Journal of Primary Health Care, Vol 38, Iss 2, Pp 192-200 (2020)
Scandinavian Journal of Primary Health Care
article-version (VoR) Version of Record
ISSN: 1502-7724
0281-3432
Popis: Objective: To study the long-term effects of weight reduction, quality of life and sense of coherence in a primary health care (PHC)-based programme with two different intensities. Design: Prospective two-armed randomised intervention. Setting: Three PHC centres in south west of Sweden. Subjects: In total, 289 women and men aged 40-65 years with a BMI of 28-35 were recruited for a two-year weight-reduction programme. Participants were randomized to high-intensity or low-intensity groups. Blood samples, physical measurements and questionnaires were analysed. Participants received cookbooks and dietary lectures. The high-intensity group also received Motivational interviewing (MI), dietary advice on prescription (DAP- advice), a grocery store lecture, a website and weekly e-mails. Main outcome measures: Weight, quality of life, risks and health factors. Results: In total, 182 (64%) participants completed the 2-year follow-up. The total sample reduced their weight by 1 kg (p = 0.006). No significant differences regarding weight were found between the groups. Anxiety/depression decreased in EQ5-D (p = 0.021), EQ5-D VAS (p = 0.002) and SOC (p = 0.042). Between the groups, there were significant differences in EQ5-D usual activities (p = 0.004), anxiety/depression (p = 0.013), pain/discomfort (p = 0.041), fruit and vegetables (p = 0.005), HLV anxiety (p = 0.005), and visits to nurses (p = 0.012). Conclusion: The total population lost weight, and the high-intensity and low-intensity programmes did not result in significant differences in terms of weight. The high-intensity programme reported health benefits linked to lower levels of anxiety and depression, increased activity and intake of greens and reduced visits to physicians and nurses.Key pointsBoth groups had a consisting weight- reduction after two years.High intensity did not lead to a significant difference in weight reduction between the groups.The high-intensity group reported more health effects, such as better quality of life, reduced anxiety, and increased greenery intake. It is unknown how much support patients in a weight- reduction programme in PHC require to succeed with weight loss and a healthy lifestyle
Databáze: OpenAIRE
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