Group Lifestyle Phone Maintenance for Weight, Health, and Physical Function in Adults Aged 65–80 Years: A Randomized Clinical Trial
| Autor: | Vincent C. Arena, Marsha D. Marcus, Rachel G. Miller, Bonny Rockette-Wagner, Elizabeth M. Venditti, Susan L. Greenspan |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Aging medicine.medical_specialty THE JOURNAL OF GERONTOLOGY: Medical Sciences Overweight Body Mass Index law.invention Randomized controlled trial Weight loss law Outcome Assessment Health Care Weight Loss Weight management Humans Medicine Healthy Lifestyle Obesity Exercise Life Style Aged Aged 80 and over business.industry Weight change medicine.disease Telemedicine Telephone Weight Reduction Programs Blood pressure Psychotherapy Group Physical therapy Patient Compliance Female Periodicals as Topic Geriatrics and Gerontology medicine.symptom business Body mass index |
| Zdroj: | J Gerontol A Biol Sci Med Sci |
| ISSN: | 1758-535X 1079-5006 |
| Popis: | Background Group lifestyle sessions with phone maintenance could improve weight, health, and function in vulnerable older adults. Methods Community-dwelling adults (N = 322) with body mass index (BMI, kg/m2) ≥27 and additional risk factors received 12 one-hour in-person behavioral weight management group sessions then were randomized to 8 half-hour telephone sessions (n = 162) or newsletter control (n = 160) from 4 to 12 months with no treatment contact thereafter. Primary outcome was 0- to 12-month weight change. Cardiometabolic, short physical performance battery (SPPB), and self-reported activity changes were assessed at 12 and 24 months. Results At baseline, the mean (SD) age was 71.2 (4.3) and BMI was 33.8 (5.1). Participants were 77% women, 13% Black, 85% retired, averaging 4 medical conditions, and taking blood pressure (67.4%) and lipid-lowering (51.6%) medications. At 12 months, a greater proportion of the phone group (66.0%) achieved ≥5% weight loss compared with newsletter control (53.2%; p = .02). Mean (95% CI) weight loss was greater for phone (−6.6 kg [−7.5, −5.8]) than newsletter (−5.1 kg [−7.2, −3.0]); p = .01. Modest lipid, glucose, and blood pressure improvements were found, but did not differ significantly between groups. Small SPPB and activity improvements were maintained at 12 and 24 months in both groups. Conclusions Brief phone contacts compared to newsletters enhanced weight loss maintenance among older high-risk adults at 1 year, but not cardiometabolic outcomes. Modest functional improvements were observed in both. Lower-intensity maintenance contacts (phone or newsletter) for weight, health, and physical function in older adults warrant further study. Clinical Trials Registration Number NCT03192475 |
| Databáze: | OpenAIRE |
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