Dietetic treatment lowers body mass index in overweight patients: an observational study in primary health care

Tol, J.J. Heeres-van der; Swinkels, I.C.S.; Bakker, D.H. de; Seidell, Jacob C.; Veenhof, Cindy

doi:10.1111/jhn.12175

Cited by 18 publications

(18 citation statements)

References 23 publications

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“…While a wide variety of interventions have been studied, dietician-delivered group or web-based nutrition programs have been shown to be particularly effective at increasing fruit and vegetable consumption, reducing BMI, and increasing awareness among participants [58–60]. Fruit and vegetable intake has been used as a valid surrogate outcome for several nutrition studies.…”

Section: Introductionmentioning

confidence: 99%

Obesity Education Strategies for Cancer Prevention in Women’s Health

Liu

Segura

Hagemann

2015

Curr Obstet Gynecol Rep

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Obesity is the cause of up to one-third of all cancers affecting women today, most notably endometrial, colon and breast cancer. Women’s health providers are poised to advise women on obesity’s link to cancer development, but often lack resources or training to provide appropriate counseling. Here, we review obesity’s role in increasing the risk of several common reproductive system conditions faced by women, including polycystic ovarian syndrome, infertility, gynecologic surgical complications, and pregnancy complications. These events can be used as teachable moments to help frame the discussion of weight management and promote cancer prevention. We also review national guidelines and existing tangible weight-loss strategies that can be employed within the outpatient women’s health setting to help women achieve weight loss goals and affect cancer prevention.

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Section: Introductionmentioning

confidence: 99%

Obesity Education Strategies for Cancer Prevention in Women’s Health

Liu

Segura

Hagemann

2015

Curr Obstet Gynecol Rep

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“…A study done by Tol et al 14 with information from a set of register of Dutch nutritionists, in primary health care, revealed that the dietary treatment in primary care reduces the Body Mass Index in patients with heavy weight. Thus, it showed the importance of the nutritionist to assist in people's health promotion, also in other countries, recognizing the ability of this professional.…”

Section: Resultsmentioning

confidence: 99%

A Importância Da Inserção Do Profissional Nutricionista No Campo Da Atenção Primária Em Saúde

et al. 2019

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O objetivo deste artigo foi descrever a importância dos nutricionistas e seu papel nas equipes de saúde segundo a opinião dos usuários da Atenção Primária. Trata-se de um estudo descritivo de abordagem qualitativa realizado com usuários de Unidades Básicas de Saúde. O instrumento utilizado foi um roteiro semiestruturado e para a análise dos dados, utilizou-se a técnica segundo o agrupamento de estratégias para a análise do conteúdo de acordo com Bardin, a partir da qual foram formados os discursos-sínteses. Foram entrevistados 20 usuários de quatro unidades de saúde da família, todos pertencentes ao município de Juazeiro do Norte-CE. Os resultados mostraram que os usuários veem o nutricionista como profissional responsável por promover uma alimentação saudável, reconhecendo ainda, que isso oferece uma maior qualidade de vida, controla doenças cardiovasculares, auxilia no combate a obesidade em crianças nas escolas, contribuindo para a saúde dos sujeitos, bem como sabem que ter o contato com esse profissional é muito difícil, uma vez que o mesmo não se encontra inserido na Atenção Básica a Saúde. Portanto, segundo os usuários, existe um reconhecimento da importância do nutricionista nos serviços de atenção primária, para promover alimentação saudável, combatendo doenças relacionadas a má alimentação, desde a infância até a velhice.

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“…The body mass index of patients in the current study decreased over time from 33.0 at baseline to 31.9 at three months to 30.9 at nine months. These results are better than results of regular dietetic care, where BMI decreases by on average 0.94 points and by 1.83 points in patients treated for at least six months [ 11 ]. In contrast, Poelman and colleagues [ 5 ] reported a reduction in BMI after three months, followed by an increase after six and 12 months.…”

Section: Discussionmentioning

confidence: 99%

“…Individual counseling provided by a dietitian is an effective treatment to lower Body Mass Index (BMI), with greater reductions being observed in those treated for at least six months [ 11 ]. However, basic health care insurance for dietetic treatment in the case of overweight or obesity without comorbidities is limited to 3 h a year in the Netherlands, while financial restraints can prevent patients from engaging in additional consultations and prolonged treatment [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

A Process Evaluation of a Multi-Component Intervention in Dutch Dietetic Treatment to Improve Portion Control Behavior and Decrease Body Mass Index in Overweight and Obese Patients

et al. 2018

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The SMARTsize intervention embeds an evidence-based portion control intervention in regular dietetic care. This intervention was evaluated to explore (1) which patients participated, (2) the implementation process, and (3) the outcomes of the intervention. The intervention was evaluated with an observational study design including measures at baseline, and three, six, and nine months after the start of the program. Data concerning the process (participation, dose delivered, dose received, satisfaction) and the outcomes (self-efficacy, intention, portion control strategies, and Body Mass Index (BMI) were collected with forms and questionnaires filled out by dietitians and patients. Descriptive analyses, comparison analyses, and cluster analyses were performed. Patients were mainly obese, moderately to highly educated women of Dutch ethnicity. Use of the intervention components varied from 50% to 100% and satisfaction with the SMARTsize intervention was sufficient to good (grades 7.2–8.0). Statistically significant (p < 0.001) improvements were observed for self-efficacy (+0.5), portion control strategies (+0.7), and BMI (−2.2 kg/m2), with no significant differences between patients with or without counselling. Three clusters of patients with different levels of success were identified. To conclude, implementing an evidence-based portion control intervention in real-life dietetic practice is feasible and likely to result in weight loss.

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Dietetic treatment lowers body mass index in overweight patients: an observational study in primary health care

Cited by 18 publications

References 23 publications

Obesity Education Strategies for Cancer Prevention in Women’s Health

Obesity Education Strategies for Cancer Prevention in Women’s Health

A Importância Da Inserção Do Profissional Nutricionista No Campo Da Atenção Primária Em Saúde

A Process Evaluation of a Multi-Component Intervention in Dutch Dietetic Treatment to Improve Portion Control Behavior and Decrease Body Mass Index in Overweight and Obese Patients

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