Evaluation of a Lifestyle Modification Program for Treatment of Overweight and Nonmorbid Obesity in Primary Healthcare and Its Influence on Health‐Related Quality of Life

Arrebola, E.; Gómez-Candela, Carmen; Fernández-Fernández, C.; Loria, V.; Muñoz-Pérez, E.; Bermejo, Laura M.

doi:10.1177/0884533611405993

Cited by 23 publications

(17 citation statements)

References 32 publications

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“…However, the percentage of energy supplied by carbohydrate did not increase enough to attain the goal set out. Similar findings have been reported in other interventional studies in which the dietary recommendations were based on the same criteria (2,22). However, different studies suggest that diets supplying 40 -50% of total energy from carbohydrate may be effective alternatives to those insisting on Ͼ50% of energy coming from this macronutrient, since similar weight losses were achieved (14,28,38).…”

Section: Discussionsupporting

confidence: 86%

Change in weight and body composition in obese subjects following a hypocaloric diet plus different training programs or physical activity recommendations

Benito

Bermejo

Peinado

et al. 2015

Journal of Applied Physiology

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The aim of the present study was to compare the effects of different physical activity programs, in combination with a hypocaloric diet, on anthropometric variables and body composition in obese subjects. Ninety-six obese (men: n = 48; women: n = 48; age range: 18-50 yr) participated in a supervised 22-wk program. They were randomized into four groups: strength training (S; n = 24), endurance training (E; n = 26), combined strength + endurance training (SE; n = 24), and physical activity recommendations (C; n = 22). In addition, all groups followed the same hypocaloric diet. At baseline and at the end of the intervention, dietetic and physical activity variables were assessed using validated questionnaires. Anthropometric variables were recorded along with body composition variables measured using dual-energy X-ray absorptiometry techniques. At the end of the intervention, significant improvements were seen within groups in terms of body weight (S: -9.21 ± 0.83 kg; E: -10.55 ± 0.80 kg; SE: -9.88 ± 0.85 kg; C: -8.69 ± 0.89 kg), and total fat mass (S: -5.24 ± 0.55%; E: -5.35 ± 0.55%; SE: -4.85 ± 0.56%; C: -4.89 ± 0.59%). No differences were seen between groups at this time in terms of any other anthropometric or body composition variables examined. All groups increased their total physical activity in metabolic equivalents (MET) per week during the intervention, but with no difference between groups (S: 976 ± 367 MET-min/wk; E: 954 ± 355 MET-min/wk; SE: 1 329 ± 345 MET-min/wk; C: 763 ± 410 MET-min/wk). This study shows that, when combined with a hypocaloric diet, exercise training and adherence to physical activity recommendations are equally effective at reducing body weight and modifying body composition in the treatment of obesity (Clinical Trials Gov. number: NCT01116856).

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Section: Discussionsupporting

confidence: 86%

Change in weight and body composition in obese subjects following a hypocaloric diet plus different training programs or physical activity recommendations

Benito

Bermejo

Peinado

et al. 2015

Journal of Applied Physiology

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“…Fontaine and Barofsky [42] emphasized that health-related quality of life evaluations may help obese individuals redefining treatment goals beyond weight loss and this may help shifting the focus from simple weight reduction to a behavioral change resulting in a healthier lifestyle. In our study, the SF-36 scale revealed a significant increase in PCS and MCS, which was in accordance with the results of similar studies [42,43,44,45,46]. These results support the hypothesis that interventions focusing on lifestyle changes may be effective in overweight and obese women in improving quality of life, especially in physical and mental function fields.…”

Section: Discussionsupporting

confidence: 82%

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

et al. 2018

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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.

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“…2 Significant difference from non-Hispanic White. 3 Significant difference from women. 4 Significant difference from Hispanic.…”

Section: Introductionmentioning

confidence: 99%

Nutritional Interventions for Addressing the Health Disparities of Obesity in a Clinical Setting

Castor¹

2016

JNHFE

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Society of Bariatric Physicians (ASBP) also defines obesity as a chronic, relapsing, multifactorial, neurobehavioral disease, where in an increase in body fat promotes adipose tissue dysfunction and abnormal fat mass physical forces, resulting in adverse metabolic, biochemical and psychosocial health consequences. In the past three decades, obesity drastically increased in prevalence in the United Sates and other parts of the Western World. According to the Centers of Disease Control and Prevention (CDC) health disparities and inequalities report of 2011, the prevalence of obesity varies by age, sex, race-ethnic groups, socioeconomic status and geographical region; Obesity increases with age. According to CDC's 2011-2012 report, the prevalence of obesity was higher among middle aged adults, 40-64years of age, (39.5%); Obesity prevalence was highest among females than males; also the prevalence of obesity was higher among non-Hispanic black (47.8%), Hispanic (42.5%), and non-Hispanic white (32.6%) adults than among non-Hispanic Asian adults (10.8%) (Figure 1).

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Evaluation of a Lifestyle Modification Program for Treatment of Overweight and Nonmorbid Obesity in Primary Healthcare and Its Influence on Health‐Related Quality of Life

Abstract: An LMP focused on balanced and moderate energy-restricted diets, increased physical activity, and psychological support may improve the anthropometric parameters and the quality of life in moderately obese patients treated in a primary healthcare center.

Cited by 23 publications

References 32 publications

Change in weight and body composition in obese subjects following a hypocaloric diet plus different training programs or physical activity recommendations

Change in weight and body composition in obese subjects following a hypocaloric diet plus different training programs or physical activity recommendations

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

Nutritional Interventions for Addressing the Health Disparities of Obesity in a Clinical Setting

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