Association between stages of change regarding weight reduction in patients with cardiovascular risk factors: A randomized controlled trial
ABSTRACT Background: There is very low-quality evidence that the transtheoretical stages of change model combined with physical activity or diet, or both, can result in significant improvements in dietary and physical activity habits. Objective: To evaluate the association between stages of change...
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Sociedad Chilena de Nutrición, Bromatología y Toxicología
2021
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oai:scielo:S0717-751820210003003812021-06-25Association between stages of change regarding weight reduction in patients with cardiovascular risk factors: A randomized controlled trialLeyva,FannyGuerrero,EvaArcila,DeniseSerralde,AuroraFlores,AthenaGarcía,ManuelGulías,AlfonsoSutherland,MorganCastillo,Lilia Multidisciplinary intervention Nutritional intervention Stage of change Transtheoretical model Weight loss ABSTRACT Background: There is very low-quality evidence that the transtheoretical stages of change model combined with physical activity or diet, or both, can result in significant improvements in dietary and physical activity habits. Objective: To evaluate the association between stages of change on weight reduction, after a nutritional intervention, in patients with cardiovascular risk. Methods: In a randomized controlled clinical trial, patients >18 years old with body mass index ≥25 kg/m2 and at least two cardiovascular risk factors were distributed to an intervention or control group. The intervention group received, according to stage of change, a multidisciplinary intervention formed by a nutritionist, a psychologist, a chef and a physiotherapist to improve healthy eating, while the control group was given a nutritional prescription. Stage of change from the transtheoretical model, anthropometric variables, physical activity, and 24-hour recall of food intake were measured at baseline and 12 months postintervention. The main outcomes were change in weight, waist and hip circumferences. Results: We included 188 subjects (intervention group= 93, control group= 95), where 75% were female, 68.6% had obesity, and mean age 50.3±13. After 12-months, subjects in the intervention group that were ready to change showed a greater decrease in weight and energy intake, with differences between ready to change vs not ready to change subjects and an interaction between intervention group and ready to change. Conclusions: An intervention with a multidisciplinary team can be as effective as the current standard of care in promoting weight loss when taking into account baseline stage of change.info:eu-repo/semantics/openAccessSociedad Chilena de Nutrición, Bromatología y ToxicologíaRevista chilena de nutrición v.48 n.3 20212021-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182021000300381en10.4067/s0717-75182021000300381 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
English |
| topic |
Multidisciplinary intervention Nutritional intervention Stage of change Transtheoretical model Weight loss |
| spellingShingle |
Multidisciplinary intervention Nutritional intervention Stage of change Transtheoretical model Weight loss Leyva,Fanny Guerrero,Eva Arcila,Denise Serralde,Aurora Flores,Athena García,Manuel Gulías,Alfonso Sutherland,Morgan Castillo,Lilia Association between stages of change regarding weight reduction in patients with cardiovascular risk factors: A randomized controlled trial |
| description |
ABSTRACT Background: There is very low-quality evidence that the transtheoretical stages of change model combined with physical activity or diet, or both, can result in significant improvements in dietary and physical activity habits. Objective: To evaluate the association between stages of change on weight reduction, after a nutritional intervention, in patients with cardiovascular risk. Methods: In a randomized controlled clinical trial, patients >18 years old with body mass index ≥25 kg/m2 and at least two cardiovascular risk factors were distributed to an intervention or control group. The intervention group received, according to stage of change, a multidisciplinary intervention formed by a nutritionist, a psychologist, a chef and a physiotherapist to improve healthy eating, while the control group was given a nutritional prescription. Stage of change from the transtheoretical model, anthropometric variables, physical activity, and 24-hour recall of food intake were measured at baseline and 12 months postintervention. The main outcomes were change in weight, waist and hip circumferences. Results: We included 188 subjects (intervention group= 93, control group= 95), where 75% were female, 68.6% had obesity, and mean age 50.3±13. After 12-months, subjects in the intervention group that were ready to change showed a greater decrease in weight and energy intake, with differences between ready to change vs not ready to change subjects and an interaction between intervention group and ready to change. Conclusions: An intervention with a multidisciplinary team can be as effective as the current standard of care in promoting weight loss when taking into account baseline stage of change. |
| author |
Leyva,Fanny Guerrero,Eva Arcila,Denise Serralde,Aurora Flores,Athena García,Manuel Gulías,Alfonso Sutherland,Morgan Castillo,Lilia |
| author_facet |
Leyva,Fanny Guerrero,Eva Arcila,Denise Serralde,Aurora Flores,Athena García,Manuel Gulías,Alfonso Sutherland,Morgan Castillo,Lilia |
| author_sort |
Leyva,Fanny |
| title |
Association between stages of change regarding weight reduction in patients with cardiovascular risk factors: A randomized controlled trial |
| title_short |
Association between stages of change regarding weight reduction in patients with cardiovascular risk factors: A randomized controlled trial |
| title_full |
Association between stages of change regarding weight reduction in patients with cardiovascular risk factors: A randomized controlled trial |
| title_fullStr |
Association between stages of change regarding weight reduction in patients with cardiovascular risk factors: A randomized controlled trial |
| title_full_unstemmed |
Association between stages of change regarding weight reduction in patients with cardiovascular risk factors: A randomized controlled trial |
| title_sort |
association between stages of change regarding weight reduction in patients with cardiovascular risk factors: a randomized controlled trial |
| publisher |
Sociedad Chilena de Nutrición, Bromatología y Toxicología |
| publishDate |
2021 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182021000300381 |
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