Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area

Background The global mortality caused by cardiovascular disease increases with weight. The Framingham study showed that obesity is a cardiovascular risk factor independent of other risks such as type 2 diabetes mellitus, dyslipidemia and smoking. Moreover, the main problem in the management of weig...

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Autores: Rodríguez Cristobal, Juan José, Panisello Royo, Josefa Ma., Alonso-Villaverde, Carlos, Pérez Santos, José Ma., Muñoz Lloret, Anna, Rodríguez Cortés, Francisca, Travé i Mercadé, Pere, Benavides Márquez, Francisca, Martí de la Morena, Pilar, González Burgillos, Ma. José, Delclós Baulies, Marta, Bleda Fernández, Domingo, Quillama Torres, Eida, IMOAP group
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2010
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/48330
Acceso en línea:https://hdl.handle.net/2445/48330
Access Level:acceso abierto
Palabra clave:Obesitat
Malalties cardiovasculars
Atenció primària
Obesity
Cardiovascular diseases
Primary health care
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spelling Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare areaRodríguez Cristobal, Juan JoséPanisello Royo, Josefa Ma.Alonso-Villaverde, CarlosPérez Santos, José Ma.Muñoz Lloret, AnnaRodríguez Cortés, FranciscaTravé i Mercadé, PereBenavides Márquez, FranciscaMartí de la Morena, PilarGonzález Burgillos, Ma. JoséDelclós Baulies, MartaBleda Fernández, DomingoQuillama Torres, EidaIMOAP groupObesitatMalalties cardiovascularsAtenció primàriaObesityCardiovascular diseasesPrimary health careBackground The global mortality caused by cardiovascular disease increases with weight. The Framingham study showed that obesity is a cardiovascular risk factor independent of other risks such as type 2 diabetes mellitus, dyslipidemia and smoking. Moreover, the main problem in the management of weight-loss is its maintenance, if it is achieved. We have designed a study to determine whether a group motivational intervention, together with current clinical practice, is more efficient than the latter alone in the treatment of overweight and obesity, for initial weight loss and essentially to achieve maintenance of the weight achieved; and, secondly, to know if this intervention is more effective for reducing cardiovascular risk factors associated with overweight and obesity. Methods This 26-month follow up multi-centre trial, will include 1200 overweight/obese patients. Random assignment of the intervention by Basic Health Areas (BHA): two geographically separate groups have been created, one of which receives group motivational intervention (group intervention), delivered by a nurse trained by an expert phsychologist, in 32 group sessions, 1 to 12 fortnightly, and 13 to 32, monthly, on top of their standard program of diet, exercise, and the other (control group), receiving the usual follow up, with regular visits every 3 months. Discussion By addressing currently unanswered questions regarding the maintenance in weight loss in obesity/overweight, upon the expected completion of participant follow-up in 2012, the IMOAP trial should document, for the first time, the benefits of a motivational intervention as a treatment tool of weight loss in a primary care setting.BioMed Central2010info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/48330Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: http://dx.doi.org/10.1186/1471-2296-11-23BMC Family Practice, 2010, vol. 11, num. 23http://dx.doi.org/10.1186/1471-2296-11-23cc-by (c) Rodríguez Cristobal, Juan José et al., 2010http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/483302026-05-27T06:46:51Z
dc.title.none.fl_str_mv Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
title Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
spellingShingle Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
Rodríguez Cristobal, Juan José
Obesitat
Malalties cardiovasculars
Atenció primària
Obesity
Cardiovascular diseases
Primary health care
title_short Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
title_full Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
title_fullStr Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
title_full_unstemmed Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
title_sort Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
dc.creator.none.fl_str_mv Rodríguez Cristobal, Juan José
Panisello Royo, Josefa Ma.
Alonso-Villaverde, Carlos
Pérez Santos, José Ma.
Muñoz Lloret, Anna
Rodríguez Cortés, Francisca
Travé i Mercadé, Pere
Benavides Márquez, Francisca
Martí de la Morena, Pilar
González Burgillos, Ma. José
Delclós Baulies, Marta
Bleda Fernández, Domingo
Quillama Torres, Eida
IMOAP group
author Rodríguez Cristobal, Juan José
author_facet Rodríguez Cristobal, Juan José
Panisello Royo, Josefa Ma.
Alonso-Villaverde, Carlos
Pérez Santos, José Ma.
Muñoz Lloret, Anna
Rodríguez Cortés, Francisca
Travé i Mercadé, Pere
Benavides Márquez, Francisca
Martí de la Morena, Pilar
González Burgillos, Ma. José
Delclós Baulies, Marta
Bleda Fernández, Domingo
Quillama Torres, Eida
IMOAP group
author_role author
author2 Panisello Royo, Josefa Ma.
Alonso-Villaverde, Carlos
Pérez Santos, José Ma.
Muñoz Lloret, Anna
Rodríguez Cortés, Francisca
Travé i Mercadé, Pere
Benavides Márquez, Francisca
Martí de la Morena, Pilar
González Burgillos, Ma. José
Delclós Baulies, Marta
Bleda Fernández, Domingo
Quillama Torres, Eida
IMOAP group
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Obesitat
Malalties cardiovasculars
Atenció primària
Obesity
Cardiovascular diseases
Primary health care
topic Obesitat
Malalties cardiovasculars
Atenció primària
Obesity
Cardiovascular diseases
Primary health care
description Background The global mortality caused by cardiovascular disease increases with weight. The Framingham study showed that obesity is a cardiovascular risk factor independent of other risks such as type 2 diabetes mellitus, dyslipidemia and smoking. Moreover, the main problem in the management of weight-loss is its maintenance, if it is achieved. We have designed a study to determine whether a group motivational intervention, together with current clinical practice, is more efficient than the latter alone in the treatment of overweight and obesity, for initial weight loss and essentially to achieve maintenance of the weight achieved; and, secondly, to know if this intervention is more effective for reducing cardiovascular risk factors associated with overweight and obesity. Methods This 26-month follow up multi-centre trial, will include 1200 overweight/obese patients. Random assignment of the intervention by Basic Health Areas (BHA): two geographically separate groups have been created, one of which receives group motivational intervention (group intervention), delivered by a nurse trained by an expert phsychologist, in 32 group sessions, 1 to 12 fortnightly, and 13 to 32, monthly, on top of their standard program of diet, exercise, and the other (control group), receiving the usual follow up, with regular visits every 3 months. Discussion By addressing currently unanswered questions regarding the maintenance in weight loss in obesity/overweight, upon the expected completion of participant follow-up in 2012, the IMOAP trial should document, for the first time, the benefits of a motivational intervention as a treatment tool of weight loss in a primary care setting.
publishDate 2010
dc.date.none.fl_str_mv 2010
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/48330
url https://hdl.handle.net/2445/48330
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://dx.doi.org/10.1186/1471-2296-11-23
BMC Family Practice, 2010, vol. 11, num. 23
http://dx.doi.org/10.1186/1471-2296-11-23
dc.rights.none.fl_str_mv cc-by (c) Rodríguez Cristobal, Juan José et al., 2010
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Rodríguez Cristobal, Juan José et al., 2010
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.300724

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