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

<p>Abstract</p> <p>Background</p> <p>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 smoki...

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Main Authors: González Burgillos Ma José, Benavides Márquez Francisca, Martí de la Morena Pilar, Travé Mercadé Pere, Rodríguez Cortés Francisca, Muñoz Lloret Anna, Pérez Santos José Ma, Alonso-Villaverde Grote Carlos, Panisello Royo Josefa Ma, Rodríguez Cristóbal Juan José, Delclós Baulies Marta, Bleda Fernández Domingo, Quillama Torres Elida
Format: Article
Language:English
Published: BMC 2010-03-01
Series:BMC Family Practice
Online Access:http://www.biomedcentral.com/1471-2296/11/23
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author González Burgillos Ma José
Benavides Márquez Francisca
Martí de la Morena Pilar
Travé Mercadé Pere
Rodríguez Cortés Francisca
Muñoz Lloret Anna
Pérez Santos José Ma
Alonso-Villaverde Grote Carlos
Panisello Royo Josefa Ma
Rodríguez Cristóbal Juan José
Delclós Baulies Marta
Bleda Fernández Domingo
Quillama Torres Elida
author_facet González Burgillos Ma José
Benavides Márquez Francisca
Martí de la Morena Pilar
Travé Mercadé Pere
Rodríguez Cortés Francisca
Muñoz Lloret Anna
Pérez Santos José Ma
Alonso-Villaverde Grote Carlos
Panisello Royo Josefa Ma
Rodríguez Cristóbal Juan José
Delclós Baulies Marta
Bleda Fernández Domingo
Quillama Torres Elida
author_sort González Burgillos Ma José
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Discussion</p> <p>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.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov Identifier: NCT01006213</p>
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spelling doaj.art-b4af28fe983445b99e2758140e8c32fd2022-12-22T02:46:29ZengBMCBMC Family Practice1471-22962010-03-011112310.1186/1471-2296-11-23Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare areaGonzález Burgillos Ma JoséBenavides Márquez FranciscaMartí de la Morena PilarTravé Mercadé PereRodríguez Cortés FranciscaMuñoz Lloret AnnaPérez Santos José MaAlonso-Villaverde Grote CarlosPanisello Royo Josefa MaRodríguez Cristóbal Juan JoséDelclós Baulies MartaBleda Fernández DomingoQuillama Torres Elida<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Discussion</p> <p>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.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov Identifier: NCT01006213</p>http://www.biomedcentral.com/1471-2296/11/23
spellingShingle González Burgillos Ma José
Benavides Márquez Francisca
Martí de la Morena Pilar
Travé Mercadé Pere
Rodríguez Cortés Francisca
Muñoz Lloret Anna
Pérez Santos José Ma
Alonso-Villaverde Grote Carlos
Panisello Royo Josefa Ma
Rodríguez Cristóbal Juan José
Delclós Baulies Marta
Bleda Fernández Domingo
Quillama Torres Elida
Group motivational intervention in overweight/obese patients in primary prevention of cardiovascular disease in the primary healthcare area
BMC Family Practice
title 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_short 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
url http://www.biomedcentral.com/1471-2296/11/23
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