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

BMC Family Practice

Study Protocol

Francisca Benavides Márquez¹  Pilar Martí de la Morena¹  Anna Muñoz Lloret²  Josefa Ma Panisello Royo³  Elida Quillama Torres⁴  Carlos Alonso-Villaverde Grote⁵  Pere Travé Mercadé⁶  Domingo Bleda Fernández⁷  José Ma Pérez Santos⁷  Juan José Rodríguez Cristóbal⁷  Ma José González Burgillos⁷  Marta Delclós Baulies⁷  Francisca Rodríguez Cortés⁸ 

[1] Area bàsica de la Salut Rio de Janeiro, Barcelona, Spain;Departament mèdic, Solvay Pharma, Barcelona, Spain;Departamento de Medicina, Hospital de Igualada, Barcelona, Spain;Hospital de Viladecans, Viladecans, Barcelona, Spain;Institut Català de Ciències Cardiovasculars, Centre superior d'Investigacions Científiques, Barcelona, Spain;Laboratorio Clínico L'Hospitalet. Institut Català de la Salut, Centre Assistència Primària Just Oliveras, L'Hospitalet de Llobregat, Barcelona, Spain;Medicina, Area Básica Salud Florida Sud, Parc dels Ocellets, L'Hospitalet del Llobregat, Barcelona, Spain;Unitat de Salut Mental Collblanc, L'Hospitalet del Llobregat, Barcelona, Spain;

关键词: Obesity;    Obese Patient;    Cardiovascular Risk Factor;    Lifestyle Change;    Sibutramine;   

DOI  :  10.1186/1471-2296-11-23

 received in 2009-09-05, accepted in 2010-03-18,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsThis 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.DiscussionBy 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.Trial RegistrationClinicalTrials.gov Identifier: NCT01006213

【 授权许可】

CC BY   
© Rodríguez Cristóbal et al; licensee BioMed Central Ltd. 2010