A four week residential program for primary health care patients to control obesity and related heart risk factors: effective application of principles of learning and lifestyle change
1999 (English)In: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 53, no Suppl 2, S72-77 p.Article in journal (Refereed) Published
OBJECTIVE: To test the short and long-term effectiveness of a four week residential program for primary health care patients to control obesity and related risk factors for cardio-vascular disease (CVD), especially blood pressure (BP).
DESIGN: Prospective clinical study, with follow up after 1 and 5 y.
SETTING: Vindeln Patient Education Centre, Vindeln, and Department of Social Medicine, University of Umea, Sweden.
SUBJECTS: Approximately 2500 individuals, with two or more of the traditional risk factors for CVD, participated in the program. This report describes a subsample of 100 consecutive patients, 52+/-9 y, 53 men, with obesity and/or high BP. Intervention: Four week residential program with lectures and group discussions as well as practical sessions in smaller groups (meal preparations, physical exercise, etc). The patients were followed-up medically in their home area.
OUTCOME MEASURES: Weight and blood pressure.
RESULTS: Dramatic reductions of weight and, especially, of blood pressure (BP) occurred during the residential weeks, and the reductions were pronounced also after 1 y. After 5 y, the total mean weight among men with initial BMI > or = 30 kg/m2 was still 5 kg lower, and diastolic and systolic BP among those with hypertension was 15 and 20 mm Hg lower, respectively, than before the program.
CONCLUSIONS: The full-time participation in the residential program and the enrollment and commitment of the patients may explain the clinical outcome. A level of predisposition greater than that required of most weight- and BP-control programs was confirmed and a great preventive or therapeutic potential was indicated. The study illustrates an effective application of the Precede-Proceed model of health promotion planning.
Place, publisher, year, edition, pages
1999. Vol. 53, no Suppl 2, S72-77 p.
Food habits; Health promotion; Hypertension; Nutrition; Obesity; Patient education; Physical activity; Prevention; Primary health care
Nutrition and Dietetics
Research subject Public health; Nutrition
IdentifiersURN: urn:nbn:se:uu:diva-304943DOI: 10.1038/sj.ejcn.1600807ISI: 000080874300015PubMedID: 10406442ScopusID: 2-s2.0-0344731344OAI: oai:DiVA.org:uu-304943DiVA: diva2:1034320