Team-based Get-a-Grip" lifestyle management programme in the treatment of obesity"

Jyrki Taurio, Jorma Järvinen, Elina Hautaniemi, Arttu Eräranta, Jani Viitala, Klaus Nordhausen, Katri Kaukinen, Jukka Mustonen, Ilkka Pörsti

    Research output: Contribution to journalArticleScientificpeer-review

    1 Citation (Scopus)
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    Abstract

    This study examined weight loss during an extensive 1-year lifestyle programme in primary care in Finland in overweight subjects (n = 134, age 18–69 years; BMI > 30, or BMI > 25 with a comorbidity that would benefit from weight loss) between 2009 and 2013 in a single arm design. The programme included four medical doctor visits, five sessions by a dietitian (advice on diet and on-location shopping behaviour), cooking classes, exercise supervised by personal trainer, and group discussions. A motivational interview method was applied.

    Of the 134 participants, 92 (69%) completed the 1-year programme. Among the participants 44% lost ≥ 5%, while 21% lost ≥ 10% of their initial body weight. In intention-to-treat-analyses, the mean weight loss during one year was 4.8 kg (p < 0.001). Mean BMI decreased by 1.7 kg/m2 (p < 0.001) and waist circumference by 5.6 cm (p < 0.001). Mean muscle mass increased by 3.3% (p < 0.001), and body fat decreased by 5.0% (p < 0.001). After the programme mean visceral fat content was reduced by 6.4%, systolic blood pressure by 8 mmHg (p < 0.001), and diastolic blood pressure by 6 mmHg (p < 0.001).

    In conclusion, retention to the team-based lifestyle management programme resulted in moderate but significant weight loss with beneficial changes in body composition, and the trend to lose weight was maintained throughout the year.

    Trial registration: Clinicaltrials.gov identifier NCT04003259.
    Original languageEnglish
    Article number101119
    JournalPreventive Medicine Reports
    Volume19
    DOIs
    Publication statusPublished - 2020
    Publication typeA1 Journal article-refereed

    Keywords

    • diet
    • exercise
    • lifestyle
    • obesity
    • weight control

    Publication forum classification

    • Publication forum level 1

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