Tárraga Marcos M Loreto, Rosich Nuria, Panisello Royo Josefa María, Gálvez Casas Aránzazu, Serrano Selva Juan P, Rodríguez-Montes José Antonio, Tárraga López Pedro J
Enfermera Residencia Geriátrica Los Álamos de Santa Gema. Albacete..
Nutricionista Fundación Fomento de la salud (FUFOSA)..
Nutr Hosp. 2014 Oct 1;30(4):741-8. doi: 10.3305/nh.2014.30.4.7704.
Changing unhealthy behaviors: Diet and physical activity are key to treating obesity. The objective of this study is to determine whether an intervention group motivational intervention group by nurses trained by expert psychologist, complementary to the usual intervention is more effective than the latter in the treatment of overweight and obesity in relation to weight reduction percentage and the persistence over time of the reduction achieved.
A multicenter randomized clinical trial of intervention in overweight and obese patients. Randomization of the intervention by health areas (ZBS). Two groups located in different centers separated, one of which will receive motivational intervention group (study group) and the other routine monitoring (control group) were established.
Sociodemographic, results: percentage of patients reduced by 5% of its weight and maintenance over time, anthropometric assessment, assessment of cardiovascular risk factors and laboratory data.
696 patients were studied; 377 control and 319 study group. In both groups the weight down in each of the visits. The mean percentage weight reduction stood at 1% for the control group and 2.5% in the intervention group (p -value = 0.009). 55.8% of patients reduced the weight in the control group and 65.5% of the study group (p -value = 0.0391). 18.1% of the control patient lost more than 5% by weight, in the intervention group, this percentage increased to 26.9%; statistically significant ( p -value = 0.0304). For the 10% target no significant differences at 2 years were detected (5% vs. 8%). It was found that after two years the BMI in the control group an average 0.9 kg/m2 and 2.4 kg/m2 was reduced in the study group ( p -value = 0.0237).
based motivational group intervention program can improve anthropometric and lifestyle parameters in obese patients treated in a primary care center.
改变不健康行为：饮食和体育活动是治疗肥胖症的关键。本研究的目的是确定由专家心理学家培训的护士组成的干预组（动机干预组），作为常规干预的补充，在治疗超重和肥胖症方面，相对于体重减轻百分比以及所实现减重的长期持续性，是否比常规干预更有效。
一项针对超重和肥胖患者的多中心随机临床试验。按健康区域（ZBS）进行干预随机分组。设立两组，分别位于不同中心，一组接受动机干预组（研究组），另一组接受常规监测（对照组）。
社会人口统计学、结果：体重减轻5%及长期维持的患者百分比、人体测量评估、心血管危险因素评估及实验室数据。
共研究了696例患者；377例为对照组，319例为研究组。两组在每次就诊时体重均下降。对照组体重平均减轻百分比为1%，干预组为2.5%（p值 = 0.009）。对照组55.8%的患者体重减轻，研究组为65.5%（p值 = 0.0391）。对照组18.1%的患者体重减轻超过5%，在干预组，这一百分比增至26.9%；具有统计学意义（p值 = 0.0304）。对于10%的目标，在2年时未检测到显著差异（5%对8%）。发现两年后对照组的体重指数平均下降0.9 kg/m²，研究组下降2.4 kg/m²（p值 = 0.0237）。
基于动机的小组干预计划可改善在初级保健中心接受治疗的肥胖患者的人体测量和生活方式参数。
