Department of Family Medicine, Faculty of Medicine, Çukurova University, Adana, Turkey.
Obes Facts. 2018;11(1):1-14. doi: 10.1159/000486133. Epub 2018 Feb 7.
Lifestyle modification requires extensive information sharing and counseling. However, one-on-one primary care consultations are lacking to cover all necessary components due to time constraints. This preliminary study aims to investigate the feasibility and effects of lifestyle-changing intervention by family physician-led group visits (GVs) on weight management in overweight and obese women.
60 volunteers fulfilling the inclusion criteria were enrolled. Baseline and 6th month assessments consisted of anthropometric measurements, SF-36 Health Survey, blood variables, exercise test, and resting metabolic rate. Weight maintenance was controlled at the 12th month.
Although weight loss among participants varied, the mean body weights were significantly decreased by 8.2% in full-attenders (n = 30). A significant increase in HDL-cholesterol and decreases in heart rate and blood pressure were found. SF-36 summary scales were significantly improved. Weight change was moderately correlated with exercise duration, compliance to diet, and baseline mental component score. It was determined that 62.5% of the participants either lost or maintained body weight at the 12th month.
Significant weight loss and quality of life improvement was achieved in this pilot study. GVs may be a promising alternative to primary care consultations for obesity management; however, the high dropout level and diverse outcomes need further assessment.
生活方式的改变需要广泛的信息共享和咨询。但是，由于时间限制，一对一的初级保健咨询无法涵盖所有必要的内容。本初步研究旨在探讨家庭医生主导的小组就诊（GVs）对超重和肥胖女性体重管理的改变生活方式干预的可行性和效果。
纳入 60 名符合纳入标准的志愿者。基线和第 6 个月评估包括人体测量学测量、SF-36 健康调查、血液变量、运动测试和静息代谢率。在第 12 个月控制体重维持情况。
尽管参与者的体重减轻情况各不相同，但全勤参与者（n=30）的平均体重显著下降 8.2%。发现高密度脂蛋白胆固醇显著增加，心率和血压降低。SF-36 综合量表显著改善。体重变化与运动持续时间、饮食依从性和基线心理成分评分中度相关。确定在第 12 个月，62.5%的参与者体重减轻或维持。
在这项初步研究中，体重显著减轻和生活质量显著改善。GVs 可能是肥胖管理中初级保健咨询的一种有前途的替代方法；然而，高辍学率和不同的结果需要进一步评估。
