Department of General Practice, Turku University and Turku University Hospital, Turku, Finland.
Perusturvakuntayhtyma Akseli, Masku, Finland.
Scand J Prim Health Care. 2021 Sep;39(3):382-388. doi: 10.1080/02813432.2021.1958510. Epub 2021 Sep 3.
Overweight and obesity are increasing globally. General practitioners (GP's) are at the first point of contact for medical support and consequently have a major role in resolving this overwhelming problem. The aim of this study was to assess the effectiveness of a brief lifestyle counselling on weight management and on the participants' quality of life (QoL).
A cohort study with a one-year follow-up.
Occupational health care, city of Pori in southwestern Finland.
Female municipal employees ( = 625) with a mean age of 48 (SD 9) years.
A nurse and a physiotherapist gave lifestyle counselling to all the participants; however, only the overweight/obese subjects were recommended to lose at least 5% of their initial weight.
Success in weight management and quality of life.
At the follow-up visit, 10.4% (95% CI: 7.5-14.0) of the overweight/obese subjects had lost at least 5% of their weight, but 10.0% (95% CI: 6.7-14.3) of the normal-weight participants had become overweight. The mean weight change was +0.1 kg (95% CI: -0.3-0.5) in the overweight/obese group and +0.5 kg (95% CI: 0.2-0.8) in the normal weight group. The change in QoL was inversely correlated with relative weight change in overweight/obese subjects, albeit the effect size was small.
Weight management counselling should also be directed to individuals with a normal weight. Even with brief lifestyle counselling it may be possible to stabilize weight gain. Successful weight loss may improve the QoL of overweight/obese individuals.KEY POINTSPrimary health care has to deal with the increasing problem of overweight and obesity.Brief lifestyle counselling performed by a nurse and a physiotherapist seems to be quite effective in weight stabilization, considering the effort needed.People with normal weight tend to gain weight and weight management counselling should also be directed to them. Successful weight management may improve the quality of life of overweight/obese people.
超重和肥胖在全球范围内呈上升趋势。全科医生（GP）是提供医疗支持的第一接触点，因此在解决这一压倒性问题方面发挥着重要作用。本研究旨在评估简短的生活方式咨询对体重管理和参与者生活质量（QoL）的有效性。
一项为期一年随访的队列研究。
芬兰西南部波里市的职业保健。
女性市立员工（ = 625），平均年龄 48（SD 9）岁。
护士和物理治疗师为所有参与者提供生活方式咨询；然而，仅建议超重/肥胖患者至少减轻初始体重的 5%。
体重管理和生活质量的成功。
在随访时，10.4%（95%CI：7.5-14.0）的超重/肥胖患者减轻了至少 5%的体重，但 10.0%（95%CI：6.7-14.3）的正常体重参与者超重。超重/肥胖组的平均体重变化为+0.1kg（95%CI：-0.3-0.5），正常体重组为+0.5kg（95%CI：0.2-0.8）。超重/肥胖患者的 QoL 变化与相对体重变化呈负相关，尽管效应量较小。
即使是简短的生活方式咨询，也应该对体重正常的人进行体重管理咨询。通过这种方式，可能可以稳定体重增加。成功减肥可能会提高超重/肥胖者的生活质量。
初级保健必须应对超重和肥胖问题的日益增加。
由护士和物理治疗师进行的简短生活方式咨询在稳定体重方面似乎非常有效，考虑到所需的努力。体重正常的人往往会增加体重，因此也应该对他们进行体重管理咨询。成功的体重管理可能会改善超重/肥胖人群的生活质量。
