School of Medicine Sydney, Rural Clinical School, The University of Notre Dame Australia, Wagga Wagga, NSW, Australia.
Murrumbidgee Primary Health Network, Wagga Wagga, NSW, Australia.
J Prim Care Community Health. 2022 Jan-Dec;13:21501319221084166. doi: 10.1177/21501319221084166.
Australia has one of the highest rates of obesity in the developed world. In response to increasing rates of overweight and obesity in rural Australia, one regional primary health network commissioned the development of a multi-faceted weight and lifestyle management program, addressing nutrition, physical activity, and psychological approaches to behavioral change. This study evaluated the success of the program that was implemented in multiple general practices within regional New South Wales.
De-identified data were received from 16 general practices that participated in the Murrumbidgee Lifestyle and Weight Management Program (MLWMP). Patient weight outcome and functional status measures were determined using descriptive statistics (SPSS).
Mean body mass index (BMI) of the 1217 participants was 37.4 kg/m and 75% of participants were female. Almost 40% of participants who had a BMI ≥ 40 kg/m had been diagnosed with a mental health condition. Upon completion of the program at 6 months, participants had lost an average of 3.2 kg. Over 31% of participants had lost at least 5% of their initial weight and 40% had reduced their waist circumference by at least 5 cm. Overall health and functional status measures were significantly higher upon program completion. There were significant improvements in quality of life measures regardless of level of weight loss during the program.
The MLWMP, implemented in general practices within rural and regional Australia, had positive effects on both practices and participants demonstrating the value of intervention programs in primary care. Participants achieved a modest reduction in BMI, waist circumference, and weight. Further work is needed to determine the longer-term success of the program.
澳大利亚是发达国家中肥胖率最高的国家之一。为应对澳大利亚农村地区超重和肥胖率的上升，一个地区性初级卫生网络委托开发了一个多方面的体重和生活方式管理计划，涵盖营养、身体活动和心理行为改变方法。本研究评估了在新南威尔士州农村地区的多个全科诊所实施的该计划的成功情况。
从参与默伦比迪生活方式和体重管理计划（MLWMP）的 16 个全科诊所收到了去标识数据。使用描述性统计（SPSS）确定患者体重结果和功能状态测量值。
1217 名参与者的平均体重指数（BMI）为 37.4kg/m，75%的参与者为女性。近 40%的 BMI≥40kg/m的参与者被诊断患有心理健康状况。在 6 个月的项目完成时，参与者平均减轻了 3.2kg。超过 31%的参与者减轻了至少 5%的初始体重，40%的参与者减少了至少 5cm的腰围。整体健康和功能状态测量值在项目完成时显著提高。无论在项目期间体重减轻多少，生活质量测量值都有显著改善。
MLWMP 在澳大利亚农村和地区的全科诊所实施，对实践和参与者都产生了积极影响，证明了初级保健干预计划的价值。参与者的 BMI、腰围和体重都有适度减少。需要进一步的工作来确定该计划的长期成功。
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