Gereklioglu Cigdem, Topal Kenan, Velipasaoglu Hatice, Aksoy Huseyin
Cigdem Gereklioglu Associate Professor, Cukurova University Medical School, Department of Family Medicine, Adana/Turkey.
Kenan Topal Associate Professor, Health Sciences University, Adana City, Training and Research Hospital, Department of Family Medicine, Adana/Turkey.
Pak J Med Sci. 2024 Mar-Apr;40(4):685-689. doi: 10.12669/pjms.40.4.7373.
BACKGROUND & OBJECTIVE: The prevalence of obesity is gradually increasing in our country and worldwide. Being obese and overweight are risk factors for chronic diseases. Obesity has a multifactorial etiology, so treatment should involve lifestyle changes, psychological strategies, pharmacologic treatment, and bariatric surgery. The present study aimed to investigate the effectiveness of the trans-theoretical stages of change (TTM SOC) model in managing adult obese and overweight patients.
This prospective cohort study was conducted with 133 adults who were admitted to the Family Medicine Outpatient Clinic of Adana City Research and Training Hospital between April 1, 2017, and April 30, 2019. Socio-demographic characteristics, blood pressures, anthropometric measurements, and laboratory data were compared between the baseline and the first, third, and sixth months.
Body mass index (BMI) was higher among those with a low educational level. The mean age, the number of medications used, and the metabolic parameter values were significantly lower among the participants who did not have a chronic disease. Blood pressures, weight, BMI, plasma glucose and insulin, HOMA-IR, and triglyceride were statistically significantly higher at the baseline compared to follow-up values. Fasting plasma glucose was higher at the baseline in diabetic patients. The results were compared with Student t and One Way ANOVA tests. The Pearson correlation coefficient was used to demonstrate the association between baseline and repeated metabolic measurements.
The trans-theoretical model is effective in managing adult obese and overweight individuals and also in glycemic control in obese Type-2 diabetics.
我国及全球肥胖患病率均在逐渐上升。肥胖和超重是慢性疾病的危险因素。肥胖病因具有多因素性，因此治疗应包括生活方式改变、心理策略、药物治疗及减重手术。本研究旨在探讨跨理论改变阶段（TTM SOC）模型在管理成年肥胖和超重患者中的有效性。
本前瞻性队列研究对2017年4月1日至2019年4月30日期间在阿达纳市研究与培训医院家庭医学门诊就诊的133名成年人进行。比较了基线、第1个月、第3个月和第6个月时的社会人口学特征、血压、人体测量数据及实验室数据。
教育水平低者的体重指数（BMI）更高。无慢性病参与者的平均年龄、用药数量及代谢参数值显著更低。与随访值相比，基线时的血压、体重、BMI、血浆葡萄糖和胰岛素、HOMA-IR及甘油三酯在统计学上显著更高。糖尿病患者基线时的空腹血糖更高。结果采用Student t检验和单因素方差分析进行比较。Pearson相关系数用于证明基线与重复代谢测量之间的关联。
跨理论模型在管理成年肥胖和超重个体以及肥胖2型糖尿病患者的血糖控制方面有效。
