We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Hospital Intervention to Reduce Overweight with Educational Reinforcement after Discharge: A Multicenter Randomized Clinical Trial.
- Authors
Herrera-Espiñeira, Carmen; Martínez-Cirre, María del Carmen; López-Morales, Manuel; Lozano-Sánchez, Antonia; Rodríguez-Ruíz, Antonia; Salmerón-López, Laura Esther; Gómez-Crespo, María Isabel; Expósito-Ruíz, Manuela
- Abstract
Introduction: Obesity and overweight affect more than one-third of the world's population and pose a major public health problem. Objective: To evaluate the impact of an educational intervention on dietary habits and physical exercise in patients with overweight admitted to departments of internal medicine, comprising a pre-discharge educational session with follow-up and reinforcement by telephone at 3, 6, and, 12 months post-discharge. Outcome variables were weight, systolic (SBP) and diastolic (DBP) blood pressures, health-related quality of life (HRQOL), hospital readmissions, emergency department visits, and death. Method: A randomized experimental study with a control group was performed in hospitalized non-diabetic adults aged ≥18 years with body mass index (BMI) ≥25 Kg/m2. Results and conclusions: The final sample included 273 patients. At three months post-discharge, the intervention group had lower SBP and DPB and improved dietary habits (assessed using the Pardo Questionnaire) and VAS-assessed HRQOL in comparison to the control group but a worse EQ-5Q-5L-assessed HRQOL. There were no between-group differences in hospital readmissions, emergency department visits, or mortality at any time point. Both groups evidenced a progressive improvement over the three follow-up periods in weight, SBP, and dietary habits but a worsening of EQ-5D-5L-value-assessed HRQOL. Discussion: The intervention group showed greater improvements over the short term, but between-group differences disappeared at 6 and 12 months. Weight loss and improvements in key outcomes were observed in both groups over the follow-up period. Further research is warranted to determine whether a minimum intervention with an educational leaflet, follow-up phone calls, and questionnaires on overweight-related healthy habits, as in the present control group, may be an equally effective strategy without specific individual educational input.
- Subjects
PREVENTION of obesity; HOSPITALS; OBESITY; FOOD habits; RESEARCH; INTERNAL medicine; HOSPITAL emergency services; BODY weight; SYSTOLIC blood pressure; DIET; PATIENT readmissions; RANDOMIZED controlled trials; PRE-tests &; post-tests; COMPARATIVE studies; EXERCISE; QUALITY of life; QUESTIONNAIRES; PATIENT education; MEDICAL appointments; DEATH; STATISTICAL sampling; BODY mass index; DISCHARGE planning; TELEMEDICINE; EDUCATIONAL outcomes
- Publication
Nutrients, 2022, Vol 14, Issue 12, p2499
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu14122499