Adherence to an overweight and obesity treatment: how to motivate a patient?

Please use this identifier to cite or link to this item: http://hdl.handle.net/10045/40583
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dc.contributorEnfermería y Cultura de los Cuidadoses
dc.contributorSalud y Cuidados en Grupos Vulnerables (SACU)es
dc.contributor.authorKuzmar, Isaac-
dc.contributor.authorRizo-Baeza, Mercedes-
dc.contributor.authorCortés Castell, Ernesto-
dc.contributor.otherUniversidad de Alicante. Departamento de Enfermeríaes
dc.date.accessioned2014-09-24T08:17:37Z-
dc.date.available2014-09-24T08:17:37Z-
dc.date.issued2014-07-29-
dc.identifier.citationKuzmar I, Rizo M, Cortés-Castell E. (2014) Adherence to an overweight and obesity treatment: how to motivate a patient? PeerJ 2:e495 http://dx.doi.org/10.7717/peerj.495es
dc.identifier.issn2167-8359-
dc.identifier.urihttp://hdl.handle.net/10045/40583-
dc.description.abstractObjective. To explore anthropometric changes in normal-weight, overweight and obese subjects who did not dropout or fail a weight loss program over the 16 treatment weeks to improve patient motivation and treatment adherence. Methods. A clinical intervention study was conducted among 271 (including 100 dropouts and/or failures) obese and overweight patients who consulted a nutrition clinic in Barranquilla (Colombia) for the purpose of nutritional assessment. They were subject to a personalized weekly follow-up consultation over the course of 16 weeks in which initial and the final Body Mass Index (BMI, kg/m2), photographs, food consumption patterns, percentage weight loss, waist and hip circumference were registered and grouped according to BMI, measuring treatment response. Data’s nonparametric statistical comparison was made. Results. In 62 patients from the BMI < 25 group, there is weight loss of 2.6% (3.1 SD), 5.5% (3.3 SD) in waist circumference and 3.0% (2.5 SD) in hip circumference. In 67 patients from the 25 ≥ BMI < 30 group, there is weight loss of 3.8% (4.1 SD), 5.7% (4.5 SD) in waist circumference loss and 3.7% (3.0 SD) in hip circumference loss. In 42 patients from the BMI > 30 group, there is weight loss of 4.8% (3.7 SD), 7.0% (3.6 SD) in waist circumference loss and 3.9% (2.4 SD) in hip circumference loss. Monitoring is done every 4 weeks by the Friedman test, with significant differences between the three groups (p < 0.001). Patients do not drop out of treatment because they start to see physical results in waist decrease. When comparing final values of initial waist/hip circumference ratios and waist/height ratios, a clear decrease in the three BMI groups was observed (p < 0.001). Conclusion. After three weeks of continuous treatment patients improved in all overweight and obesity parameter indicators; there were not statistically significant differences in hip circumference (HC) and waist loss (WC) (%) among the three BMI groups (normal-weight, overweight, and obesity). In contrast, there were statistically significant differences in weight loss (%) and waist-to-hip ratios. Based on anthropometric outcomes and patient perception of their body image it can be concluded that the waist circumference loss is the parameter that retains obese patients in the weight loss program.es
dc.languageenges
dc.publisherPeerJ Inc.es
dc.rightsCopyright 2014 Kuzmar et al. Distributed under Creative Commons CC-BY 4.0es
dc.subjectTreatment adherencees
dc.subjectOverweightes
dc.subjectObesityes
dc.subjectWaist circumferencees
dc.subjectHip circumferencees
dc.subjectMotivationes
dc.subject.otherEnfermeríaes
dc.titleAdherence to an overweight and obesity treatment: how to motivate a patient?es
dc.typeinfo:eu-repo/semantics/articlees
dc.peerreviewedsies
dc.identifier.doi10.7717/peerj.495-
dc.relation.publisherversionhttp://dx.doi.org/10.7717/peerj.495es
dc.identifier.cvIDA7379007-
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
Appears in Collections:INV - EYCC - Artículos de Revistas
INV - SACU - Artículos de Revistas

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