Family-centered brief intervention for reducing obesity and cardiovascular disease risk: A randomized controlled trial.

Show simple item record Duncan, Scott en Goodyear-Smith, Felicity en McPhee, Julia en Zinn, Caryn en Grøntved, Anders en Schofield, Grant en 2018-10-15T03:19:18Z en 2016-11 en
dc.identifier.issn 1930-7381 en
dc.identifier.uri en
dc.description.abstract To assess the effects of a family-centered, physical activity and nutrition "brief" intervention (time-limited contact) on body weight and related health outcomes in primary health care patients with an elevated 5-year cardiovascular disease (CVD) risk.This study implemented a cluster randomized controlled trial design with two treatment conditions: a CVD risk assessment and one-time consultation ("usual care" control) and a CVD risk assessment and up to five home sessions that aimed to reduce obesity by encouraging physical activity and healthy eating (intervention). Three hundred and twenty patients aged 35 to 65 years from 16 primary health care clinics in Auckland, New Zealand, participated in the study. Intervention effects on BMI, waist circumference, blood pressure, blood cholesterol, triglycerides, 5-year CVD risk, physical activity, and dietary patterns were assessed using generalized linear mixed models.When compared with the control group, the intervention resulted in a significant but relatively modest decrease in BMI between baseline and the 12-month follow-up (-0.633 kg m-2 , Padj  = 0.048). Significant decreases were also observed for total cholesterol at 4 and 12 months, the total cholesterol to high-density lipoprotein cholesterol ratio at 4 months, 5-year CVD risk at 4 months, and fast food consumption at 12 months.Our findings show that a family-centered brief intervention targeting physical activity and nutrition can generate slightly better obesity-related health outcomes than usual care alone. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Obesity (Silver Spring, Md.) en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.subject Humans en
dc.subject Cardiovascular Diseases en
dc.subject Obesity en
dc.subject Triglycerides en
dc.subject Body Mass Index en
dc.subject Treatment Outcome en
dc.subject Exercise en
dc.subject Logistic Models en
dc.subject Risk Factors en
dc.subject Follow-Up Studies en
dc.subject Body Composition en
dc.subject Blood Pressure en
dc.subject Adult en
dc.subject Aged en
dc.subject Middle Aged en
dc.subject Health Promotion en
dc.subject Primary Health Care en
dc.subject New Zealand en
dc.subject Female en
dc.subject Male en
dc.subject Cholesterol, LDL en
dc.subject Cholesterol, HDL en
dc.subject Waist Circumference en
dc.subject Healthy Diet en
dc.title Family-centered brief intervention for reducing obesity and cardiovascular disease risk: A randomized controlled trial. en
dc.type Journal Article en
dc.identifier.doi 10.1002/oby.21602 en
pubs.issue 11 en
pubs.begin-page 2311 en
pubs.volume 24 en
dc.rights.holder Copyright: The author en
dc.identifier.pmid 27616217 en
pubs.end-page 2318 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype Randomized Controlled Trial en
pubs.subtype Journal Article en
pubs.elements-id 541769 en Medical and Health Sciences en Population Health en Gen.Practice& Primary Hlthcare en
dc.identifier.eissn 1930-739X en
pubs.record-created-at-source-date 2016-09-13 en
pubs.dimensions-id 27616217 en

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