| Title: |
Self-management for obesity and cardio-metabolic fitness: Description and evaluation of the lifestyle modification program of a randomised controlled trial |
| Authors: |
Coates Alison M; Warren Kate; Owen Katherine; Misan Gary MH; Pettman Tahna L; Buckley Jonathan D; Howe Peter RC |
| Source: |
International Journal of Behavioral Nutrition and Physical Activity, Vol 5, Iss 1, p 53 (2008) |
| Publisher Information: |
BMC |
| Publication Year: |
2008 |
| Collection: |
Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: |
Nutritional diseases. Deficiency diseases; RC620-627; Public aspects of medicine; RA1-1270 |
| Description: |
Background Sustainable lifestyle modification strategies are needed to address obesity and cardiovascular risk factors. Intensive, individualised programs have been successful, but are limited by time and resources. We have formulated a group-based lifestyle education program based upon national diet and physical activity (PA) recommendations to manage obesity and cardio-metabolic risk factors. This article describes the content and delivery of this program, with information on compliance and acceptability. Methods Overweight/obese adults ( n = 153) with metabolic syndrome were recruited from the community and randomly allocated to intervention (INT) or control (CON). Written copies of Australian national dietary and PA guidelines were provided to all participants. INT took part in a 16-week lifestyle program which provided a curriculum and practical strategies on 1) dietary and PA information based on national guidelines, 2) behavioural self-management tools, 3) food-label reading, supermarkets tour and cooking, 4) exercise sessions, and 5) peer-group support. Compliance was assessed using attendance records and weekly food/PA logs. Participants' motivations, perceived benefits and goals were assessed through facilitated discussion. Program acceptability feedback was collected through structured focus groups. Results Although completion of weekly food/PA records was poor, attendance at information/education sessions (77% overall) and exercise participation (66% overall) was high, and compared with CON, multiple markers of body composition and cardio-metabolic health improved in INT. Participants reported that the most useful program components included food-label reading, cooking sessions, and learning new and different physical exercises, including home-based options. Participants also reported finding self-management techniques helpful, namely problem solving and short-term goal setting. The use of a group setting and supportive 'peer' leaders were found to be supportive. More frequent clinical ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
http://www.ijbnpa.org/content/5/1/53; https://doaj.org/toc/1479-5868; https://doaj.org/article/edba0aa67294498bac130b4dc29ab4c4 |
| DOI: |
10.1186/1479-5868-5-53 |
| Availability: |
https://doi.org/10.1186/1479-5868-5-53; https://doaj.org/article/edba0aa67294498bac130b4dc29ab4c4 |
| Accession Number: |
edsbas.DFC08AE7 |
| Database: |
BASE |