The transtheoretical model is an effective weight management intervention: a randomized controlled trial
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFMG |
| Texto Completo: | http://dx.doi.org/10.1186/s12889-020-08796-1 http://hdl.handle.net/1843/53959 https://orcid.org/0000-0001-9836-3704 https://orcid.org/0000-0001-7049-7575 https://orcid.org/0000-0003-2256-8652 https://orcid.org/0000-0001-9782-2606 |
Resumo: | CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico |
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2023-05-25T20:03:52Z2023-05-25T20:03:52Z202020http://dx.doi.org/10.1186/s12889-020-08796-11471-2458http://hdl.handle.net/1843/53959https://orcid.org/0000-0001-9836-3704https://orcid.org/0000-0001-7049-7575https://orcid.org/0000-0003-2256-8652https://orcid.org/0000-0001-9782-2606CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorBackground: Given the current worldwide epidemic of obesity, there is a demand for interventions with higher impact, such as those carried out in the primary health care (PHC) setting. Here we evaluate the effect of intervention performed according to the stages of change of the transtheoretical model (TTM) for weight management. Methods: This randomized controlled trial in Brazilian PHC offered free physical exercise and nutrition education. The participants were women, aged 20 years or older who were obese or overweight, users in PHC service. The intervention group (IG, n = 51) received the same orientation as the comparison group (CG, n = 35) plus individual health counseling based on the TTM aimed at weight loss, which lasted 6 months. The outcome measures were anthropometric, food, and nutrient profiles. Inflammatory parameters were evaluated in a random subsample. The inter-group and intra-group differences were evaluated using interntion-to-treat analysis, and analysis of covariance (ANCOVA) used to assess intervention effectiveness. Results: There was a difference between groups of − 1.4 kg (CI95%: − 2.5; − 0.3) in body weight after the intervention. About 97% of women in the IG reported benefits of the intervention and presented positive changes in diet, biochemical markers, and anthropometry. The IG showed better body mass index, resistine, and blood glucose results compared to the CG during follow-up. Conclusion: The individualized TTM-based intervention, combined with usual care, was an effective strategy in PHC. These results should encourage the use of interdisciplinary practices; nevertheless, research to identify additional strategies is needed to address barriers to weight maintenance among obese low-income women.engUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM APLICADAENF - DEPARTAMENTO DE ENFERMAGEM BÁSICAENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICAENF - DEPARTAMENTO DE NUTRIÇÃOBMC Public HealthObesidadeEstudos de intervençãoComportamento alimentarAtenção Primária à SaúdeObesityIntervention studiesFeeding behaviorTheoretical modelsPrimary health careThe transtheoretical model is an effective weight management intervention: a randomized controlled trialO modelo transteórico é um método eficaz intervenção de controle de peso: um teste controlado e aleatórioinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08796-1Patrícia Pinheiro de FreitasMariana Carvalho de MenezesLuana Caroline dos SantosAdriano Marçal PimentaAdaliene Versiani Matos FerreiraAline Cristine Souza Lopesapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/53959/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALThe transtheoretical model is an effective weight management intervention_ a randomized controlled trial.pdfThe transtheoretical model is an effective weight management intervention_ a randomized controlled trial.pdfapplication/pdf739136https://repositorio.ufmg.br/bitstream/1843/53959/2/The%20transtheoretical%20model%20is%20an%20effective%20weight%20management%20intervention_%20a%20randomized%20controlled%20trial.pdfd2d1927884f48bda979619d0824d28a5MD521843/539592023-05-25 17:03:52.199oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-05-25T20:03:52Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
| dc.title.pt_BR.fl_str_mv |
The transtheoretical model is an effective weight management intervention: a randomized controlled trial |
| dc.title.alternative.pt_BR.fl_str_mv |
O modelo transteórico é um método eficaz intervenção de controle de peso: um teste controlado e aleatório |
| title |
The transtheoretical model is an effective weight management intervention: a randomized controlled trial |
| spellingShingle |
The transtheoretical model is an effective weight management intervention: a randomized controlled trial Patrícia Pinheiro de Freitas Obesity Intervention studies Feeding behavior Theoretical models Primary health care Obesidade Estudos de intervenção Comportamento alimentar Atenção Primária à Saúde |
| title_short |
The transtheoretical model is an effective weight management intervention: a randomized controlled trial |
| title_full |
The transtheoretical model is an effective weight management intervention: a randomized controlled trial |
| title_fullStr |
The transtheoretical model is an effective weight management intervention: a randomized controlled trial |
| title_full_unstemmed |
The transtheoretical model is an effective weight management intervention: a randomized controlled trial |
| title_sort |
The transtheoretical model is an effective weight management intervention: a randomized controlled trial |
| author |
Patrícia Pinheiro de Freitas |
| author_facet |
Patrícia Pinheiro de Freitas Mariana Carvalho de Menezes Luana Caroline dos Santos Adriano Marçal Pimenta Adaliene Versiani Matos Ferreira Aline Cristine Souza Lopes |
| author_role |
author |
| author2 |
Mariana Carvalho de Menezes Luana Caroline dos Santos Adriano Marçal Pimenta Adaliene Versiani Matos Ferreira Aline Cristine Souza Lopes |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Patrícia Pinheiro de Freitas Mariana Carvalho de Menezes Luana Caroline dos Santos Adriano Marçal Pimenta Adaliene Versiani Matos Ferreira Aline Cristine Souza Lopes |
| dc.subject.por.fl_str_mv |
Obesity Intervention studies Feeding behavior Theoretical models Primary health care |
| topic |
Obesity Intervention studies Feeding behavior Theoretical models Primary health care Obesidade Estudos de intervenção Comportamento alimentar Atenção Primária à Saúde |
| dc.subject.other.pt_BR.fl_str_mv |
Obesidade Estudos de intervenção Comportamento alimentar Atenção Primária à Saúde |
| description |
CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico |
| publishDate |
2020 |
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2020 |
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2023-05-25T20:03:52Z |
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2023-05-25T20:03:52Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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http://hdl.handle.net/1843/53959 |
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http://dx.doi.org/10.1186/s12889-020-08796-1 |
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1471-2458 |
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https://orcid.org/0000-0001-9836-3704 https://orcid.org/0000-0001-7049-7575 https://orcid.org/0000-0003-2256-8652 https://orcid.org/0000-0001-9782-2606 |
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1471-2458 |
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eng |
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BMC Public Health |
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openAccess |
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Universidade Federal de Minas Gerais |
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Brasil |
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Universidade Federal de Minas Gerais |
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