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: | https://doi.org/10.1186/s12889-020-08796-1 http://hdl.handle.net/1843/65529 http://orcid.org/0000-0001-9782-2606 https://orcid.org/0000-0001-9836-3704 |
Resumo: | CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico |
| id |
UFMG_953b6d0b6e9eb00b25baf5c668f91343 |
|---|---|
| oai_identifier_str |
oai:repositorio.ufmg.br:1843/65529 |
| network_acronym_str |
UFMG |
| network_name_str |
Repositório Institucional da UFMG |
| repository_id_str |
|
| spelling |
2024-03-08T17:58:57Z2024-03-08T17:58:57Z2020-05-11201e65212https://doi.org/10.1186/s12889-020-08796-11471-2458http://hdl.handle.net/1843/65529http://orcid.org/0000-0001-9782-2606https://orcid.org/0000-0001-9836-3704CNPq - 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 NUTRIÇÃOENFERMAGEM - ESCOLA DE ENFERMAGEMBMC Public HealthAtenção Primária à SaúdeModelos TeóricosComportamento AlimentarObesidadeEstudos de IntervençãoObesityIntervention studiesFeeding behaviorTheoretical modelsPrimary health careThe transtheoretical model is an effective weight management intervention: a randomized controlled trialinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08796-1Patrícia Pinheirode 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/1843/65529/1/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/pdf662583https://repositorio.ufmg.br/bitstream/1843/65529/2/The%20transtheoretical%20model%20is%20an%20effective%20weight%20management%20intervention_%20a%20randomized%20controlled%20trial.pdf726170b6a99eb6ac5da93ec018dc4442MD521843/655292024-03-08 14:58:57.927oai:repositorio.ufmg.br:1843/65529TElDRU7vv71BIERFIERJU1RSSUJVSe+/ve+/vU8gTu+/vU8tRVhDTFVTSVZBIERPIFJFUE9TSVTvv71SSU8gSU5TVElUVUNJT05BTCBEQSBVRk1HCiAKCkNvbSBhIGFwcmVzZW50Ye+/ve+/vW8gZGVzdGEgbGljZW7vv71hLCB2b2Pvv70gKG8gYXV0b3IgKGVzKSBvdSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGRlIGF1dG9yKSBjb25jZWRlIGFvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIChSSS1VRk1HKSBvIGRpcmVpdG8gbu+/vW8gZXhjbHVzaXZvIGUgaXJyZXZvZ++/vXZlbCBkZSByZXByb2R1emlyIGUvb3UgZGlzdHJpYnVpciBhIHN1YSBwdWJsaWNh77+977+9byAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0cu+/vW5pY28gZSBlbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mg77+9dWRpbyBvdSB277+9ZGVvLgoKVm9j77+9IGRlY2xhcmEgcXVlIGNvbmhlY2UgYSBwb2zvv710aWNhIGRlIGNvcHlyaWdodCBkYSBlZGl0b3JhIGRvIHNldSBkb2N1bWVudG8gZSBxdWUgY29uaGVjZSBlIGFjZWl0YSBhcyBEaXJldHJpemVzIGRvIFJJLVVGTUcuCgpWb2Pvv70gY29uY29yZGEgcXVlIG8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVGTUcgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250Ze+/vWRvLCB0cmFuc3BvciBhIHN1YSBwdWJsaWNh77+977+9byBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHvv73vv71vLgoKVm9j77+9IHRhbWLvv71tIGNvbmNvcmRhIHF1ZSBvIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRk1HIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPvv71waWEgZGUgc3VhIHB1YmxpY2Hvv73vv71vIHBhcmEgZmlucyBkZSBzZWd1cmFu77+9YSwgYmFjay11cCBlIHByZXNlcnZh77+977+9by4KClZvY++/vSBkZWNsYXJhIHF1ZSBhIHN1YSBwdWJsaWNh77+977+9byDvv70gb3JpZ2luYWwgZSBxdWUgdm9j77+9IHRlbSBvIHBvZGVyIGRlIGNvbmNlZGVyIG9zIGRpcmVpdG9zIGNvbnRpZG9zIG5lc3RhIGxpY2Vu77+9YS4gVm9j77+9IHRhbWLvv71tIGRlY2xhcmEgcXVlIG8gZGVw77+9c2l0byBkZSBzdWEgcHVibGljYe+/ve+/vW8gbu+/vW8sIHF1ZSBzZWphIGRlIHNldSBjb25oZWNpbWVudG8sIGluZnJpbmdlIGRpcmVpdG9zIGF1dG9yYWlzIGRlIG5pbmd177+9bS4KCkNhc28gYSBzdWEgcHVibGljYe+/ve+/vW8gY29udGVuaGEgbWF0ZXJpYWwgcXVlIHZvY++/vSBu77+9byBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2Pvv70gZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc++/vW8gaXJyZXN0cml0YSBkbyBkZXRlbnRvciBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgcGFyYSBjb25jZWRlciBhbyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7vv71hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Tvv70gY2xhcmFtZW50ZSBpZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250Ze+/vWRvIGRhIHB1YmxpY2Hvv73vv71vIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFBVQkxJQ0Hvv73vv71PIE9SQSBERVBPU0lUQURBIFRFTkhBIFNJRE8gUkVTVUxUQURPIERFIFVNIFBBVFJPQ++/vU5JTyBPVSBBUE9JTyBERSBVTUEgQUfvv71OQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PLCBWT0Pvv70gREVDTEFSQSBRVUUgUkVTUEVJVE9VIFRPRE9TIEUgUVVBSVNRVUVSIERJUkVJVE9TIERFIFJFVklT77+9TyBDT01PIFRBTULvv71NIEFTIERFTUFJUyBPQlJJR0Hvv73vv71FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKTyBSZXBvc2l077+9cmlvIEluc3RpdHVjaW9uYWwgZGEgVUZNRyBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lKHMpIG91IG8ocykgbm9tZXMocykgZG8ocykgZGV0ZW50b3IoZXMpIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBkYSBwdWJsaWNh77+977+9bywgZSBu77+9byBmYXLvv70gcXVhbHF1ZXIgYWx0ZXJh77+977+9bywgYWzvv71tIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7vv71hLgo=Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-03-08T17:58:57Repositório 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 |
| 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 Pinheirode Freitas Obesity Intervention studies Feeding behavior Theoretical models Primary health care Atenção Primária à Saúde Modelos Teóricos Comportamento Alimentar Obesidade Estudos de Intervenção |
| 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 Pinheirode Freitas |
| author_facet |
Patrícia Pinheirode 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 Pinheirode 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 Atenção Primária à Saúde Modelos Teóricos Comportamento Alimentar Obesidade Estudos de Intervenção |
| dc.subject.other.pt_BR.fl_str_mv |
Atenção Primária à Saúde Modelos Teóricos Comportamento Alimentar Obesidade Estudos de Intervenção |
| description |
CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico |
| publishDate |
2020 |
| dc.date.issued.fl_str_mv |
2020-05-11 |
| dc.date.accessioned.fl_str_mv |
2024-03-08T17:58:57Z |
| dc.date.available.fl_str_mv |
2024-03-08T17:58:57Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/65529 |
| dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.1186/s12889-020-08796-1 |
| dc.identifier.issn.pt_BR.fl_str_mv |
1471-2458 |
| dc.identifier.orcid.pt_BR.fl_str_mv |
http://orcid.org/0000-0001-9782-2606 https://orcid.org/0000-0001-9836-3704 |
| url |
https://doi.org/10.1186/s12889-020-08796-1 http://hdl.handle.net/1843/65529 http://orcid.org/0000-0001-9782-2606 https://orcid.org/0000-0001-9836-3704 |
| identifier_str_mv |
1471-2458 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.ispartof.pt_BR.fl_str_mv |
BMC Public Health |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
| dc.publisher.initials.fl_str_mv |
UFMG |
| dc.publisher.country.fl_str_mv |
Brasil |
| dc.publisher.department.fl_str_mv |
ENF - DEPARTAMENTO DE ENFERMAGEM APLICADA ENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA ENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA ENF - DEPARTAMENTO DE NUTRIÇÃO ENFERMAGEM - ESCOLA DE ENFERMAGEM |
| publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
| dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
| instname_str |
Universidade Federal de Minas Gerais (UFMG) |
| instacron_str |
UFMG |
| institution |
UFMG |
| reponame_str |
Repositório Institucional da UFMG |
| collection |
Repositório Institucional da UFMG |
| bitstream.url.fl_str_mv |
https://repositorio.ufmg.br/bitstream/1843/65529/1/License.txt https://repositorio.ufmg.br/bitstream/1843/65529/2/The%20transtheoretical%20model%20is%20an%20effective%20weight%20management%20intervention_%20a%20randomized%20controlled%20trial.pdf |
| bitstream.checksum.fl_str_mv |
fa505098d172de0bc8864fc1287ffe22 726170b6a99eb6ac5da93ec018dc4442 |
| bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
| repository.name.fl_str_mv |
Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
| repository.mail.fl_str_mv |
|
| _version_ |
1803589237211136000 |