Dietary counseling on long-term weight loss in overweight hypertensive patients
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/19492 |
Resumo: | OBJECTIVE: This study aimed to evaluate long-term weight loss in overweight hypertensive patients receiving dietary counseling. METHODS: Longitudinal study included overweight hypertensive patients who had an initial individual consultation with a nutritionist between January 2002 and December 2005 and were followed for four years in a hypertension clinic. Patients who had at least four consultations during the follow-up period were included in the dietary counseling group. Those who scheduled their first consultation but missed that appointment or had fewer than four consultations during the follow-up period were allocated to the control group. Target Energy intake was calculated at 20-25 kcal/kg actual body weight/day. RESULTS: The study included 102 patients aged 55 + 1 years old (58 in the dietary counseling group). As compared with the control group, patients in the dietary counseling group showed a significantly greater reduction in body weight (-3.6 + 0.8 vs. 0.8 + 0.7 kg), which remained significant after controlling for age, gender, baseline body mass index, and the use of different antihypertensive and antidiabetic drugs. Weight loss between 5.0% and 9.9% was observed in a significantly higher percentage of patients in the dietary counseling group (28% vs. 11%). A weight loss of at least 10% was only observed in dietary counseling group patients, who had a significantly lower odds ratio for increasing the number and/or dosage of antihypertensive agents, even after controlling for age, gender, and baseline body mass index. CONCLUSIONS: Dietary counseling may be associated with long-term weight loss in overweight hypertensive patients. |
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Clinics |
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Dietary counseling on long-term weight loss in overweight hypertensive patients Weight lossDietary counselingLifestyle interventionHypertensionLong-term follow-up OBJECTIVE: This study aimed to evaluate long-term weight loss in overweight hypertensive patients receiving dietary counseling. METHODS: Longitudinal study included overweight hypertensive patients who had an initial individual consultation with a nutritionist between January 2002 and December 2005 and were followed for four years in a hypertension clinic. Patients who had at least four consultations during the follow-up period were included in the dietary counseling group. Those who scheduled their first consultation but missed that appointment or had fewer than four consultations during the follow-up period were allocated to the control group. Target Energy intake was calculated at 20-25 kcal/kg actual body weight/day. RESULTS: The study included 102 patients aged 55 + 1 years old (58 in the dietary counseling group). As compared with the control group, patients in the dietary counseling group showed a significantly greater reduction in body weight (-3.6 + 0.8 vs. 0.8 + 0.7 kg), which remained significant after controlling for age, gender, baseline body mass index, and the use of different antihypertensive and antidiabetic drugs. Weight loss between 5.0% and 9.9% was observed in a significantly higher percentage of patients in the dietary counseling group (28% vs. 11%). A weight loss of at least 10% was only observed in dietary counseling group patients, who had a significantly lower odds ratio for increasing the number and/or dosage of antihypertensive agents, even after controlling for age, gender, and baseline body mass index. CONCLUSIONS: Dietary counseling may be associated with long-term weight loss in overweight hypertensive patients. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1949210.1590/S1807-59322011001000017Clinics; Vol. 66 No. 10 (2011); 1779-1785 Clinics; v. 66 n. 10 (2011); 1779-1785 Clinics; Vol. 66 Núm. 10 (2011); 1779-1785 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/19492/21555Torres, Márcia Regina Simas GonçalvesFerreira, Thais da SilvaNogueira, Lívia de PaulaNascimento, Danielle Carvalho Sant'Anna doSanjuliani, Antonio Felipeinfo:eu-repo/semantics/openAccess2012-05-23T16:43:47Zoai:revistas.usp.br:article/19492Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-23T16:43:47Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Dietary counseling on long-term weight loss in overweight hypertensive patients |
title |
Dietary counseling on long-term weight loss in overweight hypertensive patients |
spellingShingle |
Dietary counseling on long-term weight loss in overweight hypertensive patients Torres, Márcia Regina Simas Gonçalves Weight loss Dietary counseling Lifestyle intervention Hypertension Long-term follow-up |
title_short |
Dietary counseling on long-term weight loss in overweight hypertensive patients |
title_full |
Dietary counseling on long-term weight loss in overweight hypertensive patients |
title_fullStr |
Dietary counseling on long-term weight loss in overweight hypertensive patients |
title_full_unstemmed |
Dietary counseling on long-term weight loss in overweight hypertensive patients |
title_sort |
Dietary counseling on long-term weight loss in overweight hypertensive patients |
author |
Torres, Márcia Regina Simas Gonçalves |
author_facet |
Torres, Márcia Regina Simas Gonçalves Ferreira, Thais da Silva Nogueira, Lívia de Paula Nascimento, Danielle Carvalho Sant'Anna do Sanjuliani, Antonio Felipe |
author_role |
author |
author2 |
Ferreira, Thais da Silva Nogueira, Lívia de Paula Nascimento, Danielle Carvalho Sant'Anna do Sanjuliani, Antonio Felipe |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Torres, Márcia Regina Simas Gonçalves Ferreira, Thais da Silva Nogueira, Lívia de Paula Nascimento, Danielle Carvalho Sant'Anna do Sanjuliani, Antonio Felipe |
dc.subject.por.fl_str_mv |
Weight loss Dietary counseling Lifestyle intervention Hypertension Long-term follow-up |
topic |
Weight loss Dietary counseling Lifestyle intervention Hypertension Long-term follow-up |
description |
OBJECTIVE: This study aimed to evaluate long-term weight loss in overweight hypertensive patients receiving dietary counseling. METHODS: Longitudinal study included overweight hypertensive patients who had an initial individual consultation with a nutritionist between January 2002 and December 2005 and were followed for four years in a hypertension clinic. Patients who had at least four consultations during the follow-up period were included in the dietary counseling group. Those who scheduled their first consultation but missed that appointment or had fewer than four consultations during the follow-up period were allocated to the control group. Target Energy intake was calculated at 20-25 kcal/kg actual body weight/day. RESULTS: The study included 102 patients aged 55 + 1 years old (58 in the dietary counseling group). As compared with the control group, patients in the dietary counseling group showed a significantly greater reduction in body weight (-3.6 + 0.8 vs. 0.8 + 0.7 kg), which remained significant after controlling for age, gender, baseline body mass index, and the use of different antihypertensive and antidiabetic drugs. Weight loss between 5.0% and 9.9% was observed in a significantly higher percentage of patients in the dietary counseling group (28% vs. 11%). A weight loss of at least 10% was only observed in dietary counseling group patients, who had a significantly lower odds ratio for increasing the number and/or dosage of antihypertensive agents, even after controlling for age, gender, and baseline body mass index. CONCLUSIONS: Dietary counseling may be associated with long-term weight loss in overweight hypertensive patients. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/19492 10.1590/S1807-59322011001000017 |
url |
https://www.revistas.usp.br/clinics/article/view/19492 |
identifier_str_mv |
10.1590/S1807-59322011001000017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/19492/21555 |
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 |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 66 No. 10 (2011); 1779-1785 Clinics; v. 66 n. 10 (2011); 1779-1785 Clinics; Vol. 66 Núm. 10 (2011); 1779-1785 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222757352374272 |