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Predictors of weight loss in young adults who are over-weight or obese and have psychosocial problems: a post hoc analysis
- Source :
- Lous, J & Freund, K S 2016, ' Predictors of weight loss in young adults who are over-weight or obese and have psychosocial problems : A post hoc analysis ', BMC Family Practice, vol. 17, no. 1, 43 . https://doi.org/10.1186/s12875-016-0437-8, BMC Family Practice
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- The aim of this study is in a general practice trial setting to identify predictive factors for weight loss after 1 year among young adults who are over-weight or obese and who have several psychosocial problems. Twenty-eight general practitioners recruited 495 patients aged 20–45 years with psychosocial problems for a randomized general preventive study to increase self-efficacy to achieve a self-prioritised goal for a better life by discussions of resources and barriers for reaching the goal. The present study is a post hoc analysis of possible predictors of weight loss among all 218 patients who have over-weight or obesity. A 23-pages questionnaire was completed before and 1 year after randomization. 111 patients had a one-hour preventive health consultation with their general practitioners focused on life coaching and a follow-up consultation within 3 months, and 107 patients had no preventive consultation. Twenty-two patients stated during the preventive consultation that weight loss was a prioritised goal. They had a mean weight loss of 4.7 kgs compared with 1.6 kgs in the group without this goal and 1.6 kgs in the group without preventive consultation. In a logistic regression model, predictors of weight loss or no weight loss were a) pre-interventional consideration of weight loss within 30 days, b) having weight loss as a prioritised goal for improved quality of life, c) being female, d) being in the oldest half of participants, and e) having many psychosocial problems. In a linear regression model, the predictors together explained about 11 % of the weight loss. Important predictors were: obesity (explained 4 %), pre-interventional consideration of weight loss within 30 days (3 %), and having a preventive health consultation with weight loss as a prioritised goal (2 %). Pre-interventional consideration of weight loss within 30 days and having weight loss as a prioritised goal during the health consultation were two important predictors for weight loss. By structured interventions focussing on the patients’ priorities, self-chosen goals, their resources and barriers for reaching the goals, changes may be obtained; especially in participants with many problems who often do not accept participation in procedures on risks. NCT 01231256 , Aug. 22. 2010.
- Subjects :
- Adult
Male
Specific self-efficacy
Weight loss
medicine.medical_specialty
Denmark
General Practice
Motivational interviewing
Psychological intervention
Health Promotion
Motivational Interviewing
030204 cardiovascular system & hematology
Overweight
Young Adult
03 medical and health sciences
0302 clinical medicine
Quality of life
General practitioners
Patient-centred
Post-hoc analysis
medicine
Humans
Life coaching
Obesity
030212 general & internal medicine
Self-efficacy
Motivation
business.industry
Middle Aged
Self Efficacy
Psychosocial problems
Logistic Models
Quality of Life
Physical therapy
Female
Over-weight
medicine.symptom
Family Practice
business
Goals
Psychosocial
Follow-Up Studies
Research Article
Subjects
Details
- ISSN :
- 14712296
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- BMC Family Practice
- Accession number :
- edsair.doi.dedup.....073a7627ed145122c828a7ac9733897f