RT Journal Article
T1 Hospital Intervention to Reduce Overweight with Educational Reinforcement after Discharge: A Multicenter Randomized Clinical Trial.
A1 Herrera-Espiñeira, Carmen
A1 Martinez-Cirre, Maria Del Carmen
A1 Lopez-Morales, Manuel
A1 Lozano-Sanchez, Antonia
A1 Rodriguez-Ruiz, Antonia
A1 Salmeron-Lopez, Laura Esther
A1 Gomez-Crespo, Maria Isabel
A1 Exposito-Ruiz, Manuela
K1 clinical trial
K1 exercise
K1 food habits
K1 internal medicine
K1 overweight
K1 patients
AB Obesity and overweight affect more than one-third of the world's population and pose a major public health problem. To evaluate the impact of an educational intervention on dietary habits and physical exercise in patients with overweight admitted to departments of internal medicine, comprising a pre-discharge educational session with follow-up and reinforcement by telephone at 3, 6, and, 12 months post-discharge. Outcome variables were weight, systolic (SBP) and diastolic (DBP) blood pressures, health-related quality of life (HRQOL), hospital readmissions, emergency department visits, and death. A randomized experimental study with a control group was performed in hospitalized non-diabetic adults aged ≥18 years with body mass index (BMI) ≥25 Kg/m2. The final sample included 273 patients. At three months post-discharge, the intervention group had lower SBP and DPB and improved dietary habits (assessed using the Pardo Questionnaire) and VAS-assessed HRQOL in comparison to the control group but a worse EQ-5Q-5L-assessed HRQOL. There were no between-group differences in hospital readmissions, emergency department visits, or mortality at any time point. Both groups evidenced a progressive improvement over the three follow-up periods in weight, SBP, and dietary habits but a worsening of EQ-5D-5L-value-assessed HRQOL. The intervention group showed greater improvements over the short term, but between-group differences disappeared at 6 and 12 months. Weight loss and improvements in key outcomes were observed in both groups over the follow-up period. Further research is warranted to determine whether a minimum intervention with an educational leaflet, follow-up phone calls, and questionnaires on overweight-related healthy habits, as in the present control group, may be an equally effective strategy without specific individual educational input.
PB MDPI AG
YR 2022
FD 2022-06-13
LK http://hdl.handle.net/10668/21482
UL http://hdl.handle.net/10668/21482
LA en
NO Herrera-Espiñeira C, Martínez-Cirre MDC, López-Morales M, Lozano-Sánchez A, Rodríguez-Ruíz A, Salmerón-López LE, et al. Hospital Intervention to Reduce Overweight with Educational Reinforcement after Discharge: A Multicenter Randomized Clinical Trial. Nutrients. 2022 Jun 16;14(12):2499.
DS RISalud
RD Apr 7, 2025