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ABSTRACT: Background
The global mortality caused by cardiovascular disease increases with weight. The Framingham study showed that obesity is a cardiovascular risk factor independent of other risks such as type 2 diabetes mellitus, dyslipidemia and smoking. Moreover, the main problem in the management of weight-loss is its maintenance, if it is achieved. We have designed a study to determine whether a group motivational intervention, together with current clinical practice, is more efficient than the latter alone in the treatment of overweight and obesity, for initial weight loss and essentially to achieve maintenance of the weight achieved; and, secondly, to know if this intervention is more effective for reducing cardiovascular risk factors associated with overweight and obesity.Methods
This 26-month follow up multi-centre trial, will include 1200 overweight/obese patients. Random assignment of the intervention by Basic Health Areas (BHA): two geographically separate groups have been created, one of which receives group motivational intervention (group intervention), delivered by a nurse trained by an expert phsychologist, in 32 group sessions, 1 to 12 fortnightly, and 13 to 32, monthly, on top of their standard program of diet, exercise, and the other (control group), receiving the usual follow up, with regular visits every 3 months.Discussion
By addressing currently unanswered questions regarding the maintenance in weight loss in obesity/overweight, upon the expected completion of participant follow-up in 2012, the IMOAP trial should document, for the first time, the benefits of a motivational intervention as a treatment tool of weight loss in a primary care setting.Trial registration
ClinicalTrials.gov Identifier: NCT01006213.
SUBMITTER: Rodriguez Cristobal JJ
PROVIDER: S-EPMC2858126 | biostudies-literature | 2010 Mar
REPOSITORIES: biostudies-literature
Rodríguez Cristóbal Juan José JJ Panisello Royo Josefa Ma JM Alonso-Villaverde Grote Carlos C Pérez Santos José Ma JM Muñoz Lloret Anna A Rodríguez Cortés Francisca F Travé Mercadé Pere P Benavides Márquez Francisca F Martí de la Morena Pilar P González Burgillos Ma José MJ Delclós Baulies Marta M Bleda Fernández Domingo D Quillama Torres Elida E
BMC family practice 20100318
<h4>Background</h4>The global mortality caused by cardiovascular disease increases with weight. The Framingham study showed that obesity is a cardiovascular risk factor independent of other risks such as type 2 diabetes mellitus, dyslipidemia and smoking. Moreover, the main problem in the management of weight-loss is its maintenance, if it is achieved. We have designed a study to determine whether a group motivational intervention, together with current clinical practice, is more efficient than ...[more]