Title |
Predictors of weight loss in young adults who are over-weight or obese and have psychosocial problems: a post hoc analysis
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Published in |
BMC Primary Care, April 2016
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DOI | 10.1186/s12875-016-0437-8 |
Pubmed ID | |
Authors |
Jørgen Lous, Kirsten S. Freund |
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. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 109 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 24 | 22% |
Student > Bachelor | 11 | 10% |
Student > Ph. D. Student | 10 | 9% |
Researcher | 9 | 8% |
Librarian | 6 | 6% |
Other | 19 | 17% |
Unknown | 30 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 28 | 26% |
Nursing and Health Professions | 16 | 15% |
Social Sciences | 8 | 7% |
Psychology | 7 | 6% |
Computer Science | 4 | 4% |
Other | 13 | 12% |
Unknown | 33 | 30% |