Get-a-Grip Lifestyle Management Programme

Not Applicable

Completed

Brief Summary: The primary aim of this study was to examine weight reduction in primary care in obese or overweight subjects with a comorbidity that would benefit from weight loss during 1-year comprehensive lifestyle management programme including medical examinations, personalized dietary and exercise advice, guidance on shopping behaviour and food preparation, and group discussions.

Detailed Description: Obesity is associated with altered glucose and lipid metabolism, and elevated blood pressure (BP) increasing the risk of cardiovascular morbidity and mortality. Obesity-induced complications are increasingly encountered in the health care system and especially in primary care. Thus, there is a growing need for individually tailored weight management programs aiming to permanent lifestyle and dietary changes for the prevention and treatment of obesity-related health hazards.

The study investigated weight reduction during 1-year comprehensive lifestyle programme in 134 obese or overweight subjects (BMI\>30, or BMI\>25 with a comorbidity including diabetes, hypertension, arthrosis, asthma, chronic obstructive lung disease, sleep apnoea). The participants were recruited from the local diabetes centre and health care providers. The programme aimed at 5-10 % weight reduction utilizing exercise program supervised by personal trainer, advice on diet and on-location shopping behavior by a registered dietician, hands-on cooking classes by a professional chef, examinations by a medical doctor, and group discussions. The efficacy of the program was followed by measuring change in weight, BMI, waist circumference, fat and muscle percentage, visceral fat, and systolic and diastolic BP.

The study protocol has been approved by the ethics committee of the Pirkanmaa Hospital District (R12099).

Recruitment & Eligibility

Inclusion Criteria

BMI >30
BMI>25 with a co-morbidity that would benefit from weight loss (diabetes, hypertension, arthrosis, asthma, chronic obstructive lung disease, sleep apnoea)

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Overweight and obese subjects	Lifestyle management programme	1-year lifestyle programme

Primary Outcome Measures

Name	Time	Method
Change in waist circumference (cm)	baseline, and months 2-3, 5-6, and 11-12	Waist circumference was measured at baseline (month 0), and after 2-3, 5-6, and 11-12 months.
Change in weight (kg)	baseline, and months 2-3, 5-6, and 11-12	Weight was measured at baseline (month 0), and after 2-3, 5-6, and 11-12 months.
Change in body mass index (BMI) (kg/m^2)	baseline, and months 2-3, 5-6, and 11-12	BMI was measured at baseline (month 0), and after 2-3, 5-6, and 11-12 months.
Change in muscle mass and body fat (percentage points)	baseline, and months 2-3, 5-6, and 11-12	Muscle and fat percentage were measured at baseline (month 0), and after 2-3, 5-6, and 11-12 months.
Change in systolic and diastolic blood pressure (mmHg)	baseline, and months 2-3, 5-6, and 11-12	Blood pressure was measured at baseline (month 0), and after 2-3, 5-6, and 11-12 months.

Secondary Outcome Measures

Name	Time	Method
Fitness index	All participants were invited to a two-kilometer walk-test at baseline (month 0) and month 11-12	Fitness index was constructed from a two-kilometer walk test with heart rate monitoring and took into consideration age, gender, height, weight, walking time, and heart rate.

Locations (1): Tampere University Hospital
🇫🇮
Tampere, Southern Finland, Finland

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