Predictors of weight loss in young adults who are over-weight or obese and have psychosocial problems: a post hoc analysis

Bidragets oversatte titel: Faktorer af betydning for vægttab hos unge voksne med overvægt og som har psykosociale problemer: en post hoc analyse

Jørgen Lous*, Kirsten S. Freund

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

77 Downloads (Pure)

Resumé

BACKGROUND: 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.

METHODS: 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.

RESULTS: 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 %).

CONCLUSIONS: 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.

CLINICALTRIALS GOV REGISTRATION: NCT 01231256 , Aug. 22. 2010.

OriginalsprogEngelsk
Artikelnummer43
TidsskriftBMC Family Practice
Vol/bind17
Antal sider11
ISSN1471-2296
DOI
StatusUdgivet - 2016

Fingeraftryk

Young Adult
Weights and Measures
Referral and Consultation
General Practitioners
Linear Models
Health
Logistic Models
Self Efficacy
Random Allocation
General Practice
Quality of Life

Emneord

  • Overvægt
  • Vægttab
  • General Practice
  • life coaching
  • Self-effecacy
  • Motivation

Citer dette

@article{d02d6e2c156c40d6a3c5bab09323516c,
title = "Predictors of weight loss in young adults who are over-weight or obese and have psychosocial problems: a post hoc analysis",
abstract = "BACKGROUND: 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.METHODS: 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.RESULTS: 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 {\%}).CONCLUSIONS: 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.CLINICALTRIALS GOV REGISTRATION: NCT 01231256 , Aug. 22. 2010.",
keywords = "General practitioners, Life coaching, Motivation, Over-weight, Patient-centred, Psychosocial problems, Specific self-efficacy, Weight loss, Overv{\ae}gt, V{\ae}gttab, General Practice, life coaching, Self-effecacy, Motivation",
author = "J{\o}rgen Lous and Freund, {Kirsten S.}",
year = "2016",
doi = "10.1186/s12875-016-0437-8",
language = "English",
volume = "17",
journal = "B M C Family Practice",
issn = "1471-2296",
publisher = "BioMed Central",

}

Predictors of weight loss in young adults who are over-weight or obese and have psychosocial problems : a post hoc analysis. / Lous, Jørgen; Freund, Kirsten S.

I: BMC Family Practice, Bind 17, 43, 2016.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Predictors of weight loss in young adults who are over-weight or obese and have psychosocial problems

T2 - a post hoc analysis

AU - Lous, Jørgen

AU - Freund, Kirsten S.

PY - 2016

Y1 - 2016

N2 - BACKGROUND: 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.METHODS: 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.RESULTS: 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 %).CONCLUSIONS: 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.CLINICALTRIALS GOV REGISTRATION: NCT 01231256 , Aug. 22. 2010.

AB - BACKGROUND: 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.METHODS: 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.RESULTS: 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 %).CONCLUSIONS: 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.CLINICALTRIALS GOV REGISTRATION: NCT 01231256 , Aug. 22. 2010.

KW - General practitioners

KW - Life coaching

KW - Motivation

KW - Over-weight

KW - Patient-centred

KW - Psychosocial problems

KW - Specific self-efficacy

KW - Weight loss

KW - Overvægt

KW - Vægttab

KW - General Practice

KW - life coaching

KW - Self-effecacy

KW - Motivation

U2 - 10.1186/s12875-016-0437-8

DO - 10.1186/s12875-016-0437-8

M3 - Journal article

C2 - 27068690

VL - 17

JO - B M C Family Practice

JF - B M C Family Practice

SN - 1471-2296

M1 - 43

ER -