| Role of Apathy in the effectiveness of weight management programs. | |
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MedLine Citation:
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PMID: 22145671 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Aims: Obesity which is at epidemic proportions in the U.S., is associated with a higher risk of several co-morbid diseases including, cardiovascular disease, cancer and sleep apnea. Weight loss and weight maintenance programs are difficult to sustain long-term. Mental health problems such as apathy may be a major factor in patients unsuccessful in adhering to weight loss programs. We propose that treating apathy will result in better weight loss in obese patients. Materials and Methods: This was a randomized prospective pilot study. Obese patients (n=101) were randomized in a 1:2:2 ratio to either (1) standard nutrition counseling; or (2) the Department of Veterans Affairs (VA) weight loss program called "MOVE" ;, or (3) methylphenidate treatment plus the MOVE program together. The intervention was for 6 months (26 weeks). Results: For the within groups analysis, the absolute changes in Weight (kg) are as follows, for MOVE (mean -1.84; 95%CI: -4.56, 0.87; P=0.25), Methylphenidate (mean -4.61; 95%CI: -7.90,-1.33; P=0.04), Standard nutrition counseling (mean -0.60; 95%CI: -2.59, 1.39; P=0.21), which indicates that although all three groups lost weight, only the methylphenidate group achieved statistical significance. The between groups differences of the relative change in weight were not statistically different. The apathy evaluation score and the patient activation measure improved in all groups. Conclusion: Together these data suggest that treating apathy might be an important factor in the success of weight management programs. |
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Authors:
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C V Desouza; P R Padala; G Haynatzki; P Anzures; C Demarsi; Vijay Shivaswamy |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-6 |
Journal Detail:
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Title: Diabetes, obesity & metabolism Volume: - ISSN: 1463-1326 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-7 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883645 Medline TA: Diabetes Obes Metab Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 Blackwell Publishing Ltd. |
Affiliation:
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Omaha VA Medical Center, Omaha, NE University of Nebraska Medical Center, Omaha, NE VISN 16/Central Arkansas Veterans Healthcare Services (CAVHS) Geriatric Research Education and Clinical Center (GRECC) Psychiatry, University of Arkansas for Medical Sciences. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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