| A computer support program that helps clinicians provide patients with metabolic syndrome tailored counseling to promote weight loss. | |
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MedLine Citation:
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PMID: 21185968 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Physician counseling can help patients make substantial changes in diet and physical activity behaviors that can result in weight loss and a reduction in metabolic risk factors. Unfortunately, time constraints and a lack of training often make it difficult for physicians to provide effective counseling. The objective in this study was to test the effect of a computerized support tool to enhance brief physician-delivered health lifestyle counseling to patients with increased metabolic risk factors during two usual care visits. DESIGN/SETTING/PARTICIPANTS: This is a prospective controlled trial of a 12-month intervention conducted at two large community health centers serving mostly Hispanic patients. Participants (n = 279) had a body mass index (calculated as kg/m²) ≥ 25 and at least two components of the metabolic syndrome. INTERVENTION: In the intervention group, a computer program was used to help patients set tailored self-management goals for weight loss, nutrition, and physical activity. Goals were then reviewed and reinforced at clinic visits with participants' physicians at baseline and again at 6 months. The control group received care as usual. Data were collected between July 2007 and August 2008. MAIN OUTCOME MEASURES: Change in body weight was the primary outcome. Secondary measures included changes in blood glucose, blood cholesterol, blood pressure, physical activity, and energy intake. RESULTS: Significantly more patients in the intervention group lost ≥ 5% of their body weight at 12 months than controls (26.3% vs 8.5%; odds ratio = 3.86; P < 0.01). Loss of > 5% of total body weight was associated with improvements in cardiovascular risk factors, including low-density lipoprotein cholesterol (-14.0 vs -4.1 mg/dL; P = 0.04). CONCLUSIONS: A brief computer-based intervention designed to increase the dialogue between patients and clinicians about behavioral goals can lead to increased 12-month weight loss. |
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Authors:
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James G Christian; Tim E Byers; Kyle K Christian; Michael G Goldstein; Beth C Bock; Brandon Prioreschi; Daniel H Bessesen |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of the American Dietetic Association Volume: 111 ISSN: 1878-3570 ISO Abbreviation: J Am Diet Assoc Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-27 Completed Date: 2011-01-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503061 Medline TA: J Am Diet Assoc Country: United States |
Other Details:
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Languages: eng Pagination: 75-83 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2011 American Dietetic Association. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Preventive Medicine and Biometrics, University of Colorado at Denver, Denver, CO, USA. jim@phcclp.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Body Mass Index Counseling / methods Female Humans Male Metabolic Syndrome X / therapy* Middle Aged Nutritional Sciences / education Obesity / complications, therapy* Patient Education as Topic / methods* Physician-Patient Relations Prospective Studies Therapy, Computer-Assisted* Treatment Outcome Weight Loss* Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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5 R44 DK066711-03/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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