Short-medium-long-term efficacy of interdisciplinary intervention against overweight and obesity: Randomized controlled clinical trial

Int J Nurs Pract. 2018 Dec;24(6):e12690. doi: 10.1111/ijn.12690. Epub 2018 Aug 14.

Abstract

Aim: The aim of the study is to evaluate the efficacy of a nurse-led interdisciplinary programme based on healthy eating, physical exercise, and cognitive behavioural therapy applied to anthropometric and cardiovascular measures, which are related to obesity in short, medium, and long term.

Methods: We conducted a randomised controlled clinical trial with 74 obese and overweight participants (experimental group, n = 37; control group, n = 37). An interdisciplinary programme of 12 months was applied and coordinated by a nurse. Anthropometric and cardiovascular measures were taken at the pretest stage, every 6 months during the programme, and 1 year after it finished.

Results: A beneficial effect was found regarding all anthropometric parameters. Tests for weight (F3;207 = 93.27; P < .001) and body mass index (F3;207 = 89.95; P < .001) indicate efficacy of intervention: The experimental group had a weight loss of 7.2 kg (-8.3%) compared to a 0.9 kg (+1.0%) gained in the control group. Systolic (F3;207 = 37.06; P < .001) and diastolic (F3;216 = 57.31; P < .001) blood pressure improved greatly in the experimental group. Forced vital capacity was also increased (F2;138 = 15.51; P < .001).

Conclusion: The interdisciplinary programme coordinated by nurses improved the health of participants, maintaining long-term effects.

Keywords: cardiovascular risk; health promotion; intervention; multidisciplinary programme; nursing; obesity.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Blood Pressure
  • Body Mass Index
  • Body Weight
  • Cognitive Behavioral Therapy*
  • Exercise*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Obesity / physiopathology
  • Obesity / prevention & control*
  • Overweight / physiopathology
  • Overweight / prevention & control*
  • Practice Patterns, Nurses'*
  • Time Factors
  • Treatment Outcome
  • Weight Loss