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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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ORIGINAL ARTICLE  


Gazzetta Medica Italiana Archivio per le Scienze Mediche 2017 September;176(9):467-77

DOI: 10.23736/S0393-3660.17.03407-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Effects of a lifestyle intervention program for treating obesity in lower socioeconomic status adults: a randomized controlled trial

Ana PABLOS 1 , Eraci DREHMER 1, Diego CECA 1, Ana GARCÍA-ESTEVE 2, Lourdes LÓPEZ-HERNÁNDEZ 3, María FARGUETA 1, Francisco J. ROMERO 4, Carlos PABLOS 1

1 Faculty of Physical Activity and Sport Sciences, “San Vicente Mártir” Catholic University of Valencia, Torrent, Valencia, Spain; 2 Valencian Institute of Sports Recovery, Valencia, Spain; 3 Faculty of Nursing, “San Vicente Mártir” Catholic University of Valencia, Torrent, Valencia, Spain; 4 Faculty of Medicine, “San Vicente Mártir” Catholic University of Valencia, Torrent, Valencia, Spain


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BACKGROUND: Research indicates that a lifestyle change intervention involving diet combined with physical activity and psychological support can achieve clinically significant weight loss and favorable changes in cardiometabolic risk factors. However, there are no evidences of weight loss in people with low socioeconomic level, and these persons tend to have higher rates of obesity. This study describes an eight-month lifestyle intervention to treat obesity in people with a low socioeconomic status.
METHODS: 97 participants with obesity and a low socioeconomic status were randomized to an eight-month lifestyle intervention (N.=40) of physical activity, nutritional education and cognitive behavioral therapy or a waiting list control group (N.=28). Both groups completed pre- (0 weeks) and post-intervention (8 months) anthropometric, fitness, biochemical and nutritional tests.
RESULTS: At the end of the eight months, there was a significant reduction between the two groups in weight (P<0.001), body mass index (P<0.001), waist circumference (P<0.001), cardiorespiratory fitness (P<0.001) and C-reactive protein (P<0.05). No significant changes were observed in total cholesterol, LDL-cholesterol, HDL-cholesterol, glucose and triglycerides, but there was a tendency toward lower triglyceride levels (P=0.092). Moreover, the kcal ingested per day decreased significantly (P<0.05), as did the percentage of fats (P<0.05), meeting the target of a total energy distribution of 15-25% proteins, 45-55% carbohydrates and 25-35% lipids.
CONCLUSIONS: We conclude that this kind of lifestyle intervention for treating obesity in people with a low socioeconomic status was successful at improving weight loss and cardiometabolic risk factors after eight months.


KEY WORDS: Obesity - Social class - Weight loss - Exercise - Energy intake

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Publication History

Issue published online: August 28, 2017
Manuscript accepted: February 1, 2017
Manuscript received: September 10, 2016

Cite this article as

Pablos A, Drehmer E, Ceca D, García-Esteve A, López-Hernández L, Fargueta M, et al. Effects of a lifestyle intervention program for treating obesity in lower socioeconomic status adults: a randomized controlled trial. Gazz Med Ital - Arch Sci Med 2017;176:467-77. DOI: 10.23736/S0393-3660.17.03407-6

Corresponding author e-mail

ana.pablos@ucv.es