Long-term outcomes from Healthy Eating and Exercise Lifestyle Program for overweight people with heart disease and diabetes

被引:21
作者
Alharbi, Muaddi [1 ]
Gallagher, Robyn [1 ]
Kirkness, Ann [2 ]
Sibbritt, David [3 ]
Tofler, Geoffrey [3 ,4 ]
机构
[1] Univ Sydney, Charles Perkins Ctr, Sydney, NSW 2006, Australia
[2] Royal N Shore Hosp, North Shore Cardiovasc Educ Ctr, St Leonards, NSW, Australia
[3] Univ Technol, Fac Hlth, Sydney, NSW, Australia
[4] Royal N Shore Hosp, Northern Sydney Clin Sch, St Leonards, NSW, Australia
关键词
Overweight; obesity; coronary heart disease; diabetes; weight loss; exercise; CARDIOVASCULAR RISK-FACTORS; WEIGHT-LOSS; PHYSICAL-ACTIVITY; SELF-EFFICACY; CARDIAC REHABILITATION; SCIENTIFIC STATEMENT; BEHAVIOR-CHANGE; BLOOD-PRESSURE; CORONARY; INTERVENTION;
D O I
10.1177/1474515114557222
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: The benefits of exercise and weight reduction for overweight or obese people with coronary heart disease and/or diabetes mellitus are well recognised. The Healthy Eating and Exercise Lifestyle Program demonstrated these outcomes at 4 months, but longer-term outcomes are not yet reported. Aim: To determine whether positive weight, body mass index, waist and exercise duration outcomes were sustained in the long term (12 months) and to identify the independent predictors of these outcomes at 4 and 12 months. Methods: Longitudinal design, combining data of all Healthy Eating and Exercise Lifestyle Program participants (intervention and wait-list control, n = 134). Participants had a body mass index between 27 and 39 kg/m(2) and had completed cardiac rehabilitation and/or diabetes education programmes. Healthy Eating and Exercise Lifestyle Program intervention included an active phase of two 1-hour group-based supervised structured exercise sessions every week for 4 months and four 90-minute group information and support sessions. The maintenance phase included one 90-minute group-based booster information session and three 15-minute goal-focused telephone follow-up calls over 8 months. Results: Participants had statistically significant reductions from baseline in weight, body mass index and waist circumference and improvements in exercise duration and capacity at 4 and 12 months. Time, self-efficacy, depressive symptoms and male gender were independent predictors for body mass index, waist and/or exercise duration (p < 0.05). Conclusion: The Healthy Eating and Exercise Lifestyle Program was an effective programme to achieve and sustain weight loss and increase exercise participation over 1 year.
引用
收藏
页码:91 / 99
页数:9
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