Hypertension Clinical Trial
Official title:
Comprehensive Lifestyle Management Programme in the Treatment of Obesity: the Get-a-Grip (GAG) Study
The primary aim of this study was to examine weight reduction in primary care in obese or overweight subjects with a comorbidity that would benefit from weight loss during 1-year comprehensive lifestyle management programme including medical examinations, personalized dietary and exercise advice, guidance on shopping behaviour and food preparation, and group discussions.
Obesity is associated with altered glucose and lipid metabolism, and elevated blood pressure
(BP) increasing the risk of cardiovascular morbidity and mortality. Obesity-induced
complications are increasingly encountered in the health care system and especially in
primary care. Thus, there is a growing need for individually tailored weight management
programs aiming to permanent lifestyle and dietary changes for the prevention and treatment
of obesity-related health hazards.
The study investigated weight reduction during 1-year comprehensive lifestyle programme in
134 obese or overweight subjects (BMI>30, or BMI>25 with a comorbidity including diabetes,
hypertension, arthrosis, asthma, chronic obstructive lung disease, sleep apnoea). The
participants were recruited from the local diabetes centre and health care providers. The
programme aimed at 5-10 % weight reduction utilizing exercise program supervised by personal
trainer, advice on diet and on-location shopping behavior by a registered dietician, hands-on
cooking classes by a professional chef, examinations by a medical doctor, and group
discussions. The efficacy of the program was followed by measuring change in weight, BMI,
waist circumference, fat and muscle percentage, visceral fat, and systolic and diastolic BP.
The study protocol has been approved by the ethics committee of the Pirkanmaa Hospital
District (R12099).
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