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3.
Clín. investig. arterioscler. (Ed. impr.) ; 31(6): 245-250, nov.-dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-185149

RESUMEN

Objetivo: Valorar el efecto de un programa de actividad física motivada sobre los parámetros lipídicos más relacionados con el exceso de peso (triglicéridos [TG] y colesterol de las lipoproteínas de alta densidad [cHDL]) en una intervención para reducir peso en pacientes con sobrepeso y obesidad. Métodos: Ensayo clínico, aleatorizado y controlado, con 2 brazos y un seguimiento de 12 meses. Los pacientes incluidos en el estudio fueron aleatorizados en 2 grupos de intervención: intervención motivacional de obesidad con enfermera entrenada previamente (G1), grupo motivacional, con apoyo de plataforma digital y programa de actividad física motivada (iwopi [G2]). Las variables antropométricas medidas fueron estatura, peso, índice masa corporal (IMC) y las analíticas, colesterol total, TG y cHDL. Resultados: Han participado en el estudio 123 pacientes, de los que 61 fueron aleatorizados al G1 y 62 al G2. Todos los grupos disminuyeron significativamente el peso al final del estudio, siendo la disminución en el G1 (-4,898kg) y del G2 (-6,292kg). También todos los grupos disminuyeron significativamente (p < 0,05) el colesterol total y los TG, y aumentaron el cHDL, siendo estos cambios más intensos en el grupo G2, el grupo que más peso perdió. Conclusiones: La reducción de peso se acompaña de cambios favorables en los parámetros lipídicos relacionados con el sobrepeso y la obesidad, siendo más intensos cuanto mayor es la pérdida de peso


Objective: To assess the effect of a motivated physical activity program on the lipid parameters most related to excess weight (triglycerides [TG], and high density lipoprotein cholesterol [HDL]) in a weight-loss intervention in obese and overweight patients. Methods: A randomised and controlled, 2-arm, clinical trial and a 12-months follow-up was conducted. The patients included in the study were randomised into 2 intervention groups: Motivational intervention of obesity with a previously trained nurse (G1), motivational group, with digital platform support and motivated physical activity program (iwopi [G2]). The anthropometric variables measured were height, weight, Body Mass Index (BMI), as well as the analytical variables, total cholesterol, TG and HDL-C. Results: A total of 123 patients participated in the study, of which 61 were randomised to G1, and 62 to G2. Both groups significantly decreased weight at the end of the study, with the decrease in G1 being 4.898 kg, and 6.292 kg in G2. In both groups there was also a significantly decrease (P < .05) in total cholesterol and TG, and increase in HDL cholesterol, with these changes being more intense in the G2 group, as well as being the group that lost more weight. Conclusions: Weight reduction is accompanied by favourable changes in lipid parameters related to overweight and obesity, being more intense the greater the weight loss


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Actividad Motora/fisiología , Obesidad/terapia , Sobrepeso/terapia , Lípidos/análisis , Programas Gente Sana/organización & administración , Metabolismo de los Lípidos/fisiología , Estilo de Vida Saludable
4.
BMC Public Health ; 19(1): 1422, 2019 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-31666040

RESUMEN

BACKGROUND: A key objective of this study was to examine obesity care attitudes and behaviors of people with obesity (PwO) and determine independent factors associated with a self-reported sustained weight loss success outcome. METHODS: An online survey was conducted in 2015 among 3008 U.S. adult PwO (BMI > 30 through self-reported height and weight). Multivariate logistic models explained variation in weight loss success, defined as ≥ 10% weight loss in previous 3 years and maintained for > 1 year. RESULTS: Controlling for weight changes over time, we found significant associations between self-reported weight history and weight loss success. PwO who had personal motivation to lose weight, were willing to talk to a diabetes educator about their weight, who had their weight loss attempts recognized by a healthcare provider, and were diagnosed with "obesity" or "overweight" were more likely to report having success losing weight. CONCLUSIONS: This study does not determine causality, but suggests motivation and engagement with PwO may impact weight loss, and presents a basis for assessing the mechanism involved. Determining such mechanisms may identify important targets to improve obesity treatment outcomes. TRIAL REGISTRATION: This study is registered with ClinicalTrials.gov , number NCT03223493, https://clinicaltrials.gov/ct2/show/NCT03223493 . Registered July 17, 2017 (retrospectively registered).


Asunto(s)
Actitud , Motivación , Obesidad/terapia , Pérdida de Peso , Adulto , Anciano , Peso Corporal , Femenino , Personal de Salud , Humanos , Masculino , Persona de Mediana Edad , Sobrepeso , Aceptación de la Atención de Salud , Estudios Retrospectivos , Autoinforme , Encuestas y Cuestionarios , Resultado del Tratamiento
5.
Zhongguo Ying Yong Sheng Li Xue Za Zhi ; 35(4): 326-330, 2019 Jul 28.
Artículo en Chino | MEDLINE | ID: mdl-31701716

RESUMEN

OBJECTIVE: To investigate the effects of different intensity intermittent exercise on the body function of obese rats, and to provide basis for the prevention and treatment of obesity. METHODS: Eighty SD rats were randomly divided into normal diet group (n=20) and high-fat diet group (n=60). After adaptive feeding for 8 weeks, 8 normal diet rats and 32 high-fat obese rats were selected for follow-up experiments. The experimental rats were randomly divided into 5 groups (n=8): control diet-sedentary (CS),with ordinary feed and without any exercise; high diet-sedentary (HS), with high-fat feed feeding and without any exercise; high diet-continual exercise(HC), 60 min/day,5 days/week with 6 weeks; high diet-long time-low frequency interval exercise(HLL), 30 min/time,twice/day (intermittent 6 h), 5 days/week with 6 weeks; high diet-short time-high frequency interval exercise(HSH), 20 min/ time, 3 times/d (intermittent 3 h), 5 days/week with 6 weeks. The training intensity of rats in each exercise group was 25 m/min. After 6 weeks, rats in each groups were weighed, and resting metabolic rate(RMR), fasting blood glucose(FBG), triglyceride(TG) and other biochemical indexes were detected, and fat and muscle weight were measured. RESULTS: Before experiment, there were no significant differences in RMR, FBG and TG in each groups(P>0.05).The body weight of HSH, HLL, HC and HS groups was higher than that of CS group (P<0.05). After the experiment, RMR of the HSH,HLL and HC groups was significantly higher than that of HS and CS groups (P<0.05), but without significant difference among the HSH,HLL and HC groups (P>0.05).The body weight of HSH, HLL and HC groups was significantly lower than that of HS group (P<0.05), but the three groups was not significant (P>0.05); perirenal fat(PF), idymis fat(EF), perirenal fat/weight(PF/W) and epididymis fat/weight(EF/W) of HSH, HLL, HC group were significantly lower than those of HS group (P<0.01), while there was no statistical difference among the three groups (P>0.05). There was no significant difference in gastrocnemius(GM) and quadricep(QF) of each group (P>0.05), gastrocnemius/weight(GM/W) and quadriceps/weight (QF/W) in HSH,HLL and HC groups were higher than those of HS group (P<0.05),while there was no significant difference among HSH,HLL and HC groups (P>0.05);FEB,TG of HSH,HLL,HC group were lower than those of CS and HS group (P<0.05),but the difference with HS group was more significant (P<0.01),there was no significant difference among training groups(P>0.05). CONCLUSION: 6 weeks of intermittent exercise of different intensity had a good intervention effect on the body composition of obese rats, and high diet-short time-high frequency interval exercise (HSH) may be more effective.


Asunto(s)
Composición Corporal , Obesidad/terapia , Condicionamiento Físico Animal , Animales , Peso Corporal , Dieta Alta en Grasa , Masculino , Distribución Aleatoria , Ratas , Ratas Sprague-Dawley
6.
BMC Health Serv Res ; 19(1): 696, 2019 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-31615572

RESUMEN

BACKGROUND: Overweight and obesity is a major global public health challenge, and understanding the implications for healthcare systems is essential for policy planning. Past studies have typically found positive associations between obesity and healthcare utilization, but these studies have not taken into consideration that obesity is also associated with early mortality. We examined associations between body mass index (BMI, reported as kg/m2) and healthcare utilization with and without taking BMI-specific survival into consideration. METHODS: We used nationally representative data on 33 882 adults collected between 2002 and 2015. We computed BMI- and age-specific primary and secondary care utilization and multiplied the estimated values with gender-, age-, and BMI-specific probabilities of surviving to each age. Then, we summed the average BMI-specific utilization between 18 and 85 years. RESULTS: During a survival-adjusted lifetime, males with normal weight (BMI: 18.5-24.9) had, on average, 167 primary care, and 77 secondary care contacts. In comparison, males with overweight (BMI: 25.0-29.9), category I obesity (BMI: 30.0-34.9), and category II/III obesity (BMI ≥35.0) had 11%, 41%, and 102% more primary care, and 14%, 29%, and 78% more secondary care contacts, respectively. Females with normal weight had, on average, 210 primary care contacts and 91 secondary care contacts. Females with overweight, category I obesity, and category II/III obesity had 20%, 34%, and 81% more primary care contacts, and 26%, 16%, and 16% more secondary care contacts, respectively. CONCLUSION: The positive association between BMI and healthcare utilization was reduced, but not offset, when BMI-specific survival was taken into consideration. Our findings underpin previous research and suggest that interventions to offset the increasing prevalence of overweight, and especially obesity, are warranted.


Asunto(s)
Índice de Masa Corporal , Sobrepeso/terapia , Aceptación de la Atención de Salud/estadística & datos numéricos , Adolescente , Adulto , Distribución por Edad , Anciano , Anciano de 80 o más Años , Prestación de Atención de Salud/estadística & datos numéricos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Noruega/epidemiología , Obesidad/mortalidad , Obesidad/terapia , Sobrepeso/mortalidad , Prevalencia , Atención Primaria de Salud/estadística & datos numéricos , Distribución por Sexo , Adulto Joven
7.
Medicine (Baltimore) ; 98(43): e17353, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31651840

RESUMEN

BACKGROUND: Patients with simple obesity suffer from poor quality of life, as well as high risk of hypertension, diabetes, cardiovascular, and cerebrovascular accidents. Lots of Clinical trials suggested that acupuncture is beneficial for simple obesity, and it aims to gather solid evidence in order to provide reliable reference in establishing guidelines for acupuncture treatment of simple obesity in this study. METHODS: Relevant databases including Cochrane Library, PubMed, Cochrane Central Register of Controlled Trials, Medline University Resource Center, Chinese Biomedical Literature Service System, and China National Knowledge Infrastructure will be retrieved from January 1950 to November 2018. Two authors will screen studies independently according to the inclusion and exclusion criteria and extract the data in a form of sheet. Quality evaluations and bias risk assessments will be performed for the methodology of included studies. Dichotomous data will be analyzed using odds ratio (OR), and continuous data using mean differences. Network meta-analysis will be conducted by using Stata 14.0. The Development and Evaluation approach will be used to rate the certainty of the evidence of estimates derived from meta-analysis. The primary outcome is body mass index (BMI), and the secondary outcomes are triglycerides, total cholesterol, low-density lipoprotein-cholesterol, effective rate, adverse effects, and recurrence rate. Trial registration number is CRD42019117387. RESULTS: Based on current evidence, this review will rank the efficacy and safety of the various acupuncture regimen in decreasing BMI, triglycerides, total cholesterol of patients with simple obesity, and to summarize a prioritization regimen. CONCLUSION: This evidence may be useful for clinicians, patients, and guideline-makers to select the optimum proposal of acupuncture for the simple obesity treatment.


Asunto(s)
Terapia por Acupuntura/métodos , Obesidad/terapia , Adulto , Índice de Masa Corporal , Colesterol/sangre , Protocolos Clínicos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Metaanálisis en Red , Proyectos de Investigación , Revisiones Sistemáticas como Asunto , Resultado del Tratamiento , Triglicéridos/sangre
8.
Orv Hetil ; 160(43): 1687-1697, 2019 Oct.
Artículo en Húngaro | MEDLINE | ID: mdl-31630554

RESUMEN

Long-term successful weight control poses a huge challenge to people who are overweight and treat them in the obesogenic environment. After reaching a clinically significant (5-10%) weight loss, the goal is to maintain the weight loss achieved. However, this requires virtually constant resistance to temptations and requires sustained effort in terms of dietary restriction and physical activity, which requires a strong motivational base. From the point of view of behavior, motivation is the probability that the patient starts, pursues, or persistently follows a strategy that triggers change, that is, in the case of obesity, is committed to health-related behaviors that support weight management and abandons health risk behaviors that hinders weight control efforts. The present study describes the transtheoretical model of behavioral change and provides examples of practical ways to increase motivation and adherence at all stages of behavioral change. All this can contribute to the work of primary care and outpatient care professionals in supporting weight loss patients with excess weight. Orv Hetil. 2019; 160(43): 1687-1697.


Asunto(s)
Dieta Reductora/métodos , Ejercicio , Motivación , Obesidad/terapia , Sobrepeso/terapia , Cooperación del Paciente/psicología , Pérdida de Peso , Conductas Relacionadas con la Salud , Humanos , Modelos Psicológicos , Obesidad/psicología , Sobrepeso/psicología
9.
Int J Public Health ; 64(8): 1159-1172, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31606749

RESUMEN

OBJECTIVES: This paper examines the opportunities and barriers that the South Australian Health in all Policies (SA HiAP) approach encountered when seeking to establish a whole-of-government response to promoting healthy weight. METHODS: The paper draws on data collected during 31 semi-structured interviews, analysis of 113 documents, and a program logic model developed via workshops to show the causal links between strategies and anticipated outcomes. RESULTS: A South Australian Government target to increase healthy weight was supported by SA HiAP to develop a cross-government response. Our analysis shows what supported and hindered implementation. A combination of economic and systemic framing, in conjunction with a co-benefits approach, facilitated intersectoral engagement. The program logic shows how implementation can be expected to contribute to a population with healthy weight. CONCLUSIONS: The HiAP approach achieved some success in encouraging a range of government departments to contribute to a healthy weight target. However, a comprehensive approach requires national regulation to address the commercial determinants of health and underlying causes of population obesity in addition to cross-government action to promote population healthy weight through regional government action.


Asunto(s)
Política de Salud , Promoción de la Salud , Obesidad , Pérdida de Peso , Gobierno , Agencias Gubernamentales , Humanos , Entrevistas como Asunto , Obesidad/epidemiología , Obesidad/prevención & control , Obesidad/terapia , Formulación de Políticas , Salud Poblacional , Australia del Sur/epidemiología
10.
Expert Rev Med Devices ; 16(10): 855-861, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31570014

RESUMEN

Introduction: Obesity is a very common public health problem worldwide. However, there is a lack of effective therapies. Only a small portion of patients with morbid obesity are accepting bariatric surgery as the last option due to the risks associated with invasive therapy. Areas covered: In this paper, we review an emerging weight loss treatment: gastric electrical stimulation (GES). The feasibility of GES as a potential therapy for obesity is introduced. Methodologies and parameters of GES are presented. Several GES methods for treating obesity and their effects on food intake and body weight are presented. Possible mechanisms involved in the anti-obesity effect of GES are discussed. Finally, our comments on the potential of GES for obesity and expectations for future development of the GES therapy are provided. The PubMed central database was searched from inception to May 2019. The literature search used the following terms: 'Gastric electrical stimulation' combined with 'obesity' and 'Implantable gastric stimulation' and 'pharmaceutical therapy' and 'bariatric surgery'. Expert opinion: There is a potential to use GES for treating obesity. However, more efforts are needed to develop appropriate stimulation devices and to design an adequate therapy for treating obesity in humans.


Asunto(s)
Terapia por Estimulación Eléctrica , Obesidad/terapia , Estómago/fisiopatología , Animales , Conducta Alimentaria , Motilidad Gastrointestinal , Humanos , Obesidad/fisiopatología
11.
Clin Interv Aging ; 14: 1589-1599, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31564841

RESUMEN

Purpose: To explore the effects of 10 weeks of progressive vigorous interval training as a single intervention on health-related quality of life (HRQoL) and cardiometabolic risk markers in centrally obese 70-year-old individuals. Participants and methods: A randomized controlled trial (ClinicalTrials.gov registration no. NCT03450655) including seventy-seven community-dwelling 70-year-old men and women with central obesity defined as > 1 kg visceral adipose tissue for women and > 2 kg for men. Participants randomized to the intervention group were offered a 10-week progressive vigorous interval training program performed three times per week. Control subjects were asked to maintain their daily living and routines throughout the trial. All participants in both groups had received tailored lifestyle recommendations focused on diet and physical activity at one occasion within 12 months prior to trial initiation. Prespecified outcome measures included: changes in HRQoL using the Short Form Health Survey Questionnaire (SF-36), blood pressure; resting heart rate (HR) and blood lipids. All analyses were conducted on an intention-to-treat basis. Results: The intervention resulted in significant effects on the SF-36 mental component summary (MCS) score and the mental health (MH) subscale (P< 0.05 for both), when compared to the control group. Specifically, the intervention group increased their MCS score by 6.3 points (95% confidence interval [CI] = 0.3-12.3) and their MH score by 6.0 points (95% CI = 1.7-10.4) compared to the control group. Moreover, significant effects were seen on resting HR, total cholesterol and LDL-cholesterol (P<0.05 for all). Conclusion: It was shown that 10 weeks of vigorous interval training as a single intervention was sufficient to improve mental aspects of HRQoL in older individuals with central obesity, which is a critical aspect of healthy ageing. Positive effects were seen also on cardiometabolic risk markers.


Asunto(s)
Enfermedades Cardiovasculares/metabolismo , Ejercicio/psicología , Obesidad/terapia , Calidad de Vida/psicología , Circunferencia de la Cintura , Anciano , Enfermedades Cardiovasculares/prevención & control , Ejercicio/fisiología , Femenino , Humanos , Vida Independiente , Masculino , Encuestas y Cuestionarios , Resultado del Tratamiento
12.
Medicine (Baltimore) ; 98(42): e17562, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31626121

RESUMEN

BACKGROUND: Obesity is a growing chronic health problem worldwide. Studies about acupuncture for obesity treatment are many. But there are some doubts about the effectiveness of acupuncture vs sham acupuncture in treating obesity due to its lack of an evidence-based medical proof. Therefore, the aim of this study is to assess the efficacy of acupuncture for obesity treatment and provide clinic evidence. METHODS: This protocol was based on the previous reporting items for systematic review and meta-analysis agreements. Four English databases (PubMed, EMBASE, Web of Science, and Cochrane Central Register of Controlled Trials) and 4 Chinese databases (China National Knowledge Infrastructure, Chinese BioMedical Database, Chinese Scientific Journal Database, Wan-Fang Data) will be searched from their receptions to August 2019. Randomized controlled trials (RCTs) using acupuncture compared sham acupuncture (or no treatment) to treat simple obesity will be included. The primary outcome of body mass index (BMI) and body weight (BW) will be used to measure the effect of acupuncture on obesity. According to the trial data extraction form based on the Cochrane Handbook, 2 reviewers will separately extract the data. Risk of bias of the RCTs will be assessed by the Cochrane Risk of Bias Tool. Publication bias will be assessed with funnel plots. RESULTS: This study will be to evaluate whether acupuncture is an effective intervention for simple obesity when compared with sham acupuncture. CONCLUSION: The conclusion of this study will help clinicians provide effective treatment options for obese patients. ETHICS AND DISSEMINATION: Ethical approval is not required for systematic review and meta- analysis. The results of this review will be disseminated in a peer-review journal. PROSPERO REGISTRATION NUMBER: PROSPERO CRD42019129825.


Asunto(s)
Terapia por Acupuntura/métodos , Obesidad/terapia , Humanos , Resultado del Tratamiento
13.
BMC Health Serv Res ; 19(1): 667, 2019 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-31521160

RESUMEN

BACKGROUND: Combined lifestyle interventions (CLIs) are designed to help people who are overweight or obese maintain a healthy new lifestyle. The CooL intervention is a CLI in the Netherlands, in which lifestyle coaches counsel adults and children (and/or their parents) who are obese or at high risk of obesity to achieve a sustained healthier lifestyle. The intervention consists of coaching on lifestyle in group and individual sessions, addressing the topics of physical activity, dietary behaviours, sleep, stress management and behavioural change. The aim of this study was to evaluate the implementation process of the Coaching on Lifestyle (CooL) intervention and its facilitating and impeding factors. METHODS: Mixed methods were used in this action-oriented study. Both quantitative (number of referrals, attendance lists of participants and questionnaires) and qualitative (group and individual interviews, observations, minutes and open questions) data were collected among participants, lifestyle coaches, project group members and other stakeholders. The Consolidated Framework for Implementation Research was used to analyse the data. RESULTS: CooL was evaluated by stakeholders and participants as an accessible and useful programme, because of its design and content and the lifestyle coaches' approach. However, stakeholders indicated that the lifestyle coaches need to become more familiar in the health care network and public sectors in the Netherlands. Lifestyle coaching is a novel profession and the added value of the lifestyle coach is not always acknowledged by all health care providers. Lifestyle coaches play a crucial role in ensuring the impact of CooL by actively networking, using clear communication materials and creating stakeholders' support and understanding. CONCLUSION: The implementation process needs to be strengthened in terms of creating support for and providing clear information about lifestyle coaching. The CooL intervention was implemented in multiple regions, thanks to the efforts of many stakeholders. Lifestyle coaches should engage in networking activities and entrepreneurship to boost the implementation process. It takes considerable time for a lifestyle coach to become fully incorporated in primary care. TRIAL REGISTRATION: NTR6208 ; date registered: 13-01-2017; retrospectively registered; Netherlands Trial Register.


Asunto(s)
Implementación de Plan de Salud , Tutoría , Obesidad/terapia , Sobrepeso/terapia , Conducta de Reducción del Riesgo , Estilo de Vida Saludable , Humanos , Países Bajos , Obesidad/prevención & control , Sobrepeso/prevención & control , Proyectos Piloto
14.
Matern Child Health J ; 23(12): 1604-1612, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31541375

RESUMEN

INTRODUCTION: Nearly half of all women gain above gestational weight gain (GWG) recommendations. This study assessed the feasibility and efficacy of a pilot behavioral intervention on GWG and physical activity behaviors. METHODS: Women (n = 45) 14-20 weeks gestation enrolled in a behavioral intervention. Physicians 'prescribed' the intervention to low risk patients. The intervention included self-monitoring, support, and optional walking groups. Process evaluation measures regarding usage and acceptability of study components were obtained. Physical activity was objectively measured at baseline and 35 weeks. The percentage of participants with appropriate GWG was calculated. Control data was obtained from the same clinic where participants were recruited. RESULTS: Overall, the intervention was acceptable to participants; attrition was low (6.7%), weekly contact was high (87%), and self-monitoring was high (Fitbit worn on 82% of intervention weeks; weekly weighing on 81%). Facebook (40% of weeks) and study website use (19%) was low, as was walking group attendance (7% attended a single group). Participants reported a lack of discussions about the study with their physician. Results showed no significant difference between intervention and control participants in the percentage who gained excess weight (p = 0.37). There was a significant decrease in moderate-to-vigorous physical activity in intervention participants (p < 0.0001). DISCUSSION: Continued efforts for promoting physical activity and appropriate GWG are needed. Although acceptable, the intervention was not efficacious. Trainings for, or input from prenatal healthcare providers on how to best encourage and support patients' engagement in healthy behaviors, such as PA, are warranted.


Asunto(s)
Terapia Conductista/métodos , Ejercicio , Ganancia de Peso Gestacional , Conductas Relacionadas con la Salud , Obesidad/prevención & control , Adolescente , Adulto , Índice de Masa Corporal , Estudios de Factibilidad , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Obesidad/terapia , Proyectos Piloto , Embarazo , Complicaciones del Embarazo/prevención & control , Complicaciones del Embarazo/terapia , Atención Prenatal/métodos , Salud Pública , Factores de Riesgo , Aumento de Peso , Adulto Joven
15.
Ther Umsch ; 76(3): 117-121, 2019 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-31498046

RESUMEN

Obesity: epidemiology, socio-political implications and conventional management Abstract. Obesity is a chronic and complex psychosomatic disorder of multifactorial origin associated with cardiovascular, metabolic, respiratory, orthopedic and psychological comorbidities. This polimorbidity requires lifelong monitoring and specialized multidisciplinary management. In addition, the silent nature of these diseases, associated with the aging of the population and growing life expectancy, further increases the impact of this chronic disease on the overall morbidity and mortality. In Switzerland, obesity is now epidemic, as it is worldwide, and affects about 11 % of our population. This percentage is gradually increasing to the point that obesity is considered a public health problem. The direct and indirect costs of obesity account for about 8 % of total health consumption. The management of this complex disease must always be long-term and must integrate the dietary, behavioral and psychological aspects according to the profile of the patient.


Asunto(s)
Esperanza de Vida , Obesidad , Comorbilidad , Humanos , Morbilidad , Obesidad/economía , Obesidad/epidemiología , Obesidad/terapia , Suiza
16.
Artículo en Inglés | MEDLINE | ID: mdl-31487939

RESUMEN

Momordica charantia (M. charantia), commonly known as bitter gourd, bitter melon, kugua, balsam pear, or karela, is a tropical and sub-tropical vine belonging to the Cucurbitaceae family. It has been used to treat a variety of diseases in the traditional medicine of China, India, and Sri Lanka. Here, we review the anti-obesity effects of various bioactive components of M. charantia established at the cellular and organismal level. We aim to provide links between various bioactive components of M. charantia and their anti-obesity mechanism. An advanced search was conducted on the worldwide accepted scientific databases via electronic search (Google Scholar, Web of Science, ScienceDirect, ACS Publications, PubMed, Wiley Online Library, SciFinder, CNKI) database with the query TS = "Momordica charantia" and "obesity". Information was also obtained from International Plant Names Index, Chinese Pharmacopoeia, Chinese herbal classic books, online databases, PhD and MSc dissertations, etc. First, studies showing the anti-obesity effects of M. charantia on the cells and on animals were classified. The major bioactive components that showed anti-obesity activities included proteins, triterpenoids, saponins, phenolics, and conjugated linolenic acids. Their mechanisms included inhibition of fat synthesis, promotion of glucose utilization, and stimulation of auxiliary lipid-lowering activity. Finally, we summarized the risks of excessive consumption of M. charantia and the application. Although further research is necessary to explore various issues, this review establishes the therapeutic potential of M. charantia and it is highly promising candidate for the development of anti-obesity health products and medicines.


Asunto(s)
Momordica charantia , Obesidad/terapia , Extractos Vegetales/uso terapéutico , Animales , Humanos , Medicina Tradicional , Obesidad/metabolismo , Extractos Vegetales/farmacología , Extractos Vegetales/toxicidad
17.
BMC Public Health ; 19(1): 1215, 2019 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-31481039

RESUMEN

BACKGROUND: To investigate the differences in body composition and metabolic syndrome (MS) under a daily 12,000-step strategy with or without moderate-intensity walking exercise in college students with obesity. METHODS: Thirty-two adults with obesity (mean (s.d.) age: 19.72 (0.80) years; height: 165.38 (3.99) cm; wt: 83.31 (4.66) kg; body mass index: 30.38 (0.83) kg m- 2) were recruited and randomly assigned to the walking step goal group (WSG; achieving 12,000 steps per day), walking exercise group (WEG; achieving 12,000 steps per day, including 3 days per week on which walking at a step rate of over 103 steps min- 1 was required), or control group (CG; maintaining a free-living life style). Each participant's accumulated daily steps from daily activities and walking exercises were monitored using a smartwatch for 8 weeks. The variables of body composition and MS were measured before and after intervention. RESULTS: Average daily steps over 8 weeks did not significantly differ between the WSG and WEG (11,677.67 (480.24) vs. 12,131.90 (527.14) steps per day, respectively, P > .05). Although the CG and WSG showed no improvement in body composition, the WEG exhibited significant improvements in terms of hip circumference and visceral fat area (VFA) (∆ - 2.28 (3.27) cm and ∆ - 13.11 (9.83) cm2, respectively, P < .05); high-density lipoprotein cholesterol (HDL-C), fasting glucose (FG), and triglycerides (TG) (∆ 16.36 (8.39), ∆ - 2.53 (3.73), and ∆ - 10.52 (36.26) mg dL- 1, respectively, P < .05). The WSG exhibited improvements only in HDL-C (∆ 14.24 (16.13) mg dL- 1, P < .05). CONCLUSION: The combination of walking exercise program and daily step goal is a more time efficient strategy in improving body composition and MS than simply establishing a daily step goal. Furthermore, this strategy may also include a potential reduction effect on the risk factors of cardiovascular diseases. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry, number ACTR N12618001237279 (Retrospectively registered).


Asunto(s)
Composición Corporal/fisiología , Terapia por Ejercicio/métodos , Síndrome Metabólico/fisiopatología , Obesidad/terapia , Caminata/fisiología , Australia , Femenino , Metas , Humanos , Masculino , Resultado del Tratamiento , Caminata/estadística & datos numéricos , Adulto Joven
18.
Z Psychosom Med Psychother ; 65(3): 224-238, 2019 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-31476994

RESUMEN

App-controlled feedback devices can support sustainability of weight loss. Multicentre QUANT-study shows additional weight loss and gain of QoL via multiple feedback-devices in OPTIFAST®52-program Objective: Are three app-controlled feedback devices, tested against a simple pedometer in a weight reduction program, supporting sustainable therapy success and quality of life (QoL)? Methods: In this multi-centre randomised controlled study adults with obesity (n = 89, m = 46.5 years, women n = 54), achieved high weight loss (from 42.7 kg/m² to 35.2 kg/m²) while completing the first three month of the OPTIFAST®52-program. Thereafter the intervention group (IG) used feedback devices (BIA scale, blood pressure monitor, step counter), the control group a mechanical pedometer without app for another year. Intention-to-treat analysis (ITT) and As-treated analysis (AT) were carried out. Results: Feedback devices had a positive effect on fat-loss and secondary study objectives like QoL, leading to a better sustainability of these improvements. Participants in IG (AT for t2-t0) had improvements for Waist-to-Height-ratio (WHtR) and physically and mentally quality of life. Conclusion: The results are presumably based on an increase in self-efficacy and the experience of control. Future studies should be preceded by a pilot study to analyse acceptance problems.


Asunto(s)
Mantenimiento del Peso Corporal , Retroalimentación , Aplicaciones Móviles , Obesidad/terapia , Calidad de Vida , Pérdida de Peso , Programas de Reducción de Peso/métodos , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad
19.
J Autism Dev Disord ; 49(11): 4488-4497, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31414266

RESUMEN

Evidence-based weight-loss treatments for children with autism spectrum disorder (ASD) are lacking. Therefore, a parent-based weight-loss treatment for children with ASD (PBT-ASD) was developed. A pilot study was conducted to test the initial efficacy, feasibility, and acceptability of this intervention. Parents of 20 children with ASD and overweight/obesity (mean age = 9.90 (SD = 2.31) years; 90% male; 40% Hispanic) participated in a 16-session PBT-ASD. The PBT-ASD program was found to be feasible and acceptable. Both children and parents lost weight from pre- to post-treatment (p's < .05). Parent-reported child physical activity and vegetable consumption increased at post-treatment (p's < .05). This pilot study provides a proof-of-concept for PBT-ASD. Randomized controlled trials with larger samples and follow-up are needed.


Asunto(s)
Trastorno del Espectro Autista/terapia , Terapia Conductista/métodos , Obesidad/terapia , Sobrepeso/terapia , Padres/psicología , Pérdida de Peso , Adolescente , Adulto , Trastorno del Espectro Autista/complicaciones , Peso Corporal , Niño , Preescolar , Ingestión de Alimentos , Ejercicio , Estudios de Factibilidad , Femenino , Humanos , Masculino , Obesidad/complicaciones , Sobrepeso/complicaciones , Aceptación de la Atención de Salud , Proyectos Piloto , Resultado del Tratamiento
20.
Medicine (Baltimore) ; 98(33): e16815, 2019 08.
Artículo en Inglés | MEDLINE | ID: mdl-31415397

RESUMEN

BACKGROUND: Acupuncture is effective for reducing body weight; however, evidence in Asian populations is lacking. We performed a systematic review and meta-analysis to evaluate the efficacy of acupuncture for body weight reduction in Asians. METHODS: The Medline, Embase, Cochrane library, and Chinese databases were searched for relevant studies through October 20, 2018. Publications describing randomized controlled trials (RCTs) comparing acupuncture with other treatments for the reduction of body weight were compiled. Reviewers assessed bias and collected data on trial characteristics and outcomes. The study was conducted based on the reporting items of the guidelines for systematic evaluation and meta-analysis (PRISMA). Review Manager 5.2 software was used to calculate weight mean difference (WMD) and 95% confidence intervals (CIs). RESULTS: Twelve RCTs involving 1151 subjects were included. Compared with the control groups, the acupuncture groups exhibited significantly greater reductions of body mass index (BMI)(WMD -1.20kg/m2; 95% CI -1.91, -0.48)and waist circumference (WMD -1.85 cm; 95% CI -3.20, -0.49) In the subgroup analyses, significant differences in the reduction of BMI was observed between the acupuncture and sham acupuncture groups, the acupuncture plus diet and exercise, and the diet and exercise groups, and the acupuncture and no intervention groups, but not between the acupuncture plus exercise and exercise groups [corrected]. CONCLUSIONS: Our study demonstrates that acupuncture is effective in the intervention of overweight/obesity in Asians; however, compared with exercise alone, acupuncture combined with exercise had no effect on the BMI or waist circumstance in the short term. Long-term studies are needed to evaluate the efficacy of acupuncture in weight reduction in Asians.


Asunto(s)
Terapia por Acupuntura/estadística & datos numéricos , Grupo de Ascendencia Continental Asiática/estadística & datos numéricos , Terapia por Ejercicio/estadística & datos numéricos , Obesidad/terapia , Sobrepeso/terapia , Terapia por Acupuntura/métodos , Adulto , Índice de Masa Corporal , Terapia por Ejercicio/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Obesidad/etnología , Sobrepeso/etnología , Resultado del Tratamiento , Pérdida de Peso
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