Maintenance of lifestyle changes: 3-Year results of the Groningen Overweight and Lifestyle study

Femke Driehuis; Jeroen C. M. Barte; Nancy C. W. ter Bogt; Frank W. Beltman; Andries J. Smit; Klaas van der Meer; Wanda J. E. Bemelmans

doi:10.1016/j.pec.2012.03.017

Maintenance of lifestyle changes: 3-Year results of the Groningen Overweight and Lifestyle study

Femke Driehuis, Jeroen C. M. Barte^*, Nancy C. W. ter Bogt, Frank W. Beltman, Andries J. Smit, Klaas van der Meer, Wanda J. E. Bemelmans

^*Corresponding author voor dit werk

Onderzoeksoutput: Article › Academic › peer review

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Objective: This study aims to evaluate the three-year effect of lifestyle counseling by a nurse practitioner (NP) on physical activity (PA) and dietary intake compared with usual care by a general practitioner (GP).

Methods: At baseline, subjects were randomly allocated to the NP group (n = 225) or to the GP group (n = 232). The NP group received a low-intensive lifestyle intervention for three years by the NP and the GP group received one consultation by the GP and thereafter usual care. PA and dietary intake were assessed with questionnaires at baseline, 1 year follow-up and 3 year follow-up.

Results: After three years, leisure-time activity increased and favorable improvements towards a healthy diet were made for both groups. These three-year changes in PA and diet did not differ significantly between groups. Changes in PA and dietary habits after one year were practically maintained after 3 years, because only small relapses were found.

Conclusion: After three years, subjects were more physically active and had a healthier diet compared to baseline. Lifestyle counseling by NP resulted in similar lifestyle changes compared to GP consultation.

Originele taal-2	English
Pagina's (van-tot)	249-255
Aantal pagina's	7
Tijdschrift	Patient Education and Counseling
Volume	88
Nummer van het tijdschrift	2
DOI's	https://doi.org/10.1016/j.pec.2012.03.017
Status	Published - aug.-2012

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@article{d06e70ba08c6466d830f2716779c9e9e,

title = "Maintenance of lifestyle changes: 3-Year results of the Groningen Overweight and Lifestyle study",

abstract = "Objective: This study aims to evaluate the three-year effect of lifestyle counseling by a nurse practitioner (NP) on physical activity (PA) and dietary intake compared with usual care by a general practitioner (GP).Methods: At baseline, subjects were randomly allocated to the NP group (n = 225) or to the GP group (n = 232). The NP group received a low-intensive lifestyle intervention for three years by the NP and the GP group received one consultation by the GP and thereafter usual care. PA and dietary intake were assessed with questionnaires at baseline, 1 year follow-up and 3 year follow-up.Results: After three years, leisure-time activity increased and favorable improvements towards a healthy diet were made for both groups. These three-year changes in PA and diet did not differ significantly between groups. Changes in PA and dietary habits after one year were practically maintained after 3 years, because only small relapses were found.Conclusion: After three years, subjects were more physically active and had a healthier diet compared to baseline. Lifestyle counseling by NP resulted in similar lifestyle changes compared to GP consultation.Practice implications: NPs could also advice patients at cardiovascular risk by lifestyle counseling, to possibly reduce GP barriers. (C) 2012 Elsevier Ireland Ltd. All rights reserved.",

keywords = "Physical activity, Diet, Maintenance, Overweight, Obesity, Lifestyle counseling, RANDOMIZED CONTROLLED-TRIAL, PREVENTING WEIGHT-GAIN, CORONARY-HEART-DISEASE, PHYSICAL-ACTIVITY, CARDIOVASCULAR-DISEASE, GENERAL-PRACTICE, PRIMARY-CARE, RISK, INTERVENTION, OBESITY",

author = "Femke Driehuis and Barte, {Jeroen C. M.} and {ter Bogt}, {Nancy C. W.} and Beltman, {Frank W.} and Smit, {Andries J.} and {van der Meer}, Klaas and Bemelmans, {Wanda J. E.}",

year = "2012",

month = aug,

doi = "10.1016/j.pec.2012.03.017",

language = "English",

volume = "88",

pages = "249--255",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "ELSEVIER IRELAND LTD",

number = "2",

}

TY - JOUR

T1 - Maintenance of lifestyle changes

T2 - 3-Year results of the Groningen Overweight and Lifestyle study

AU - Driehuis, Femke

AU - Barte, Jeroen C. M.

AU - ter Bogt, Nancy C. W.

AU - Beltman, Frank W.

AU - Smit, Andries J.

AU - van der Meer, Klaas

AU - Bemelmans, Wanda J. E.

PY - 2012/8

Y1 - 2012/8

N2 - Objective: This study aims to evaluate the three-year effect of lifestyle counseling by a nurse practitioner (NP) on physical activity (PA) and dietary intake compared with usual care by a general practitioner (GP).Methods: At baseline, subjects were randomly allocated to the NP group (n = 225) or to the GP group (n = 232). The NP group received a low-intensive lifestyle intervention for three years by the NP and the GP group received one consultation by the GP and thereafter usual care. PA and dietary intake were assessed with questionnaires at baseline, 1 year follow-up and 3 year follow-up.Results: After three years, leisure-time activity increased and favorable improvements towards a healthy diet were made for both groups. These three-year changes in PA and diet did not differ significantly between groups. Changes in PA and dietary habits after one year were practically maintained after 3 years, because only small relapses were found.Conclusion: After three years, subjects were more physically active and had a healthier diet compared to baseline. Lifestyle counseling by NP resulted in similar lifestyle changes compared to GP consultation.Practice implications: NPs could also advice patients at cardiovascular risk by lifestyle counseling, to possibly reduce GP barriers. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

AB - Objective: This study aims to evaluate the three-year effect of lifestyle counseling by a nurse practitioner (NP) on physical activity (PA) and dietary intake compared with usual care by a general practitioner (GP).Methods: At baseline, subjects were randomly allocated to the NP group (n = 225) or to the GP group (n = 232). The NP group received a low-intensive lifestyle intervention for three years by the NP and the GP group received one consultation by the GP and thereafter usual care. PA and dietary intake were assessed with questionnaires at baseline, 1 year follow-up and 3 year follow-up.Results: After three years, leisure-time activity increased and favorable improvements towards a healthy diet were made for both groups. These three-year changes in PA and diet did not differ significantly between groups. Changes in PA and dietary habits after one year were practically maintained after 3 years, because only small relapses were found.Conclusion: After three years, subjects were more physically active and had a healthier diet compared to baseline. Lifestyle counseling by NP resulted in similar lifestyle changes compared to GP consultation.Practice implications: NPs could also advice patients at cardiovascular risk by lifestyle counseling, to possibly reduce GP barriers. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

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KW - Maintenance

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KW - Lifestyle counseling

KW - RANDOMIZED CONTROLLED-TRIAL

KW - PREVENTING WEIGHT-GAIN

KW - CORONARY-HEART-DISEASE

KW - PHYSICAL-ACTIVITY

KW - CARDIOVASCULAR-DISEASE

KW - GENERAL-PRACTICE

KW - PRIMARY-CARE

KW - RISK

KW - INTERVENTION

KW - OBESITY

U2 - 10.1016/j.pec.2012.03.017

DO - 10.1016/j.pec.2012.03.017

M3 - Article

SN - 0738-3991

VL - 88

SP - 249

EP - 255

JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 2

ER -

Maintenance of lifestyle changes: 3-Year results of the Groningen Overweight and Lifestyle study

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