The transtheoretical model is an effective weight management intervention: a randomized controlled trial

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dc.creatorPatrícia Pinheirode Freitas
dc.creatorMariana Carvalho de Menezes
dc.creatorLuana Caroline Dos Santos
dc.creatorAdriano Marçal Pimenta
dc.creatorAdaliene Versiani Matos Ferreira
dc.creatorAline Cristine Souza Lopes
dc.date.accessioned2024-03-08T17:58:57Z
dc.date.accessioned2025-09-09T00:59:01Z
dc.date.available2024-03-08T17:58:57Z
dc.date.issued2020-05-11
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s12889-020-08796-1
dc.identifier.issn1471-2458
dc.identifier.urihttps://hdl.handle.net/1843/65529
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBMC Public Health
dc.rightsAcesso Aberto
dc.subjectAtenção Primária à Saúde
dc.subjectModelos Teóricos
dc.subjectComportamento Alimentar
dc.subjectObesidade
dc.subjectEstudos de Intervenção
dc.subject.otherObesity
dc.subject.otherIntervention studies
dc.subject.otherFeeding behavior
dc.subject.otherTheoretical models
dc.subject.otherPrimary health care
dc.titleThe transtheoretical model is an effective weight management intervention: a randomized controlled trial
dc.typeArtigo de periódico
local.citation.epage12
local.citation.issue1
local.citation.spagee652
local.citation.volume20
local.description.resumoBackground Given the current worldwide epidemic of obesity, there is a demand for interventions with higher impact, such as those carried out in the primary health care (PHC) setting. Here we evaluate the effect of intervention performed according to the stages of change of the transtheoretical model (TTM) for weight management. Methods This randomized controlled trial in Brazilian PHC offered free physical exercise and nutrition education. The participants were women, aged 20 years or older who were obese or overweight, users in PHC service. The intervention group (IG, n = 51) received the same orientation as the comparison group (CG, n = 35) plus individual health counseling based on the TTM aimed at weight loss, which lasted 6 months. The outcome measures were anthropometric, food, and nutrient profiles. Inflammatory parameters were evaluated in a random subsample. The inter-group and intra-group differences were evaluated using interntion-to-treat analysis, and analysis of covariance (ANCOVA) used to assess intervention effectiveness. Results There was a difference between groups of − 1.4 kg (CI95%: − 2.5; − 0.3) in body weight after the intervention. About 97% of women in the IG reported benefits of the intervention and presented positive changes in diet, biochemical markers, and anthropometry. The IG showed better body mass index, resistine, and blood glucose results compared to the CG during follow-up. Conclusion The individualized TTM-based intervention, combined with usual care, was an effective strategy in PHC. These results should encourage the use of interdisciplinary practices; nevertheless, research to identify additional strategies is needed to address barriers to weight maintenance among obese low-income women.
local.identifier.orcidhttp://orcid.org/0000-0001-9782-2606
local.identifier.orcidhttps://orcid.org/0000-0001-9836-3704
local.publisher.countryBrasil
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM APLICADA
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM BÁSICA
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
local.publisher.departmentENF - DEPARTAMENTO DE NUTRIÇÃO
local.publisher.departmentENFERMAGEM - ESCOLA DE ENFERMAGEM
local.publisher.initialsUFMG
local.url.externahttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-08796-1

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