Changes in lifestyle habits after counselling by nurse practitioners: 1-year results of the Groningen Overweight and Lifestyle study

Abstract

Objectives: The Groningen Overweight and Lifestyle (GOAL) study primarily aims at preventing weight gain by nurse practitioners (NP) guided by a standardized computerized software program. Since favourable changes in physical activity (PA) and diet may improve health independently of weight (loss), insight into effects on lifestyle habits is essential. We examined the 1-year effects of lifestyle counselling by NP on PA and diet, compared with usual care from the general practitioner (GP-UC). Design: A randomized controlled trial. Setting: Eleven general practice locations in the Netherlands. Subjects: A total of 341 GOAL participants with overweight or obesity and either hypertension or dyslipidaemia, or both, who completed an FFQ and Short Questionnaire to Assess Health-Enhancing Physical Activity (SQUASH) at baseline and after 1 year. Results: After 1 year, the NP group spent 33 min/week more on walking compared with the GP-UC group who spent 25 min/week on walking (P 5 0?05). No significant differences were found between the NP and GP-UC groups on the percentage of persons complying with the PA guidelines. In both groups, nutrient intake changed in a favourable direction and participants complied more often with dietary guidelines, but without overall difference between the NP and GP-UC groups. Conclusions: With the exception of an increase in walking (based on self-reported data) in the NP group, no intervention effects on PA and diet occurred. Positive changes in nutrient intake were seen in both groups.

Physical activity levels during pregnancy and gestational weight gain among women who are overweight or obese

“…Furthermore, even pedometers cannot provide precise estimates of physical activity. 38 The SQUASH questionnaire was utilised in this study as it has been validated in a variety of different populations including overweight and obese individuals, 39 is able to rank individuals on level of physical activity 22,23 and has been previously utilised to detect associations between different types of chronic conditions and physical activity patterns. 40 This supports its utility in our current research context, which assesses behavioural patterns in physical activity rather than precise amounts of energy expenditure.…”

Treatment for overweight and obesity in adult populations: a systematic review and meta-analysis

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Skin autofluorescence as proxy of tissue AGE accumulation is dissociated from SCORE cardiovascular risk score, and remains so after 3 years

“…The design and results of the GOAL study have been described in the detail before by ter Bogt et al [26][27][28]. In short, the GOAL study aimed to assess in a randomized design the effects of lifestyle counseling and guidance by practice nurses (with help of a standardized software program; intervention arm) compared to conventional care by the general practitioner (control arm), on the endpoints body weight and conventional risk factors in primary care patients with overweight and hypertension and/or hypercholesterolemia.…”