Reducing Cardiovascular Risk Factors in Postmenopausal Women through a Lifestyle Change Intervention

Carels, Robert A.; Darby, Lynn A.; Cacciapaglia, Holly; Douglass, Olivia M.

doi:10.1089/154099904323087105

Cited by 68 publications

(59 citation statements)

References 78 publications

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“…The decrease in body weight (and thus BMI) and fat mass found in both groups of our study is in good agreement with the reduction in adiposity previously observed in obese women subjected to weight reducing programs combining aerobic exercise and dietary restriction [36][37][38]. The fact that our participants lost a similar fat mass as women subjected to long-term (3-to 6-month) weight reducing programs with comparable [38] or less rigid caloric restriction [36,37] indicates that short-term low-intensity physical activity associated with caloric restriction seems to be sufficient to promote body weight loss in women with different obesity degrees. Furthermore, the lean mass decrease of 13% seen after the short-term weight reducing program in all women is lower than that noted at the same time of long-term (lasting from 9 to 16 weeks) very-low-or low-caloric diet studies [39].…”

Section: Discussionsupporting

confidence: 92%

Impact of Weight Reduction on Eating Behaviors and Quality of Life: Influence of the Obesity Degree

Riesco

Rossel²,

Rusques³

et al. 2009

Obes Facts

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Background:To examine the effects of a short-term weight reducing program on body composition, eating behaviors, and health-related quality of life (HRQL) of sedentary obese women characterized by different obesity degrees. Methods:44 women with a BMI under 34.9 kg/m² and 39 women with a BMI above 35 kg/m² were studied. Fat mass and lean mass (electrical bioimpedance), eating behaviors (Three-Factor Eating Questionnaire), and HRQL (36-item short form, SF-36, questionnaire) were determined before and after weight loss. Results:Disinhibition and hunger scores and their subscales decreased after weight loss in both groups (0.0001 < p < 0.04). Restriction increased after weight reduction in all women (p = 0.02). Among the five restriction subscales, flexible restriction increased in women with a BMI above 35 kg/m² (p = 0.008), whereas rigid restraint and avoidance of fattening foods increased in both groups (0.006 < p < 0.02). SF-36 Mental Component Score increased after weight loss in all women (p < 0.0001). Conclusion:A 3week weight reducing program changes selected eating behaviors and components of HRQL, irrespective of women’s obesity degree. Data suggest that women with a BMI above 35 kg/m² could have a better weight control in the long term because of their higher flexible restriction after weight loss when compared to those whose BMI was under 34.9 kg/m².

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Section: Discussionsupporting

confidence: 92%

Impact of Weight Reduction on Eating Behaviors and Quality of Life: Influence of the Obesity Degree

Riesco

Rossel²,

Rusques³

et al. 2009

Obes Facts

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show abstract

“…Ten studies [25,32,36,45,46,[53][54][55][56]58] allowed the investigation of an intensive against a less intensive D-PA intervention. None of these studies reported significant differences between groups for kilocalorie intake at any point in time.…”

Section: Weight Change Diet and Pa Interventions Versus Waiting List mentioning

confidence: 99%

“…Intensive versus Less Intensive Interventions: 11 studies [19,25,32,36,46,47,[53][54][55][56][57] allowed comparisons between intensive and less intensive interventions at various points in time. Intensive interventions, irrespective of whether the intervention consisted of a D-only or D-PA intervention, tended to induce greater MD for weight than the less intensive intervention groups (table 3).…”

Section: Weight Change Diet and Pa Interventions Versus Waiting List mentioning

confidence: 99%

Behavioural Interventions for Obese Adults with Additional Risk Factors for Morbidity: Systematic Review of Effects on Behaviour, Weight and Disease Risk Factors

Dombrowski¹,

Avenell²,

Sniehott³

2010

Obes Facts

128

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Background: Reducing obesity through effective behaviour change interventions is of key importance to prevent disabling and life-threatening conditions, particularly in individuals already at risk for morbidity. Purpose: To assess the effects of behavioural interventions for obese adults with additional risk factors for morbidity on behaviour, weight and disease risk factors. Methods: Systematic review of randomised controlled trials (RCTs). Three electronic databases and three journals were searched for behavioural interventions (aimed at changing dietary intake and/or physical activity (PA)) for adults (mean BMI ≧30 kg/m²; mean age ≧40 years) with risk factors for morbidity, reporting follow-up data ≧12 weeks. Results: 44 RCTs met the inclusion criteria. Behavioural outcomes, weight loss, and cardiovascular disease risk factors showed consistent modest improvements over time, especially for interventions targeting both diet and PA. Conclusion: Behavioural interventions in at-risk populations showed positive effect tendencies on behaviour, weight, and disease risk factors. However, there is still ample room for improvement, and future research should focus on identifying the most effective means of inducing dietary and PA behaviour change in this vulnerable population.

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“…This gap must be addressed to ensure the effectiveness of current obesity intervention to these groups. In previous studies, lifestyle interventions including physical activity, diet modification and smoking cessation have dominated research interest following convincing findings (6)(7)(8). Additionally, studies have found that sedentary populations adhere better to lifestyle intervention with accumulated bouts of activity compared to structured exercises (9).…”

Section: Intervention and Control Group Taskmentioning

confidence: 99%

Effects of Lifestyle Intervention towards Obesity and Blood Pressure among Housewives in Klang Valley: A Quasi-Experimental Study

Kassim

Manaf

Nor³

et al. 2017

MJMS

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Background: The obesity rate in Malaysia is the highest in Asia. Half its population is obese or overweight. The present study aims to determine the effects of lifestyle intervention on weight loss and blood pressure among Malaysian overweight and obese housewives in Klang Valley.Methods: A quasi-experimental study with 328 obese and overweight low socioeconomic status housewives aged 18-59 years old who met the screening criteria participated in the study. They were recruited into an intervention group (N = 169) or control group (N = 159). The intervention group received a lifestyle intervention consisting of a diet, physical activity and self-monitoring behavior package. The control group (delayed intervention group) received a women's health seminar package. Both groups were followed up for six months. Weight, body mass index (BMI), and blood pressure were evaluated both pre-and post-intervention.Results: A total of 124 participants from the intervention group and 93 participants from the control group completed the study. Mean weight loss was 1.13 ± 2.70 kg (P < 0.05) in the intervention group and 0.97 ± 2.60 kg (P < 0.05) in the control group. Systolic blood pressure (SBP) reductions in the intervention group were 5.84 ± 18.10 mmHg (P < 0.05). The control group showed reduction in SBP 6.04 ± 14.52 mmHg (P < 0.05). Both group had non-significant DBP reduction. Multivariate analysis via General Linear Model Repeated Measures observed no significant differences in terms of parameter changes with time in both groups for all parameters.Conclusions: The results indicate that the lifestyle interventions in this study resulted in modest weight loss and thus decreased BMI and blood pressure (SBP) within six months of intervention.

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Reducing Cardiovascular Risk Factors in Postmenopausal Women through a Lifestyle Change Intervention

Abstract: Lifestyle change interventions may be an effective means for reducing cardiovascular risk in obese, sedentary, postmenopausal women. However, greater attention should be devoted to the maintenance of these positive lifestyle changes.

Cited by 68 publications

References 78 publications

Impact of Weight Reduction on Eating Behaviors and Quality of Life: Influence of the Obesity Degree

Impact of Weight Reduction on Eating Behaviors and Quality of Life: Influence of the Obesity Degree

Behavioural Interventions for Obese Adults with Additional Risk Factors for Morbidity: Systematic Review of Effects on Behaviour, Weight and Disease Risk Factors

Effects of Lifestyle Intervention towards Obesity and Blood Pressure among Housewives in Klang Valley: A Quasi-Experimental Study

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