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Family-centered brief intervention for reducing obesity and cardiovascular disease risk: A randomized controlled

Scott Duncan1, Felicity Goodyear-Smith2, Julia McPhee3

  • 1Human Potential Centre, School of Sport and Recreation, Auckland University of Technology, Auckland, New Zealand. scott.duncan@aut.ac.nz.

Obesity (Silver Spring, Md.)
|September 13, 2016
PubMed

Insights

A brief family-centered intervention improved body mass index (BMI) and cardiovascular disease (CVD) risk factors in primary care patients. This approach showed modest but significant health benefits compared to usual care.

Area of Science:

  • Public Health
  • Cardiovascular Health
  • Obesity Management

Background:

  • Elevated cardiovascular disease (CVD) risk is a significant concern in primary healthcare.
  • Lifestyle interventions focusing on physical activity and nutrition are crucial for managing obesity and CVD risk.

Purpose of the Study:

  • To evaluate the impact of a family-centered, brief intervention on body weight and related health outcomes.
  • To assess the effectiveness of a time-limited intervention in primary care patients with elevated 5-year CVD risk.

Main Methods:

  • A cluster randomized controlled trial was conducted with 320 patients aged 35-65.
  • Intervention group received usual care plus up to five home sessions promoting physical activity and healthy eating.
  • Outcomes included BMI, waist circumference, blood pressure, cholesterol, triglycerides, CVD risk, and dietary patterns.

Main Results:

  • The intervention group showed a modest but significant decrease in BMI (-0.633 kg/m²) at 12 months compared to the control group.
  • Significant reductions were observed in total cholesterol, total cholesterol to HDL ratio, and 5-year CVD risk.
  • Fast food consumption also decreased significantly in the intervention group at 12 months.

Conclusions:

  • A family-centered brief intervention can yield modest improvements in obesity-related health outcomes.
  • This intervention offers a viable strategy to enhance cardiovascular health in primary care settings.
  • The findings support integrating lifestyle interventions into routine primary care for at-risk patients.
Abstract

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