@misc{10481/76380,
year = {2022},
month = {6},
url = {http://hdl.handle.net/10481/76380},
abstract = {Introduction: Obesity and overweight affect more than one-third of the world’s population
and pose a major public health problem. Objective: To evaluate the impact of an educational
intervention on dietary habits and physical exercise in patients with overweight admitted to departments
of internal medicine, comprising a pre-discharge educational session with follow-up and
reinforcement by telephone at 3, 6, and, 12 months post-discharge. Outcome variables were weight,
systolic (SBP) and diastolic (DBP) blood pressures, health-related quality of life (HRQOL), hospital
readmissions, emergency department visits, and death. Method: A randomized experimental study
with a control group was performed in hospitalized non-diabetic adults aged  18 years with body
mass index (BMI)  25 kg/m2. Results and conclusions: The final sample included 273 patients. At
three months post-discharge, the intervention group had lower SBP and DPB and improved dietary
habits (assessed using the Pardo Questionnaire) and VAS-assessed HRQOL in comparison to the
control group but a worse EQ-5Q-5L-assessed HRQOL. There were no between-group differences
in hospital readmissions, emergency department visits, or mortality at any time point. Both groups
evidenced a progressive improvement over the three follow-up periods in weight, SBP, and dietary
habits but a worsening of EQ-5D-5L-value-assessed HRQOL. Discussion: The intervention group
showed greater improvements over the short term, but between-group differences disappeared at
6 and 12 months. Weight loss and improvements in key outcomes were observed in both groups over
the follow-up period. Further research is warranted to determine whether a minimum intervention
with an educational leaflet, follow-up phone calls, and questionnaires on overweight-related healthy
habits, as in the present control group, may be an equally effective strategy without specific individual
educational input.},
organization = {Instituto de Salud Carlos III},
organization = {European Commission	PI17/00419},
publisher = {MDPI},
keywords = {Overweight},
keywords = {Exercise},
keywords = {Food habits},
keywords = {Patients},
keywords = {Internal medicine},
keywords = {Clinical trial},
title = {Hospital Intervention to Reduce Overweight with Educational Reinforcement after Discharge: A Multicenter Randomized Clinical Trial},
doi = {10.3390/nu14122499},
author = {Herrera Espiñeira, Carmen and Martínez Cirre, María del Carmen and López Morales, Manuel and Salmerón López, Laura Esther and Expósito Ruiz, Manuela},
}