Programme of education for obese patients. Preliminary results after one year.
We have evaluated the effects of a Programme of education for Obese Patients with a duration of 12 hours on weight loss and the modification of other indices for cardiovascular risk in 88 obese patients, during the first year of therapy. The BMI dropped from 33.1 +/- 0.2 Kg/m2 to 31.7 +/- 0.7 (p less than 0.01) and 30.9 +/- 0.7) (p less than 0.01) at 5 and 10 weeks respectively, stabilizing subsequently at 35 and at 55 weeks. This was accompanied by a decrease of the triglycerides levels (141 +/- 9 vs 111 +/- 6 mg/dl; p less than 0.01) and of the total cholesterol/HDL-cholesterol ratio (4.7 +/- 0.3 vs 4.2 +/- 0.12; p less than 0.05), as well as of the values for systolic blood pressure (143 +/- 3 vs 121 +/- 3 mm Hg; p less than 0.05) and diastolic blood pressure 81 +/- 2 vs 64 +/- 1 mm Hg; p less than 0.01) at the end of the study. In terms of OGTT, initially 23 patients were classified as diabetic (BMI 32 +/- 0.9 Kg/m2), 25 presented intolerance to carbohydrates (BMI 34.1 +/- 1.6 Kg/m2) and 40 were normal (BMI 33.2 +/- 1.2 Kg/m2). The weight loss in the first 5 weeks was less in patients with diabetes then in those with carbohydrate intolerance and in the normal patients (2.2 vs 3.7 vs 5.9 Kg; p less than 0.01). From the 10th week on no differences were recorded.(ABSTRACT TRUNCATED AT 250 WORDS)
Calle-Pascual
A L
AL
Unidad de Endocrinologia y Nutricion, Hospital Ntra Sra de Sonsoles, Avila, Spain.
Rodriguez
C
C
Hernandez
M J
MJ
Martin
P J
PJ
Yuste
E
E
Garcia
M A
MA
Matias
J
J
Martin-Vaquero
P
P
Sanchez
R
R
D001794:Blood Pressure; D015992:Body Mass Index; D002784:Cholesterol / Q000097:blood; D004038:Diet, Reducing; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D010353:Patient Education as Topic; D011446:Prospective Studies; D012648:Self Care; D014280:Triglycerides / Q000097:blood
D014280:Triglycerides; D002784:Cholesterol