title: Impact of a comprehensive intervention to families with teenage sons with overweight and obesity in a primary care setting: A case report.
abstract: BACKGROUND
  Overweight and obesity in adolescence is a public health problem and a risk factor for chronic noncommunicable diseases. To prevent further diseases, preventive interventions are needed, including educational programmes, addressed in a primary care setting, that include the whole family. The objective of this study was to evaluate the impact of a comprehensive intervention, targeting families with teenage sons with overweight and obesity, in the lifestyle, cardiovascular risk factors and metabolic syndrome in a primary care setting.
  
  
  METHODS
  A pre-post intervention study was conducted. Twelve families with teenage sons between 10 and 14 years were enrolled; all the families were affiliated to the IMSS (Insituto Mexicano del Seguro Social). The comprehensive strategy was applied for 6 months (educational sessions for self-care, physical activity and nutritional counselling). The following measurements were performed before and after the intervention: the FANTASTIC lifestyle survey was applied. Clinical, anthropometric and biochemical assessments were performed. The changes in life style and cardiovascular risk factors were analyzed with Student's t-test or Mann-Whitney U test.
  
  
  RESULTS
  The lifestyle was improved after the intervention in the domains of family and friends, nutrition and alcohol intake (p<0.05). Body mass index, waist circumference and diastolic blood pressure and fasting glucose decreased significantly. CHDL increased (p<0.05). Metabolic syndrome improved (p<0.05).
  
  
  CONCLUSIONS
  Our comprehensive intervention for the families in a primary care setting, improved their lifestyle, decreased cardiovascular risk factors and decreased the metabolic syndrome.
authors.affiliation: Hospital General de Subzona con Medicina Familiar N° 2, Zacapu, Mich, Mexico; Facultad de Ciencias Médicas y Biológicas "Dr. Ignacio Chávez", Universidad Michoacna de San Nicolás de Hidalgo, Mexico.
authors.forename: Alma Delia
authors.initials: AD
authors.lastname: Laguna-Alcaraz
authors.affiliation: Centro de Investigación Biomédica de Michoacán, del Instituto Mexicano del Seguro Social, Morelia, Michoacán, Mexico. Electronic address: olivamejia@yahoo.com.
authors.forename: Oliva
authors.initials: O
authors.lastname: Mejía-Rodríguez
authors.affiliation: Hospital General de Subzona con Medicina Familiar N° 2, Zacapu, Mich, Mexico.
authors.forename: Ana Luisa
authors.initials: AL
authors.lastname: Rendón-Paredes
authors.affiliation: Facultad de Ciencias Médicas y Biológicas "Dr. Ignacio Chávez", Universidad Michoacna de San Nicolás de Hidalgo, Mexico.
authors.forename: Rafael
authors.initials: R
authors.lastname: Villa-Barajas
authors.affiliation: Unidad de Investigación Médica en Enfermeades Nefrológicas, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México.
authors.forename: Ramón
authors.initials: R
authors.lastname: Paniagua
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D002648:Child; D018479:Early Intervention, Educational; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D008019:Life Style; D008297:Male; D009765:Obesity / Q000517:prevention & control*; D050177:Overweight / Q000517:prevention & control*; D011320:Primary Health Care; D011379:Prognosis; D055815:Young Adult
keywords: Family health; Health promotion; Obesity; Patient education; Primary care