scholarly journals Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot Study

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4078
Author(s):  
Sarah Driscoll ◽  
Gideon Meyerowitz-Katz ◽  
Golo Ahlenstiel ◽  
Tahlia Reynolds ◽  
Kate Reid ◽  
...  

Australia has one of the highest prevalences of obesity in the developed world with recognised gaps in patient access to obesity services. This non-randomised before and after study investigated the health benefits and patient acceptability of integrating the Get Healthy Service, a state-funded telephone-delivered coaching service in Australia, as an adjunct to multidisciplinary care for adults attending a public obesity service. Forty-one participants received multidisciplinary care alone while 39 participants were subsequently allocated to receive adjunctive treatment with the Get Healthy Service. Weight, body mass index, glycosylated haemoglobin, measurement of hepatic steatosis and liver enzymes were collected at baseline and 6 months. Participant evaluation was obtained post intervention. Statistically significant reductions from baseline were achieved for both control and intervention with respect to weight (−6.7 ± 2.2 kg, p = 0.01; −12.6 ± 3.2, p = 0.002), body mass index (−2.3 ± 0.8, p = 0.01; −4.8 ± 1.2 kg/m2, p = 0.002) and glycosylated haemoglobin (−0.2 ± 0.2%, p = 0.2 (NS); −0.7 ± 0.2%, p = 0.02), respectively. There were no significant differences in steatosis or liver enzymes or in outcomes between control and intervention cohorts. A high level of patient acceptability was reported. Integrating telephone-delivered coaching provided non-inferior care and high levels of patient satisfaction. Telephone coaching aligned with the principles of an obesity service should be trialled to improve patient access to obesity interventions.

2014 ◽  
Vol 64 (4) ◽  
pp. 213
Author(s):  
Seung Ho Choi ◽  
Jong In Yang ◽  
Changhyun Lee ◽  
Hee Jin Byun ◽  
Jung Mook Kang ◽  
...  

2021 ◽  
Vol 26 (4) ◽  
pp. 485-490
Author(s):  
Noori mohammed

        The current study was designed for two groups, each group contain (20) nonsmokers healthy persons males, first group was get (more than 7 hours sleep / day) , while the second group did not get enough sleep hours (less than 7 hours sleep / day). The results showed a significant  increase in the level of body mass index (BMI) , the activity of glutamic pyruvic transaminase enzyme (GPT), glutamic oxaloacetic transaminase enzyme (GOT) and concentration of total serum bilirubin (TSB) at probability level (P≤0.049 , P≤0.047 , P≤0.032 , P≤0.035) Respectively in Persons with second group compared to Persons with first group, as well as the study showed a positive correlation between the studied parameters , with increase of all parameters  in the second group with each other as a result of the same reason.


2021 ◽  
Vol 9 (7) ◽  
pp. 321-328
Author(s):  
Mingzhen Li ◽  
Yunjie Duan ◽  
Ying Wang ◽  
Lei Chen ◽  
Mohamed EA Abdelrahim ◽  
...  

2011 ◽  
Vol 32 (12) ◽  
pp. e1-e5
Author(s):  
R. Wang ◽  
P. Chen ◽  
W. Chen

AbstractNeutrophil to lymphocyte ratio and levels of pro-inflammatory cytokines were evaluated in overweight, male Chinese adolescents upon completing a 4-week diet and physical exercise intervention. 43 recruited, non-randomized adolescents (body mass index >25 kg/m2) completed the controlled study. Anthropometric and biologic parameters were measured pre- and post-intervention. After the 4-week intervention, participants exhibited a significant decrease in body mass, body mass index, percentage body fat, basal heart rate, diastolic blood pressure, and all body shape indices tested. A significant decrease in serum lipids (except high-density lipoprotein cholesterol) and insulin levels was observed post-intervention. The neutrophil to lymphocyte ratio was significantly lower post-intervention. Bivariate correlation analyses showed that decrement in Δneutrophil to lymphocyte ratio significantly correlated with decrement in Δinterleukin-6 and Δwhite blood cell count. Thus, a 4-week diet and physical exercise intervention significantly reduces the neutrophil to lymphocyte ratio in a population of overweight, male adolescents. Weight loss caused by the intervention was associated with a significant decrease of pro-inflammatory cytokine levels.


Author(s):  
Ani, Chijioke Collins ◽  
Ojobor, Charles Chijioke ◽  
Ezeanyika, Lawrence Uchenna Sunday ◽  
Obi, Bonaventure Chukwunonso

The influence of age and sex on the levels of glycosylated haemoglobin among non-diabetic Nigerian population were investigated in this study. Seventy-nine non-diabetic individuals volunteered for the study and were grouped into male and female and then into four groups according to age: ≤ 20 years, 21 - 40 years, 41 - 60 years and ≥ 61 years. Fasting blood glucose, 2-hour post-load glucose, packed cell volume and genotype analyses of subjects were initially determined to ensure that subjects were non-diabetic and had no glucose metabolic impairment. Subsequently, glycosylated haemoglobin and body mass index were measured. Student’s t-test, Pearson correlation and one-way analysis of variance were used to compare the data which were presented as a mean ± standard deviation. Statistical significance was accepted at p ˂ 0.05. The results obtained showed that: (1) glycosylated haemoglobin (HbA1c) significantly increased with age, (2) there is no correlation between HbA1c with sex and (3) there was a positive association between Hba1c and body mass index in normal glucose tolerant subjects. Based on the result of this study, the contributions of age and BMI to HbA1c levels should be taking into account when making diagnostic and therapeutic decisions with regard to diabetes care using HbA1c. The hba1c range of (4.0 - 5.2) % could be considered as the normal range for individuals below sixty-one years while the HbA1c level of ≤ 5.27% is suggested for individuals above sixty years. However, further studies are required especially to investigate the non-glycaemic factors affecting HbA1c levels in normal glucose tolerant populations so as to really understand the actual role glycosylated haemoglobin values play in diabetes management and diagnosis.


2017 ◽  
Vol 5 (2) ◽  
pp. 131-136 ◽  
Author(s):  
Soha M. Abd El Dayem ◽  
Mona Abd El Kader ◽  
Soheir Ibrahim ◽  
Enas Mokhtar ◽  
Eman Abd El Megeed

AIM: To evaluate leptin and lipid profile in overweight patients with type 1 diabetes.PATIENTS AND METHODS: The study included 50 overweight patients with type 1 diabetes and 50 age and sex matched healthy controls. Blood samples were taken for evaluation of glycosylated haemoglobin, lipid profile and leptin. Also, urine samples were taken for evaluation of albumin/creatinine ratio.RESULTS: Leptin level was significantly lower in overweight with type 1 diabetes and showed a significant positive correlation with hip circumference and body mass index and negative correlation with glycosylated haemoglobin (HbA1c). Leptin level was significantly lower in overweight diabetic patients with HbA1c > 7.5 %. The best cut-off point between overweight diabetic group and control group regarding leptin levels was found at 16.9 (ng/ml) with a sensitivity of 68% and specificity of 56%, area under the curve 0.623.CONCLUSION: Leptin levels were found to be low in overweight patients with type 1 diabetes and showed correlation with the body mass index and hip circumference. LDL was significantly higher while HDL was significantly lower in the diabetic, overweight group indicating increased risk of cardiovascular disease. Leptin level in overweight diabetic patients might be related to the metabolic control.


Sign in / Sign up

Export Citation Format

Share Document