1. Comparison between volunteer- and expert-led versions of a community-based weight-loss intervention
- Author
-
Seiji Maeda, Ryoko Mizushima, Kiyoji Tanaka, Xinyu Zuo, Yoshio Nakata, and Hiroyuki Sasai
- Subjects
medicine.medical_specialty ,Epidemiology ,BMI, body mass index ,030209 endocrinology & metabolism ,Body weight ,HDL-C, high-density lipoprotein cholesterol ,03 medical and health sciences ,FG, food group ,0302 clinical medicine ,Weight-loss program ,Weight loss ,Intervention (counseling) ,Community-based ,CHW, community health worker ,medicine ,Obesity ,030212 general & internal medicine ,Medical prescription ,Volunteer ,DPP, Diabetes Prevention Program ,Community based ,business.industry ,BOCF, baseline observation carried forward ,Public Health, Environmental and Occupational Health ,Regular Article ,medicine.disease ,Confidence interval ,CI, confidence interval ,TC, total cholesterol ,Physical therapy ,Medicine ,LDL-C, low-density lipoprotein cholesterol ,UMIN, University Hospital Medical Information Network ,medicine.symptom ,business ,MVPA, moderate to vigorous physical activity - Abstract
Highlights • We compared the effects of volunteer- and expert-led weight-loss intervention. • Participants were instructed to maintain a well-balanced, low-energy diet. • The completion proportions was significantly higher in the expert-led group. • The degree of body weight change was similar for both groups. • Such programs could be an alternative strategy for low-cost obesity management., This study compared the effect of volunteer- and expert-led versions of a community-based weight-loss intervention in a non-randomized comparative trial conducted in Ibaraki, Japan from 2016 to 2017. Participants were 145 Japanese adults with overweightness or obesity, aged 20–69 years, with 77 in a volunteer-led group and 68 in an expert-led group. Both groups received the same program content and intervention period. Community volunteers were trained in four or five 3-hour training sessions while experts were highly trained and experienced professionals in the fields of exercise and nutrition prescription. Participants were also instructed to maintain a well-balanced, low-energy diet. The primary outcome measure was body weight change. In the volunteer- and expert-led groups, 58 of 77 (75%) and 61 of 68 (95%) participants completed the 12-week intervention, respectively. The mean (95% confidence interval, CI) weight loss of the volunteer-led group was 6.4 (95% CI: 5.6–7.2) kg, corresponding to 8.9% of initial body weight, while that of the expert-led group was 6.3 (95% CI: 5.5–7.1) kg, corresponding to 8.2% of the initial body weight. The proportion of participants who completed the course was significantly higher in the expert-led group (P
- Published
- 2021
- Full Text
- View/download PDF