Journal article
Waste the waist: A pilot randomised controlled trial of a primary care based intervention to support lifestyle change in people with high cardiovascular risk
International Journal of Behavioral Nutrition and Physical Activity, Vol.12, 1
2015
Abstract
Background: In the UK, thousands of people with high cardiovascular risk are being identified by a national risk-assessment programme (NHS Health Checks). Waste the Waist is an evidence-informed, theory-driven (modified Health Action Process Approach), group-based intervention designed to promote healthy eating and physical activity for people with high cardiovascular risk. This pilot randomised controlled trial aimed to assess the feasibility of delivering the Waste the Waist intervention in UK primary care and of conducting a full-scale randomised controlled trial. We also conducted exploratory analyses of changes in weight. Methods: Patients aged 40-74 with a Body Mass Index of 28 or more and high cardiovascular risk were identified from risk-assessment data or from practice database searches. Participants were randomised, using an online computerised randomisation algorithm, to receive usual care and standardised information on cardiovascular risk and lifestyle (Controls) or nine sessions of the Waste the Waist programme (Intervention). Group allocation was concealed until the point of randomisation. Thereafter, the statistician, but not participants or data collectors were blinded to group allocation. Weight, physical activity (accelerometry) and cardiovascular risk markers (blood tests) were measured at 0, 4 and 12 months. Results: 108 participants (22% of those approached) were recruited (55 intervention, 53 controls) from 6 practices and 89% provided data at both 4 and 12 months. Participants had a mean age of 65 and 70% were male. Intervention participants attended 72% of group sessions. Based on last observations carried forward, the intervention group did not lose significantly more weight than controls at 12 months, although the difference was significant when co-interventions and co-morbidities that could affect weight were taken into account (Mean Diff 2.6Kg. 95%CI: -4.8 to -0.3, p = 0.025). No significant differences were found in physical activity. Conclusions: The Waste the Waist intervention is deliverable in UK primary care, has acceptable recruitment and retention rates and produces promising preliminary weight loss results. Subject to refinement of the physical activity component, it is now ready for evaluation in a full-scale trial. © 2015 Greaves et al.
Details
- Title
- Waste the waist: A pilot randomised controlled trial of a primary care based intervention to support lifestyle change in people with high cardiovascular risk
- Authors
- C Greaves (Author) - University of Exeter, United KingdomF Gillison (Author) - University of Bath, United KingdomA Stathi (Author) - University of Bath, United KingdomP Bennett (Author) - University of Bath, United KingdomPrasuna Reddy (Author) - Flinders UniversityJ Dunbar (Author) - Flinders UniversityR Perry (Author) - University of Bath, United KingdomD Messom (Author) - Public Health England, United KingdomR Chandler (Author) - University of Exeter, United KingdomM Francis (Author) - University of Exeter, United KingdomM Davis (Author) - University of Bristol, United KingdomC Green (Author) - University of Exeter, United KingdomP Evans (Author) - University of Exeter, United KingdomG Taylor (Author) - University of Bath, United Kingdom
- Publication details
- International Journal of Behavioral Nutrition and Physical Activity, Vol.12, 1; 13
- Publisher
- BioMed Central Ltd.
- Date published
- 2015
- DOI
- 10.1186/s12966-014-0159-z
- ISSN
- 1479-5868
- Copyright note
- Copyright © 2015 Greaves et al.; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Organisation Unit
- University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99450428002621
- Output Type
- Journal article
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