Premium
Community‐based multidisciplinary weight management program in Mexico: Determinants of success
Author(s) -
KauferHorwitz Martha,
Vázquez Verónica,
Reynoso Ricardo,
Zamora Margarita,
Soriano Ruth,
Manjarrez Iliana,
González Lizbeth,
Rocha Ingrid,
Soto Valeria,
Eduardo GarcíaGarcía
Publication year - 2009
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.23.1_supplement.736.13
Subject(s) - medicine , socioeconomic status , weight loss , anxiety , depression (economics) , logistic regression , weight management , obesity , stepwise regression , waist , demography , gerontology , environmental health , psychiatry , population , sociology , economics , macroeconomics
Background Strategies to improve success rates in weight managements programs are needed. Objective To identify the determinants of success (weight loss =5%) of patients attending a 6 month (7 appointments) multidisciplinary weight management program at the National Institute of Medical Sciences and Nutrition in Mexico City. Subjects and methods 1216 obese patients who voluntarily entered the program were evaluated. Assessment at baseline included general and socioeconomic (age, gender, schooling, civil status, appointments, previous treatment), anthropometrical (BMI, waist circumference, previous weight loss), clinical (blood pressure), metabolic (glucose, lipid profile) psychological (emotional eating, conscience of disease, anxiety and depression scores, family support, motivation stage, and diagnosis of food disorders) measurements. A stepwise logistic regression model for success was developed, with socioeconomic, anthropometrical, metabolic, clinical and psychological characteristics as independent variables. Results Patients were 38.8±11.7 years old with a BMI of 43.8±8.4; 74% were female; 62.9% of participants had BMI=40. Success rate was 43%. Determinants of success were socioeconomic class (OR=1.51, 95%CI 1.11‐2.07), number of visits (OR=2.09, 95%CI 1.44‐3.04), previous treatment (OR=0.49, 95%CI 0.25‐0.97) and anxiety score (OR 0.94, 95%CI 0.88‐0.99). Conclusions Strategies to help patients deal with stress should be implemented and efforts to ensure compliance should be made to ensure the expected weight loss.