چکیده (انگلیسی):

Background:The aim of this study is in a general practice trial setting to identify predictive factors for weight loss
after 1 year among young adults who are over-weight or obese and who have several psychosocial problems.
Methods:Twenty-eight general practitioners recruited 495 patients aged 20–45 years with psychosocial problems
for a randomized general preventive study to increase self-efficacy to achieve a self-prioritised goal for a better life
by discussions of resources and barriers for reaching the goal. The present study is a post hoc analysis of possible
predictors of weight loss among all 218 patients who have over-weight or obesity. A 23-pages questionnaire was
completed before and 1 year after randomization. 111 patients had a one-hour preventive health consultation with
their general practitioners focused on life coaching and a follow-up consultation within 3 months, and 107 patients
had no preventive consultation.
Results:Twenty-two patients stated during the preventive consultation that weight loss was a prioritised goal. They
had a mean weight loss of 4.7 kgs compared with 1.6 kgs in the group without this goal and 1.6 kgs in the group
without preventive consultation. In a logistic regression model, predictors of weight loss or no weight loss were a)
pre-interventional consideration of weight loss within 30 days, b) having weight loss as a prioritised goal for
improved quality of life, c) being female, d) being in the oldest half of participants, and e) having many
psychosocial problems. In a linear regression model, the predictors together explained about 11 % of the
weight loss. Important predictors were: obesity (explained 4 %), pre-interventional consideration of weight loss
within 30 days (3 %), and having a preventive health consultation with weight loss as a prioritised goal (2 %).
Conclusions:Pre-interventional consideration of weight loss within 30 days and having weight loss as a
prioritised goal during the health consultation were two important predictors for weight loss. By structured
interventions focussing on the patients’ priorities, self-chosen goals, their resources and barriers for reaching
the goals, changes may be obtained; especially in participants with many problems who often do not accept
participation in procedures on risks.
ClinicalTrials gov Registration:NCT 01231256, Aug. 22. 2010.