Effect of Follow-Up Visit Frequencies on Weight Lost: A Historical Cohort Study

Year 2019, , 191 - 195, 18.06.2019

Elif Ateş , Turan Set , Gamze Dur

https://doi.org/10.21763/tjfmpc.569836

Abstract

Aim/Background: Obesity is an
important problem facing healthcare givers. Obesity care requires a
comprehensive approach including diet, exercise, frequent visits and
counseling. Guidelines recommend frequent follow-up visits in the first three months.
However, some patients fail to attend regularly. This study was intended to
examine differences in body mass index (BMI) and body fat percentage (BFP)
after weight loss among overweight subjects with regular and irregular
follow-up attendance. Methods: We
designed a historical cohort study involving patients with BMI of ≥ 25 kg/m².
Decreases in BMI and BFP between regular follow-up and irregular follow-up
groups were evaluated at the end of three months.  Results:
186 patients, 156 women (83.9%) and 30 men (16.1%), with a mean age of 37.8 ±
12.0 years, met the inclusion criteria. One hundred twenty-seven patients
(68.3%) attended regular follow-ups and 59 patients (31.7%) attended
irregularly. Significant differences were found in BMI and fat percentages
between the first visit and at the end of the 3rd month in both groups
(p<0.001). The differences in the decreases in BMI and BFP between the two
groups were significant (p<0.001). Conclusion:
Statistically significant differences were found between the regular and
irregular follow-up groups in terms of decreases in BMI and fat percentages.
Although regular follow-up of obese patients is recommended, even patients
attending only irregularly can achieve significant weight loss.

 

Amaç: Obezite sağlık
hizmeti verenlerin karşılaştığı önemli bir sorundur. Obezite bakımı; diyet,
egzersiz, sık izlem ve danışmanlığı içeren kapsamlı bir yaklaşım gerektirir.
Kılavuzlar ilk üç ayda sık takip ziyaretleri yapılmasını önermektedir. Ancak,
bazı hastalar takiplere düzenli olarak katılamamaktadır. Bu çalışma, düzenli ve
düzensiz izlem sıklığına sahip olan fazla kilolu bireyler arasında, kilo
verdikten sonra beden kitle indeksi (BKİ) ve vücut yağ yüzdesi (BFP) arasındaki
farkları incelemeyi amaçlamıştır. Yöntem:
BKİ ≥ 25 kg / m² olan hastaları içeren bir retrospektif kohort
çalışması tasarladık. Düzenli ve düzensiz takip grupları arasında, BKİ ve BFP'
de düşüş, üç ayın sonunda değerlendirildi. Bulgular:
Dahil etme kritelerini karşılayan 186 hastanın, 156’sı kadın (% 83,9) ve 30’u
erkek (% 16,1), yaş ortalaması 37,8 ± 12,0 yıl idi. Takiplere 127 hasta (%
68,3) düzenli, 59 hasta (% 31,7) düzensiz olarak katılmıştı. Her iki grupta da
ilk ziyaret ve 3. ay sonunda BKİ ve yağ yüzdelerinde anlamlı farklılıklar
gözlendi (p <0,001). İki grup arasında BKİ ve BFP'deki azalmadaki farklar
anlamlıydı (p <0,001). Sonuç:
Düzenli ve düzensiz takip grupları arasında BKİ'deki ve yağ yüzdeleri açısından
azalmalarda istatistiksel olarak anlamlı farklılıklar gözlendi. Her ne kadar
obez hastaların düzenli olarak izlenmesi önerilse de, düzensiz takipli hastalar
bile anlamlı kilo verebilirler.

Keywords

Body fat distribution, body mass index, electric impedance, obesity, overweight

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