overweight
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The inclusioncriteria for participation in the distinct packages of the Beweegkuur match the categorization of the Partnership Overgewicht Nederland (PON) and the Nederlands Huisartsen Genootschap (NHG). Package 1: • BMI 25-30 and a too large waist circumference (>= 88 cm for women; >= 102 cm for men) • BMI 30-35 and a normal or too large waist circumference Package 2: • BMI 25-35 with an enhanced risk for DM2 or Cardio-Vascular Diseases (CVD) Package 3: • BMI 25-35 with comorbidity such as sleepapneu, arthrosis deformans, DM and/or CVD • BMI 35-40 and a normal or too large waist circumference and an enhanced risk for DM2 or (CVD);For the monitoring study only participants of package 1 and 2 are included;Additional inclusion criteria, irrespective of the package are: 1. being motivated to change their behavior 2. inactive lifestyle (not meeting the Nederlandse Norm Gezond Bewegen)
Exclusion criteria
Exclusion criteria: Counterindications: - DM2 with 3 or more complications limiting routine functioning (CVS, nephropathy, retinopathy, neuropathy, diabetic ulceration) - DM2 with severe polyfarmacy (> 5 therapeutic categories) - DM2 with hypertension level 3 (RR >180/110 mmHG) - Severe limitations for physical exercize ( 35 with comorbidity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary study outcome indicators are: - dietary behavior and physical activity level, both measured by self reportage through a short version of the Vet-lijst and the International Physical Activity Questionnaire (IPAQ) - participation, attrition and compliance, measured with the digital registration file of the LSA. To yield a more detailed view on compliance, it will additionally be measured with a number of questions in the proces evaluation questionnaire. The researchers will visit teh articiapting practices on a regular basis to observe helath care professionals in their compliance to the protocol. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary study outcome indicators are: - Motivation to maintain a healthier dietary behavior and a higher level of of physical activity - Participants' experiences with the Beweegkuur - Quality of life (QoL) - Physical fitness - Health risk related factors: o Antropometry: physical height, body weight, fat percentage, waist circumference o Bloodvalues: bloodpressure, HbA1c Motivation is measured with a set of validated questionnaires. Experiences will be measured with an adjusted version of the questionnaire that has been used in the pilotstudy of the Beweegkuur. QoL i smeasured with the Euroqol 6d. These questionnaires wil be presented to the participants together with the previously mentioned questionnaires. Physical fitness of package 1 and 2 participans is assessed by the physical therapist with the Astrand test. This is a submaximal aerobic capacity test that belongs to the routine protocol of the Beweegkuur. If necessary (suspicion for cardiac diseaese), the participant will be referred to the GP. The participant will only be included after permission of the GP. Measurements of health risk related factors belong to the routine protocol of the Beweegkuur. They are performed by the LSA. Test results are recorded in the digital registration file. | — |
Countries
Netherlands