Comparison of a Behavioral Versus an Educational Weight Management Intervention After Renal Transplantation: A Randomized Controlled Trial.
Schmid-Mohler, Gabriela PhD, RN 1,2; Zala, Patrizia MScN, RN 2; Graf, Nicole PhD 3; Witschi, Patrick RN 2; Mueller, Thomas F. MD 2; Peter Wuthrich, Rudolf MD 2; Huber, Laura MSc 1; Fehr, Thomas MD 2,4; Spirig, Rebecca PhD, RN 5
5(12):e507, December 2019.
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Background. In the first year following renal transplantation, preventing weight gain to minimize overweight or obesity is particularly important. The aim of this study is to test the effect of an 8-month behavioral intervention BMI and physical activity.
Methods. This randomized controlled study included 123 adult kidney or kidney-pancreas recipients. Patients were randomized to usual (1 educational session, then weight self-monitoring) and intervention care (usual care plus 7-8 counseling sessions). Alongside weight, body composition, and physical activity, satisfaction and perceptions regarding care were measured at weeks 2-6 (baseline), then at months 8 and 12.
Results. Both groups reported comparably high satisfaction. The intervention group (IG) reported more chronic care-related activities. In patients with BMIs >= 18.5, mean weight gain (from baseline) was unexpectedly low in both groups: at month 8, 0.04 kg/m2 in IG patients and 0.14 kg/m2 in the control group (P = 0.590), and respectively, 0.03 kg/m2 and 0.19 kg/m2 at month 12 (P = 0.454). Both groups were physically active, walking averages of 10 807 (IG) and 11 093 (control group) steps per day at month 8 (P = 0.823), and respectively 9773 and 11 217 at month 12 (P = 0.195).
Conclusions. The behavioral intervention had high patient acceptance and supported patients in maintaining their weight, but had no superior effect on a single educational session. Further research is needed to assess patient weight gain risk profiles to stratify the intervention.
(C) 2019 The Authors. Published by Wolters Kluwer Health, Inc.