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Two-Year Results of a Five-Year Personalized Integrative Obesity Coaching Program (IBO) Based upon a Systems Health Perspective and an Evolutionary Longitudinal Study Approach

Author

Listed:
  • Sander M. Brink

    (Vogellanden, Center of Rehabilitation Medicine & Special Dentistry, 8001 BB Zwolle, The Netherlands)

  • Heleen M. Wortelboer

    (The Netherlands Organization for Applied Scientific Research (TNO), Department Work Health and Technology, 2333 BE Leiden, The Netherlands)

  • Ard F. ten Hoff

    (Vogellanden, Center of Rehabilitation Medicine & Special Dentistry, 8001 BB Zwolle, The Netherlands)

  • Cornelis H. Emmelot

    (Vogellanden, Center of Rehabilitation Medicine & Special Dentistry, 8001 BB Zwolle, The Netherlands)

  • Tommy L. S. Visscher

    (Knowledge Centre Societal Innovations, Windesheim University of Applied Sciences, 1315 RC Almere, The Netherlands)

  • Herman A. van Wietmarschen

    (Louis Bolk Institute, Department of Nutrition and Health, 3981 AJ Bunnik, The Netherlands)

Abstract

This study presents the outcomes of a 5-year personalized integrative coaching program for adults with obesity (body mass index BMI ≥ 30 kg/m 2 ), based upon a systems health perspective, during the first 2 years. This longitudinal study, which had an evolutionary design, included all adults who enrolled in the program. Health-related quality of life (HRQoL) was measured with the Short Form-36 (SF-36), and physical outcomes included weight, waist circumference, aerobic capacity, lipid profile, and HbA1c. Subsequently, participants completed questionnaires (e.g., the Symptom Checlist-90 (SCL-90) and the Checklist Individual Strength (CIS)). Seventy-nine adults with a mean BMI of 39.5 kg/m 2 (SD 5.3) were included. Forty-four participants completed 2 years in the program. Compared to baseline, there were significant improvements in the SF-36 subscales ‘physical functioning’ (MD 9.9 points, 95% CI: 2.1–17.5, p = 0.013) and ‘general health perceptions’ (MD 9.3 points, 95% CI 2.9–15.7, p = 0.006). Furthermore, significant improvements in physical outcomes and psychosocial questionnaires (e.g., weight loss (MD 3.5 kg, 95% CI: 1.2–5.7, p = 0.003), waist circumference (MD 5.1 cm, 95% CI: 2.4–7.8, p < 0.001), and CIS fatigue (MD 6.8, 95% CI: 3.1–10.5, p = 0.001) were observed. This study highlights the importance of a systems health perspective supporting the development of a personalized integrative coaching program for adults with obesity in a ‘real-world’ setting.

Suggested Citation

  • Sander M. Brink & Heleen M. Wortelboer & Ard F. ten Hoff & Cornelis H. Emmelot & Tommy L. S. Visscher & Herman A. van Wietmarschen, 2024. "Two-Year Results of a Five-Year Personalized Integrative Obesity Coaching Program (IBO) Based upon a Systems Health Perspective and an Evolutionary Longitudinal Study Approach," IJERPH, MDPI, vol. 21(6), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:807-:d:1418457
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    References listed on IDEAS

    as
    1. Rachele Pojednic & Emma D'Arpino & Ian Halliday & Amy Bantham, 2022. "The Benefits of Physical Activity for People with Obesity, Independent of Weight Loss: A Systematic Review," IJERPH, MDPI, vol. 19(9), pages 1-14, April.
    2. Celeste Van Rinsum & Sanne Gerards & Geert Rutten & Nicole Philippens & Ester Janssen & Bjorn Winkens & Ien Van de Goor & Stef Kremers, 2018. "The Coaching on Lifestyle (CooL) Intervention for Overweight and Obesity: A Longitudinal Study into Participants’ Lifestyle Changes," IJERPH, MDPI, vol. 15(4), pages 1-27, April.
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