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Family-based lifestyle intervention improves weight management and cardiovascular health among high-risk patients

Family-based interventions to promote weight management in adults: results from a cluster randomized controlled trial in India

Family-based lifestyle intervention improves weight management and cardiovascular health among high-risk patients
2025-03-24
(Press-News.org) Original Research

Family-Based Lifestyle Intervention Improves Weight Management and Cardiovascular Health Among High-Risk Patients

Background and Goal: The PROgramme of Lifestyle Intervention in Families for Cardiovascular risk reduction (PROLIFIC) Study, conducted in India, aimed to assess whether a family-based approach to lifestyle interventions could improve weight management and obesity-related health outcomes among individuals with a family history of premature coronary heart disease​.

Study Approach: In this cluster randomized controlled trial, families were randomly assigned to a family-based intervention group or a usual care group. The intervention group received structured lifestyle counseling from nonphysician health workers, who provided regular home visits, goal-setting, and peer group sessions focused on diet, physical activity, and cardiovascular health. The usual care group received one-time counseling and annual cardiovascular risk screenings but no ongoing interventions.

Main Results: 1,671 participants (1,111 women) from 750 families participated. After adjusting for family clustering and socio-economic factors, intervention participants experienced, on average, these improvements compared to the usual care group after two years:

2.61 kg greater reduction in weight (P < .001)

1.06 kg/m² greater reduction in BMI (P < .001)

4.17 cm greater reduction in waist circumference (P < .001)

Why It Matters: The findings demonstrate that a family-based approach to lifestyle interventions can significantly improve weight management and cardiovascular health among high-risk individuals. These interventions could have a substantial public health impact in preventing future diabetes and other noncommunicable disease conditions.

Family-Based Interventions to Promote Weight Management in Adults: Results From a Cluster Randomized Controlled Trial in India 

Jeemon Panniyammakal, PhD, et al 

Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India

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Family-based lifestyle intervention improves weight management and cardiovascular health among high-risk patients

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[Press-News.org] Family-based lifestyle intervention improves weight management and cardiovascular health among high-risk patients
Family-based interventions to promote weight management in adults: results from a cluster randomized controlled trial in India