Context and objective: the intervention program on the lifestyle in families for a study of reduction of cardiovascular risks (prolific), carried out in India, aimed to assess whether a family approach to lifestyle interventions could improve weight management and health results in obesity in people with family history of premature coronary disease.
Approach to the study: In this randomized cluster controlled trial, families have been assigned randomly to a family intervention group or a usual care group. The intervention group has received advice on the structured lifestyle from the non -medical health agency, which has provided regular home visits, sets of objectives and sessions of peer groups focused on food, physical activity and cardiovascular health. The usual care group has received ad hoc advice and annual cardiovascular risks but no interventions in progress.
Main results: 1,671 participants (1,111 women) of 750 families participated. After adjustment for family reunification and socio-economic factors, intervention participants experienced, on average, these improvements compared to the usual care group after two years:
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2.61 kg of larger weight reduction (P <0.001)
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1.06 kg / m² of reduction greater than BMI (P <0.001)
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4.17 cm larger reduction in the waist tour (P <0.001)
Why this counts: the results show that a family approach to lifestyle interventions can considerably improve weight management and cardiovascular health in high -risk people. These interventions may have a substantial impact on public health on the prevention of future diabetes and other non -transmitted diseases.
Source:
Journal reference:
Panniyamamakal, J., et al. (2025). Family interventions to promote weight management in adults: results of a controlled trial randomized in cluster in India. The Annals of Family Medicine. DOI.org/10.1370/afm.230632.