Ghazala Rehman, Shazia Hafiz, Asif Iqbal, Rahema Aman, Adnan Mehmood Gul.
Is nutritional counseling effective in weight reduction in obese patients?.
Pak Heart J Jan ;52(3):207-21.

Objective: To evaluate the effects of nutritional counseling on weight loss in overweight/obese patients with established coronary artery disease (CAD). Methodology: This was an interventional study conducted in Preventive section,Cardiology Department, Lady Reading Hospital, Peshawar. The study was conducted from January to September 2018.Data was collected from 200 CAD patients with BMI 25 and above. Out of these, subjects fulfilling inclusion criteria were selected. Baseline data from all subjects including demographic and anthropometric data was recorded. The caloric intake was calculated and a heart healthy diet plan with more vegetables, fruits and whole grains and reduced fats was recommended to subjects. The subjects were advised to follow the diet plan for 3 months. There were 2 follow up visits spaced at 6-week intervals. At the end of 3 months each subject was weighed again and waist circumference was measured. BMI was recalculated and difference in before and after nutritional counseling was noted. Data was analyzed by statistical program for social sciences SPSS version 16. Results: Out of 200 CAD patients, a sample of 50 subjects was included in analyses. Mean age of subjects was 52.12+-10.37 years. Males were 42%.Among the subjects 22% were educated,88% had poor SES,86% pursued sedentary life style. Diabetes was documented in 50% and hypertension recorded in 76% subjects. Mean BMI and before and after nutritional counseling was 31.33+-3.92 kg/m and 27.97+-3.28 kg/m (p<0.001). Waist circumference reduced from 41.41 +- 3.47cm to 37.62+- 2.7cm (p<0.001).Weight reduced in 80% subjects. Conclusion: Nutritional counseling was effective in weight loss in overweight/obese patients with coronary artery disease in a majority of patients with significant reduction in weight and BMI.

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