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
Visual Abstract
The Annals of Family Medicine