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Pharmacy World & Science

, Volume 30, Issue 3, pp 222–226 | Cite as

Change of body weight and lifestyle of persons at risk for diabetes after screening and counselling in pharmacies

  • Andrea Botomino
  • Rudolf Bruppacher
  • Stephan Krähenbühl
  • Kurt E. HersbergerEmail author
Research Article

Abstract

Objective To investigate the effects of pharmacy based counselling on changes in lifestyle and body weight. Methods Three months after screening a stratified sample of 3,800 randomly chosen overweight persons were addressed with questionnaires. Half a year and 1 year later the assessment was repeated. Standard counselling (SC; non-specific recommendations towards lifestyle), intensive counselling (IC; additional advice to reduce body weight) and counselling for persons at high risk for type 2 diabetes (HRC; recommendation to contact a physician) were compared. Results All counselling groups (SC; n = 557, IC; n = 568, HRC; n = 245) showed significant weight loss three months after screening (0.6–1.9 kg). A further weight reduction was observed at 1 year follow up (1.1–2.4 kg). The HRC group showed a higher percentage of weight loss than the IC or SC group after 3 months (−2.25% vs. −1.20% and −0.67%; P < 0.001) and at 1 year of follow-up (−2.74% vs. −1.54% and −1.29%; P < 0.01). Lifestyle changes in physical activity and/or nutrition were reported by 81.2% in the HRC group, 74.1% in the IC group and 67.0% in the SC group. Conclusion Immediate counselling in community pharmacies after screening for type 2 diabetes can result in significant lifestyle changes and weight loss in overweight individuals.

Keywords

Body weight Lifestyle change Overweight Pharmaceutical care Type 2 diabetes 

Notes

Acknowledgements

We would like to thank all study participants, Prof. Dr. J. Drewe for support in statistical analysis and S. Mannstadt for her substantial assistance by processing the questionnaires.

Funding

This work was funded by the Swiss Federation of Pharmacists, Health Promotion Switzerland and 5 Swiss health insurances (action d).

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Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • Andrea Botomino
    • 1
  • Rudolf Bruppacher
    • 2
  • Stephan Krähenbühl
    • 1
    • 3
  • Kurt E. Hersberger
    • 1
    Email author
  1. 1.Institute of Clinical PharmacyUniversity of BaselBaselSwitzerland
  2. 2.Institute of Social and Preventive MedicineUniversity of BaselBaselSwitzerland
  3. 3.Division of Clinical Pharmacology and ToxicologyUniversity Hospital BaselBaselSwitzerland

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