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Article

The Impact of a Web-Based Lifestyle Educational Program (‘Living Better’) Reintervention on Hypertensive Overweight or Obese Patients

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Department of Nursing and Physiotherapy, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, 46115 Valencia, Spain
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Department of Biomedical Sciences, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, 46115 Valencia, Spain
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Department of Psychology and Sociology, Universidad de Zaragoza, 50009 Teruel, Spain
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Centre of Physiopathology of Obesity and Nutrition (CIBERobn), CB06/03/0052, Instituto de Salud Carlos III, 46115 Valencia, Spain
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Polibienestar Research Institute, Universitat de València, 46022 Valencia, Spain
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Department of Medicine and Surgery, Faculty of Health Sciences, University CEU-Cardenal Herrera, CEU Universities, 46115 Valencia, Spain
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Hypertension and Vascular Risk Unit, Hospital Universitario de Sagunto, 46520 Valencia, Spain
*
Author to whom correspondence should be addressed.
Academic Editors: Abeer M. Mahmoud and Shane Phillips
Nutrients 2022, 14(11), 2235; https://doi.org/10.3390/nu14112235
Received: 2 May 2022 / Revised: 23 May 2022 / Accepted: 25 May 2022 / Published: 27 May 2022
‘Living Better’, a self-administered web-based intervention, designed to facilitate lifestyle changes, has already shown positive short- and medium-term health benefits in patients with an obesity–hypertension phenotype. The objectives of this study were: (1) to examine the long-term (3-year) evolution of a group of hypertensive overweight or obese patients who had already followed the ‘Living Better’ program; (2) to analyze the effects of completing this program a second time (reintervention) during the COVID-19 pandemic. A quasi-experimental design was used. We recruited 29 individuals from the 105 who had participated in our first study. We assessed and compared their systolic and diastolic blood pressure (SBP and DBP), body mass index (BMI), eating behavior, and physical activity (PA) level (reported as METs-min/week), at Time 0 (first intervention follow-up), Time 1 (before the reintervention), and Time 2 (post-reintervention). Our results showed significant improvements between Time 1 and Time 2 in SBP (−4.7 (−8.7 to −0.7); p = 0.017), DBP (−3.5 (−6.2 to −0.8); p = 0.009), BMI (−0.7 (−1.0 to −0.4); p < 0.001), emotional eating (−2.8 (−5.1 to −0.5); p = 0.012), external eating (−1.1 (−2.1 to −0.1); p = 0.039), and PA (Time 1: 2308 ± 2266; Time 2: 3203 ± 3314; p = 0.030, Z = −2.17). Statistical analysis showed no significant differences in SPB, DBP, BMI, and eating behavior between Time 0 and Time 1 (p > 0.24). Implementation of the ‘Living Better’ program maintained positive long-term (3-year) health benefits in patients with an obesity–hypertension phenotype. Moreover, a reintervention with this program during the COVID-19 pandemic produced significant improvements in blood pressure, BMI, eating behavior, and PA. View Full-Text
Keywords: internet; eHealth; lifestyle; Mediterranean diet; physical activity; weight loss; obesity; hypertension internet; eHealth; lifestyle; Mediterranean diet; physical activity; weight loss; obesity; hypertension
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MDPI and ACS Style

Múzquiz-Barberá, P.; Ruiz-Cortés, M.; Herrero, R.; Vara, M.D.; Escrivá-Martínez, T.; Carcelén, R.; Baños, R.M.; Rodilla, E.; Lisón, J.F. The Impact of a Web-Based Lifestyle Educational Program (‘Living Better’) Reintervention on Hypertensive Overweight or Obese Patients. Nutrients 2022, 14, 2235. https://doi.org/10.3390/nu14112235

AMA Style

Múzquiz-Barberá P, Ruiz-Cortés M, Herrero R, Vara MD, Escrivá-Martínez T, Carcelén R, Baños RM, Rodilla E, Lisón JF. The Impact of a Web-Based Lifestyle Educational Program (‘Living Better’) Reintervention on Hypertensive Overweight or Obese Patients. Nutrients. 2022; 14(11):2235. https://doi.org/10.3390/nu14112235

Chicago/Turabian Style

Múzquiz-Barberá, Pedro, Marta Ruiz-Cortés, Rocío Herrero, María D. Vara, Tamara Escrivá-Martínez, Raquel Carcelén, Rosa M. Baños, Enrique Rodilla, and Juan F. Lisón. 2022. "The Impact of a Web-Based Lifestyle Educational Program (‘Living Better’) Reintervention on Hypertensive Overweight or Obese Patients" Nutrients 14, no. 11: 2235. https://doi.org/10.3390/nu14112235

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