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Evidence-Based Complementary and Alternative Medicine
Volume 2012 (2012), Article ID 150839, 7 pages
http://dx.doi.org/10.1155/2012/150839
Research Article

One-Year Effectiveness of a 3-Week Balneotherapy Program for the Treatment of Overweight or Obesity

11 rue Guénégaud, Paris 75006, France
234 rue d’Eylau, Paris 75116, France
3Pôle Santé Publique, TIMC-IMAG UMR 5525, UJF-Grenoble 1 and CNRS, Themas, 38041 Grenoble, France
4Stat Process, 8 rue de Seine, 27940 Port Mort, France
5Université Paul Sabatier, 118 route de Narbonne, 31000 Toulouse, France
6Service de Pharmacologie, Université Bordeaux Ségalen, INSERM CIC-P 0005, 146 rue Léo Saignat, 33076 Bordeaux Cedex, France

Received 23 October 2012; Accepted 28 November 2012

Academic Editor: MyeongSoo Lee

Copyright © 2012 Thierry Hanh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To assess the one-year effectiveness on weight loss of a 3-week balneotherapy program (BT). Method. A Zelen double consent randomised controlled trial to compare one-year BMI loss between a 3-week BT program versus usual care (UC) for overweight or obese patients (BMI: 27–35 kg/m2), associated or not with a dietary motivational interview (DMI) during the follow-up, using a 2 × 2 factorial design. Main analysis was a per protocol analysis comparing patients attending BT to patients managed by UC, matched on sex, overweight or obese status, DMI randomisation and a propensity score to attend BT or to be managed by UC. Results. From the 257 patients who completed the follow-up, 70 patients of each group could be matched. Mean BMI loss was 1.91 kg/m2 [95%CI: 1.46; 2.35] for the BT patients and 0.20 kg/m2 [−0.24; 0.64] for the UC patients ( ), corresponding to a significant BT benefit of 1.71 kg/m2 [1.08; 2.33]. There was no significant effect of DMI and no interaction with BT or UC. No adverse reaction was observed for patients attending BT. Conclusion. A 3-week BT program provided a significant one-year benefit over the usual GP dietary advice for overweight and obese patients.