Coaching nutricional para la pérdida de peso

Jaume Giménez Sánchez, Yolanda Fleta Sánchez, Alba Meya Molina


Introducción: debido a la alta prevalencia de sobrepeso y obesidad se hacen necesarias nuevas estrategias para su prevención y tratamiento. El coaching nutricional (CN) ha emergido en los últimos años y ha demostrado ser efectivo para la pérdida de peso aunque, al ser un concepto innovador, no siempre se utiliza apropiadamente.

Objetivo: verificar si el CN, junto con el asesoramiento técnico, es una estrategia efectiva para la disminución de peso en población con sobrepeso u obesidad en comparación con el asesoramiento nutricional por sí solo.

Material y métodos: se revisó la bibliografía referente a CN para determinar los parámetros de calidad en cuanto a esta intervención. Se realizó una búsqueda de estudios controlados aleatorizados que aplicaran CN según los parámetros seleccionados y lo compararan con asesoramiento técnico nutricional.

Resultados: se analizaron ocho estudios con alta calidad en la intervención de coaching y calidad metodológica media o alta. Seis de ellos indicaron diferencias significativas a favor del grupo que recibió CN.

Conclusión: el CN es una estrategia efectiva para bajar de peso. Se necesitan más investigaciones con una definición clara de la metodología utilizada para aportar solidez a este nuevo enfoque.

Palabras clave

Coaching nutricional; Pérdida de peso; Motivación; Conducta alimentaria; Sobrepeso

Texto completo:



Obesidad y sobrepeso [Internet] WHO Media centre [citado enero 2015]. Nota descriptiva 311. Disponible en:

World Health Organization. 2013. Obesity and overweight. Disponible en: (Consultado el 23 febrero 2014).

Bonal R, Almenares H, Marzán M. Coaching de salud: un nuevo enfoque en el empoderamiento del paciente con enfermedades crónicas no transmisibles. MEDISAN 2012;16(5):773-85.

Hartmann-Boyce J, Johns D, Jebb S, Aveyard P. Effect of behavioural techniques and delivery mode on effectiveness of weight management: systematic review, meta-analysis and meta-regression. Obes Rev 2014;15(7):598-609.

Simmons LA, Wolever RQ. Integrative health coaching and motivational interviewing: synergistic approaches to behavior change in healthcare. Glob Adv Gealth Med 2013;2(4):28-35.

Wolever RQ, Simmons LA, Sforzo GA, Dill D, Kaye M, Bechard EM, et al. A systematic review of the literature on health and wellness coaching: defining a key behavioral intervention in healthcare. Glob Adv Health Med 2013;2(4):38-57.

Simmons LA, Wolever RQ. Health coaching: Research summary (report). Durham, NC: Duke Integrative Medicine/Duke University Health System; 2011.

Greaves CJ, Sheppard KE, Abraham C, Hardeman W, Roden M, Evans PH. Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BCM Public Health 2011;11(119).

Martins RK, McNeil DW. Review of Motivational Interviewing in promoting health behaviors. Clin Psychol Rev 2009;29:283-93.

Frates EF, Moore MA, Lopez CN, McMahon GT. Coaching for behavior change in physiatry. Am J Phys Med Rehabil 2011;1(90):1074 82.

Newnham KC. Motivational coaching: Its efficacy as an obesity intervention and profile of professional coaches [PhD thesis]. Ontario: The University of Western Ontario; 2011.

Butterworth SW, Linden A, McClay W. Health coaching as an intervention in health management programs. Dis Manag Health Out 2007;15(5):299-307.

Leeflang M. Collecting data and assessing methodological quality. Cochrane Systematic Reviews of Diagnostic Test Accuracy. Amsterdam Medical Center, DTA working group, Continental Europe Support Unit; 2008.

Letts L, Wilkins S, Law M, Stewart D, Bosch J, Westmorland M. Guidelines for critical review form: Qualitative studies (Version 2.0). McMaster University Occupational Therapy Evidence-Based Practice Research Group; 2007.

Schulza KF, Altmanb DG, Moher D. CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. J Clin Epidemiol 2010;63(8):834-40.

Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys ther 2003;83(8):713-21.

Taylor RS, Reeves BC, Ewings PE, Taylor RJ. Critical appraisal skills training for health care professionals: a randomized controlled trial [ISRCTN46272378]. BMC Med Educ 2004;4(1):30.

Armijo OS, Stiles RC,Hagen N, Biondo P, Cummins G. Assessment of study quality for systematic reviews: a comparison of the Cochrane Collaboration Risk of Bias Tool and the Effective Public Health Practice Project Quality Assessment Tool: methodological research. J Eval Clin Pract 2012;18(1):12-8.

National Collaborating Centre for Methods and Tools. Quality assessment tool for quantitative studies. Hamilton, ON: McMaster University. 2008. (Updated 13 April, 2010). Retrieved from

Spahn JM, Reeves RS, Keim KS, Laquatra I, Kellogg M, Jortberg B, et al. State of the evidence regarding behavior change theories and strategies in nutrition counselling to facilitate health and food behavior change. J Am Diet Assoc 2010; 110:879-91.

Venditti ME, Wylie RJ, Delahanty ML, Mele L, Hoskin M, Edelstein S. Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence. Int J Behav Nutr Phys Act 2014;11:16.

Deci EL, Ryan RM. Intrinsic motivation and self-determination in human behavior. Springer Science & Business Media 1985.

Shrewsbury V, O’Connor J, Steinbeck K, Stevenson K, Lee A, Hill A, Kohn M, et al. A randomised controlled trial of a community-based healthy lifestyle program for overweight and obese adolescents: the Loozit study protocol. BMC Public Health 2009;9(1):119.

Kornman K, Shrewsbury V, Chou A, Nguyen B, Lee A, O’connor J, et al. Electronic therapeutic contact for adolescent weight management: The Loozit Study. Telemed J E-Health 2010;16(6):678-85.

Nguyen B, Shrewsbury V, O’Connor J, Steinbeck K, Lee A, Hill A, et al. Twelve month outcomes of the Loozit randomized controlled trial. Arch Paediatr Adolesc Med 2012;166(2):170-7.

Nguyen B, Shrewsbury VA, O’Connor J, Steinbeck KS, Hill AJ, Shah A, et al. Two-year outcomes of an adjunctive telephone coaching and electronic contact intervention for adolescent weight-loss maintenance: the Loozit randomized controlled trial. Int J Obesity 2013;37:468-72.

Ball G, Mackenzie K, Newton M, Alloway C, Slack J, Plotnikoff R, et al. Oneon-one lifestyle coaching for managing adolescent obesity: findings from a pilot randomized controlled trial in a real world, clinical setting. Paediatr Child Health 2011;16(6):345-50.

Sherwood NE, Crain AL, Martinson BC, Hayes MG, Anderson JD, Clausen JM, et al. Keep it off: A phone-based intervention for long-term weight-loss maintenance. Contemp Clin Trials 2011;32:551-60.

Sherwood NE, Crain AL, Martinson BC, Anderson CP, Hayes MG, Anderson JD, et al. Enhancing long-term weight loss maintenance: 2 year results from the keep it off randomized controlled trial. Prev Med 2013;56:171-7.

Rimmer JH, Wang E, Pellegrini C, Lullo C, Gerber BS. Telehealth weight management intervention for adults with physical disabilities. Am J Phys Med Rehabil 2013; 92 (12): 1084-94.

Mehring M, Haag M, Linde K, Wagenpfeil S, Frensch F, Blome J, et al. Effects of a general practice guided web-based weight reduction program: results of a cluster-randomized controlled trial. BMC Fam Pract 2013;14(1):76.

Pearson ES, Irwin JD, Morrow D, Battram DS, Melling J. The CHANGE program: Comparing an interactive Vs prescriptive approach to self-management among university students with obesity. Can J Diabetes 2013;37:4-11.

Ma J, King A, Wilson S, Xiao L, Stafford R. Evaluation of lifestyle interventions to treat elevated cardiometabolic risk in primary care (E LITE): a randomized controlled trial. BMC Fam Pract 2009;10(1):71.

Ma J, Yank V, Xiao L, Lavori PW, Wilson SR, Rosas LG et al. Translating the diabetes prevention program lifestyle intervention for weight loss into primary care. JAMA Intern Med 2013;173(2):113-21.

Ma J, Xiao L, Blonstein AC. Measurement of self-monitoring web technology acceptance and use in an e-health weight-loss trial. Telemed J E Health 2013;19(10):739-45. 36. Edelman D, Oddone E, Liebowitz RS, Yancy W, Olsen M, Jeffreys A, et al. A multidimensional integrative medicine intervention to improve cardiovascular risk. J Gen Intern Med 2006;21:728-34.

Duncan JM, Janke EA, Kozak AT, Roehring M, Russell SW, McFadden HG, et al. PDA+: A personal digital assistant for obesity treatment - an RCT testing the use of technology to enhance weight loss treatment for veterans. Pub Health 2011;11:223.

Spring B, Duncan JM, Janke EA, Kozak AT, McFadden HG, DeMott A, et al. Integrating technology into standard weight loss treatment: a randomized controlled trial. Intern Med 2013;173(2):105-11.

Boudreau ADA, Kurowski DS, Gonzalez WI, Dimond MA, Oreskovic NM. Latino families, primary care, and childhood obesity. A randomized controlled trial. Prev Med 2013;44(3):247-57.

Vinter CA, Jensen D, Ovesen P, Beck-Nielsen H, Jorgensen J. The LIP (lifestyle in pregnancy) study: a randomized controlled trial of the lifestyle intervention in 360 obese pregnant women. Diabetes Care 2011;34:2502-7.

Tanvig M, Vinter CA, Jorgensen JS, Wehberg S, Ovesen PG, Lamont RF, et al. Anthropometrics and body composition by dual energy x-ray in children of obese women: a follow-up of a randomized controlled trial (the Lifestyle in Pregnancy and Offspring [LiPO] Study). PLoS ONE 2014;9(2).

Brumby S, Chandrasekara A, McCoombe S, Torres S, Kremer P, Lewandowski P. Reducing psychological distress and obesity in Australian farmers by promoting physical activity. BMC Public Health 2011;11(1):362.

Brumby S, Chandrasekara A, Kremer P, Torres S, McCoombe S, Lewandowski P. The effect of physical activity on psychological distress, cortisol and obesity: results of the farming fit intervention program. BMC Public Health 2013;13:1018.

Van Wier MF, Ariens GAM, Dekkers JC, Hendriksen IJM, Pronk NP, Smid T, et al. ALIFE@Work: a randomised controlled trial of a distance counselling lifestyle programme for weight control among an overweight working population. Public Health 2006;6:140.

Van Wier MF, Ariens GAM, Dekkers JC, Hendriksen IJM, Smid T, van Mechelen W. Phone and e-mail counselling are effective for weight management in an overweight working population: a randomized controlled trial. Public Health 2009;9:6.

Van Wier MF, Dekkers JC, Bosmans JE, Heymans MW, Hendriksen IJM, Pronk NP, et al. Economic evaluation of a weight control program with e-mail and telephone counselling among overweight employees: a randomized controlled trial. Int J Behav Nutr Phys Act 2012;9:112.

Kalarchian MA, Marcus MD, Courcoulas AP, Cheng Y, Levine MD, Josbeno D. Optimizing long-term weight control after bariatric surgery: A pilot study. Surg Obes Relat Dis 2012;8(6):710-5.

Kalarchian MA, Marcus MD, Courcoulas AP, Cheng Y, Levine MD. Preoperative lifestyle intervention in bariatric surgery: initial results from a randomized, controlled trial. Obesity 2013;21(2):254-60.

Tucker LA, Cook Aj, Nokes NR, Adams Tb. Telephone-based diet and exercise coaching and a weight-loss supplement result in weight and fat loss in 120 men and women. Am J Health Promot 2008;23(2):121-9.

Wadden TA, West DS, Delahanty L, Jakicic J, Rejeski J, Williamson D, et al. The Look AHEAD Study: a description of the lifestyle intervention and the evidence supporting it. Obesity (Silver Spring) 2006;14(5):737-52.

Wadden TA, Volger S, Sarwer DB, Vetter ML, Tsai AG, Berkowitz RI, et al. A two-year randomized trial of obesity treatment in primary care practice. N Engl J Med 2011;365(21):1969-79. 52. Volger S, Wadden TA, Sarwer DB, Moore RH, Chittams J, Diewald L, et al. Changes in eating, physical activity, and related behaviors in a primary-care-based weight loss intervention. Int J Obes 2013;37(1):12-8.

Bennett GG, Herring SJ, Puleo E, Stein EK, Emmons KM, Gillman MW. Web-based weight loss in primary care: A randomized controlled trial. Obesity 2010;18(2):308-13.

Paineau DL, Beaufils F, Boulier A, Cassuto DA, Chwalow J, Combris p, et al. Family dietary coaching to improve nutritional intakes and body weight control. Arch Pediatr Adolesc Med 2008;162(1):34-43.

Paineau D, Beaufils F, Boulier A, Cassuto DA, Chwalow J, Combris P, et al. The cumulative effect of small dietary changes may significantly improve nutritional intakes in free-living children and adults. Eur J Clin Nutr 2010;64(8):782-91.

Zambrana MS. The effect of a supplemental telephonic physical activity coaching program for treating obesity: a randomized controlled trial. Diss. University of Minnesota; 2013.

Sherwood NE, Jeffery RW, Welsh EM, VanWormer J, Hotop AM. The Drop It At Last (DIAL) Study: Six month results of a phone based weight loss trial. Am J Health Promot 2010;24(6):378-83.

Gabriele JM, Carpenter BD, Tate DF, Fisher EB. Directive and nondirective e-coach support for weight loss in overweight adults. Ann Behav Med 2011;41(2):252-63.

Shahnazari M, Ceresa C, Foley S, Fon A, Zidaru E, Moody S. Nutrition-focused wellness coaching promotes a reduction in body weight in overweight us veterans. J Acad Nutr Diet 2013;113(7):928-35.

Greaney ML, Quintiliani LM, Warner ET, King DK, Emmons KM, Colditz GA, et al. Weight management among patients at community health centers: The “Be Fit Be Well” Study. Obes Weight Manag 2009;5(5):222-8.

Bennett GG, Warner ET, Glasgow RE, Askew S, Goldman J, Ritzwoller DP, et al. Obesity treatment for socioeconomically disadvantaged patients in primary care practice. Arch Intern Med 2012;172(7): 565-74.

Hersey JC, Khavjou O, Strange LB, Atkinson RL, Blair SN, Campbell S, et al. The efficacy and cost-effectiveness of a community weight management intervention: A randomized controlled trial of the health weight management demonstration. Prev Med 2012;54(1):42-9.

Wolf AM, Conaway MR, Crowther JQ, Hazen KY, Nadler JL, Oneida B, et al. Translating lifestyle intervention to practice in obese patients with type 2 diabetes. Diabetes Care 2004;27:1570-6.

Jerome GJ, Yeh HC, Dalcin A, Reynolds J, Gauvey-Kern ME, Charleston J, et al. Treatment of obesity in primary care practice: The practice based opportunities for weight reduction (POWER) Trial at Johns Hopkins. Obes Weight Manag 2009;5(5):216-21.

Appel LJ, Clark JM, Yeh HC, Wang NY, Coughlin JW, Daumit G, et al. Comparative effectiveness of weight-loss interventions in clinical practice. N Engl J Med 2011;365 (21):1959-68.

Lin PH, Wang Y, Levine E, Askew S, Lin S, Chang C, et al. A text messaging-assisted randomized lifestyle weight loss clinical trial among overweight adults in Beijing. Obesity 2014;22(5):29-37.

Arem H, Irwin M. A review of web-based weight loss interventions in adults. Obes Rev 2011;12(5):236-43.

Yanovsky SZ. Obesity treatment in primary care. Are we there yet? N Engl J Med 2011;365(21):2030-1.


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