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Gezonder gewicht met behulp van een leefstijlprogramma

More and more people are overweight. Do you belong to that group and want to take steps towards a healthier life? Talk to your GP or practice nurse about whether a referral to a lifestyle programme makes sense for you.

What is a lifestyle programme?

A lifestyle programme will help you lose weight and live healthier if you are overweight. Depending on the programme you participate in, you will receive guidance from a lifestyle coach, dietician, physiotherapist or exercise therapist or a combination of these healthcare providers.

Together, you work for two years to make lasting changes to your lifestyle. These programmes are called Combined lifestyle interventions (GLI). In the first year you learn to live healthier, in the second year you learn how to sustain these changes.

You will receive practical tips and guidance on:

  • Healthy eating
  • Move more
  • Sleep better and relax
  • Dealing with stress and other issues that get in the way of a healthy lifestyle

So you work step by step towards a healthier life that suits you - at your pace, with support.

When do you qualify?

Your GP or specialist can assess whether a lifestyle programme makes sense for you. These programmes are reimbursed from the basic insurance. You are eligible in the following situations:

You have a BMI of 25 or higher AND any of these problems:

  • increased risk of cardiovascular disease
  • increased risk of diabetes
  • diabetes
  • osteoarthritis
  • sleep apnoea

Or, you have a BMI of 30 or higher, and you would like to participate yourself. Your GP or specialist may refer you to a lifestyle coach.

Choice of lifestyle programmes

There are several lifestyle programmes to choose from. All programmes last for 2 years, but they differ in how guidance is offered: online, physical or a combination of both. The number of coaches and type of support can also vary. Some programmes offer additional support through a app, others not.

ProgrammeFormGuidanceOnline option
SLIMMERPhysicalLifestyle coach, dietician, physiotherapist or exercise therapistNo
CooLPhysicalLifestyle coach + groupNo
X-FittPhysicalLifestyle coach, sports coachNo
SSiBPhysicalLifestyle coach, dietician, physiotherapist or exercise therapist and sports coachNo
MiGuideOnlineLifestyle coach + appYes
SLIMMER powered by AncoraOnlineLifestyle coach + app Yes
Reverse Diabetes2 PlusPhysicalLifestyle coach, dietician and nurse (use of heavy medication)No
Reverse Diabetes2 OnlineOnlineLifestyle coach, dietician and nurseYes

Zo werkt de GLI

The GLI has several intake moments per year and the content of the programme may vary from provider to provider.

  1. Praat erover met je huisarts of praktijkondersteuner (POH)
    Vertel dat je interesse hebt in het leefstijlprogramma. Samen kijken jullie of de GLI bij jou past.
  2. Verwijzing naar het leefstijlprogramma
    De huisarts of POH verwijst je naar een leefstijlcoach als het programma geschikt is.
  3. Intakegesprek
    Bespreek startmoment, doelen en een persoonlijk plan met de coach.
  4. Het leefstijlprogramma volgen
    Het programma duurt meestal zo’n twee jaar en je krijgt hulp bij het veranderen van je eetgewoontes, meer bewegen en andere dingen die je gezonder maken. Dit gaat vaak via groepsbijeenkomsten en ook individuele gesprekken.
  5. Samen werken aan een gezondere leefstijl
    De coach helpt je gemotiveerd te blijven en je nieuwe leefstijl vol te houden.

Check Causes Obesity

BMI is a general measure and does not always give the full picture of your health. It can be useful to also investigate what factors contribute to your obesity. Check the website Check Causes of Obesity. There you will find reliable information and questionnaires you can fill in. You can take the results with you to your doctor for specific advice.

Medication such as ozempic

Sometimes overweight people ask about medications such as Ozempic (semaglutide). Ozempic is a medicine intended for people with type 2 diabetes. It contains the active ingredient semaglutide, which mimics the hormone GLP-1. This hormone helps regulate blood sugar levels and reduces appetite. 

GPs usually prescribe Ozempic and similar drugs only in specific situations, as it is not suitable for everyone. The guidelines are:

  • The patient has type 2 diabetes;
  • The patient takes for at least one year participate in lifestyle programme, such as the Combined lifestyle intervention (GLI);
  • There is a medical reason according to the Dutch College of General Practitioners (NHG) guidelines.

Currently, the NHG does not routinely recommend the use of Ozempic and similar drugs in obesity. This is because not enough is yet known about the long-term effects and possible side effects in people without diabetes.


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