Outcomes of a community-based weight management programme for morbidly obese populations

NIELD, Lucie and KELLY, Shona (2016). Outcomes of a community-based weight management programme for morbidly obese populations. Journal of Human Nutrition and Dietetics. (In Press)

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Official URL: http://onlinelibrary.wiley.com/doi/10.1111/jhn.123...
Link to published version:: 10.1111/jhn.12392

Abstract

Background: Morbid obesity is an ongoing concern worldwide. There is a paucity of research reporting primary care outcomes focussed on complex and morbidly obese populations. The National Institute for Health and Care Excellence (NICE) recommends a specialist, multidisciplinary weight management team for the successful management of such populations. This is the first service evaluation reporting both primary (weight change) and secondary [body mass index (BMI), waist circumference, physical activity levels, fruit and vegetable intake, Rosenberg self-esteem score] outcomes in these patients. Methods: The present study comprised a prospective observational study of a cohort data set for patients (n = 288) attending their 3-month and 6-month (n = 115) assessment appointments at a specialist community weight management programme. Results: Patients had a mean (SD) initial BMI of 45.5 (6.6) kg m–²; 66% were females. Over 80% of patients attending the service lost some weight by 3 months. Average absolute weight loss was 4.11 (4.95) kg at 3 months and 6.30 (8.41) kg at 6 months, equating to 3.28% (3.82%) and 4.90% (6.26%), respectively, demonstrating a statistically significant weight change at both time points (P < 0.001). This meets NICE best practice guidelines for the commissioning of services leading to a minimum of 3% average weight loss, with at least 30% of patients losing at ≥5% of their initial weight. Waist measurement and BMI were reduced significantly at 3 months. Improvements were also seen in physical activity levels, fruit and vegetable consumption, and self-esteem levels (P < 0.001). Conclusions: This service was successful in aiding weight loss in morbidly obese populations. The findings of the present study support the view that weight-loss targets of 3% are realistic.

Item Type: Article
Uncontrolled Keywords: morbid obesity, service evaluation, weight management
Research Institute, Centre or Group: Sheffield Business School Research Institute > Service Sector Management
Identification Number: 10.1111/jhn.12392
Depositing User: Margaret Boot
Date Deposited: 07 Sep 2016 10:41
Last Modified: 05 Dec 2016 08:26
URI: http://shura.shu.ac.uk/id/eprint/13357

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