A Service Evaluation of More Than 27 000 Adults Referred to a Community Weight Management Program: 24-Month Outcomes

医学 介绍 减肥 体质指数 肥胖 社会经济地位 人口学 重量变化 老年学 体重管理 儿科 物理疗法 家庭医学 内科学 人口 环境卫生 社会学
作者
Josef Toon,Sarah‐Elizabeth Bennett,Jacquie Lavin,Carolyn Pallister,Amanda Avery
出处
期刊:Journal of Primary Care & Community Health [SAGE Publishing]
卷期号:15
标识
DOI:10.1177/21501319241291784
摘要

Background: Obesity has a significant impact on healthcare resources with limited accessible support available through the NHS. This service evaluation determines 24-month efficacy of referral to an open-group behavioral program by BMI category and socioeconomic status. Methods: This retrospective, longitudinal study examined weight outcomes of adults living in England referred by healthcare professionals to Slimming World during 2016 who recorded at least 1 weight change. Primary outcome was % weight change at 3, 6, 12, and 24 months. Socioeconomic status was measured using the Index of Multiple Deprivation (IMD). Data from a post-referral questionnaire investigated self-reported changes in dietary and activity behaviors. Results: Twenty-seven thousand five hundred sixty (15.6% male) records were analyzed. Mean (SD) age and BMI on joining were 48.6 (14.80) years and 37.1 (6.31) kg/m 2 ; 91.7% had a BMI > 30 kg/m 2 . Mean (SD) % weight change was −5.6 (3.79), −7.1 (5.71), −7.5 (6.88), and −7.3 (6.88) at 3, 6, 12, and 24-months, respectively. At 24- months, differences in weight loss between BMI category were significant, ranging from 0.29% (35-<40 vs 40+) to 1.33% (25-<30 vs 40+). For IMD quintile only comparisons against Q1 and Q2 were significant, ranging between 0.36% (Q2 vs Q3) to 0.94% (Q1 vs Q5). Five thousand eight hundred sixty-two (21.2%) completed the post-referral questionnaire. There were no BMI category effects on dietary behaviors but changes in physical activity behaviors were lower within the higher categories albeit effect sizes were small (all ges < 0.001). IMD quintile influenced changes for sugary drinks, watching TV and avoiding moderate activity although effect sizes were small (all ges < 0.01). Conclusion: Following 12-week referral to a commercial weight management organization, a mean weight loss of over 7% was reported at 24-months. Adults with higher BMIs and a greater level of deprivation can benefit from the practical support offered as part of the referral, supporting weight loss and weight loss maintenance albeit with some inequality.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
一只大憨憨猫完成签到,获得积分10
1秒前
JJ完成签到,获得积分10
1秒前
DrW完成签到,获得积分10
1秒前
隐形曼青应助yue采纳,获得10
2秒前
ccyy完成签到 ,获得积分10
2秒前
NexusExplorer应助腾腾腾采纳,获得10
3秒前
宿帅帅完成签到,获得积分10
4秒前
4秒前
Ningxin完成签到,获得积分10
4秒前
HHEHK发布了新的文献求助10
4秒前
柚子完成签到 ,获得积分10
4秒前
雨辰完成签到,获得积分10
6秒前
宿帅帅发布了新的文献求助10
6秒前
量子星尘发布了新的文献求助10
9秒前
9秒前
熠熠完成签到,获得积分10
9秒前
10秒前
zxzb完成签到,获得积分10
12秒前
苹果萧完成签到 ,获得积分10
15秒前
宋江他大表哥完成签到,获得积分10
15秒前
able发布了新的文献求助10
15秒前
王先生完成签到 ,获得积分10
16秒前
H.发布了新的文献求助10
16秒前
luoluo完成签到,获得积分10
17秒前
17秒前
高分子完成签到,获得积分10
17秒前
yian发布了新的文献求助10
18秒前
yar应助体贴凌柏采纳,获得10
19秒前
自由的雪一完成签到,获得积分10
19秒前
Ava应助李振博采纳,获得200
19秒前
JW发布了新的文献求助10
20秒前
无限的千凝完成签到 ,获得积分10
21秒前
CipherSage应助YeeYee采纳,获得10
21秒前
21秒前
Ander完成签到 ,获得积分10
22秒前
化白完成签到,获得积分10
23秒前
H.完成签到,获得积分10
23秒前
chuzihang完成签到 ,获得积分10
23秒前
科研小狗完成签到,获得积分10
29秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038303
求助须知:如何正确求助?哪些是违规求助? 3576013
关于积分的说明 11374210
捐赠科研通 3305780
什么是DOI,文献DOI怎么找? 1819322
邀请新用户注册赠送积分活动 892672
科研通“疑难数据库(出版商)”最低求助积分说明 815029