{"id":19189,"date":"2016-06-01T00:00:00","date_gmt":"2018-12-03T19:17:56","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/outcomes-of-a-community-based-weight-management-programme\/"},"modified":"2018-12-03T20:17:56","modified_gmt":"2018-12-03T19:17:56","slug":"outcomes-of-a-community-based-weight-management-programme","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/outcomes-of-a-community-based-weight-management-programme\/","title":{"rendered":"Outcomes of a community-based weight management programme for morbidly obese populations."},"content":{"rendered":"

BACKGROUND<\/strong>
\nMorbid 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.<\/p>\n

METHODS<\/strong>
\nThe 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.<\/p>\n

RESULTS<\/strong>
\nPatients 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).<\/p>\n

CONCLUSIONS<\/strong>
\nThis 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.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-19189","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Sheffield Business School, Sheffield Hallam University, Sheffield, UK. s.kelly@shu.ac.uk","annee":"2016","mois":"6","numero":":","page":"","auteurs":[{"ID":19187,"post_author":"0","post_date":"2018-12-03 20:17:55","post_date_gmt":"2018-12-03 19:17:55","post_content":"","post_title":"L Nield","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"l-nield","to_ping":"","pinged":"","post_modified":"2018-12-03 20:17:55","post_modified_gmt":"2018-12-03 19:17:55","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/l-nield\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":19188,"post_author":"0","post_date":"2018-12-03 20:17:55","post_date_gmt":"2018-12-03 19:17:55","post_content":"","post_title":"S Kelly","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"s-kelly","to_ping":"","pinged":"","post_modified":"2018-12-03 20:17:55","post_modified_gmt":"2018-12-03 19:17:55","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/s-kelly\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":1751,"post_author":"0","post_date":"2018-12-03 16:02:13","post_date_gmt":"2018-12-03 15:02:13","post_content":"","post_title":"Journal of human nutrition and dietetics : the official journal of the British Dietetic Association","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"journal-of-human-nutrition-and-dietetics-the-official-journal-of-the-british-dietetic-association","to_ping":"","pinged":"","post_modified":"2018-12-03 16:02:13","post_modified_gmt":"2018-12-03 15:02:13","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/journal-of-human-nutrition-and-dietetics-the-official-journal-of-the-british-dietetic-association\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"\nOutcomes of a community-based weight management programme for morbidly obese populations. - 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