36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

Yang, Xi; Chattopadhyay, Kaushik; Hubbard, Richard; Li, Jialin; Li, Li; Lin, Yi

doi:10.3389/fpubh.2021.749302

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…There are often slogans in the community to remind residents to avoid obesity, increase exercise activities, and pay attention to a healthy diet ( 86–88 ). Medical service institutions and related societies may offer lifestyle guidelines for people living with obesity at various stages, while medical and social organizations can provide weight management programs ( 89–91 ).…”

Section: Discussionmentioning

confidence: 99%

Association of waist circumference and BMI with premature death in young and middle-aged population

Hu,

Han,

Chen

et al. 2024

Front. Public Health

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IntroductionPremature death is a global health indicator, significantly impacted by obesity, especially in young and middle-aged population. Both body mass index (BMI) and waist circumference (WC) assess obesity, with WC specifically indicating central obesity and showing a stronger relationship with mortality. However, despite known associations between BMI and premature death, as well as the well-recognized correlation between WC and adverse health outcomes, the specific relationship between WC and premature death remains unclear. Therefore, focusing on young and middle-aged individuals, this study aimed to reliably estimate independent and combined associations between WC, BMI and premature death, thereby providing causal evidence to support strategies for obesity management.MethodsThis study involved 49,217 subjects aged 18–50 years in the United States from 1999 to 2018 National Health and Nutrition Examination Survey (NHANES). Independent and combined associations between WC and BMI with premature death across sex and age stratum were examined by Cox regression. Survey weighting and inverse probability weighting (IPW) were further considered to control selection and confounding bias. Robustness assessment has been conducted on both NHANES and China Health and Retirement Longitudinal Study (CHARLS) data.ResultsA linear and positive relationship between WC and all-cause premature death was found in both males and females, with adjusted HRs of 1.019 (95%CI = 1.004–1.034) and 1.065 (95%CI = 1.039–1.091), respectively. Nonlinear relationships were found with respect to BMI and all-cause premature death. For females aged 36–50 with a BMI below 28.6 kg/m2, the risk of premature death decreased as BMI increased, indicated by adjusted HRs of 0.856 (95%CI = 0.790–0.927). Joint analysis showed among people living with obesity, a larger WC increased premature death risk (HR = 1.924, 95%CI = 1.444–2.564).DiscussionWC and BMI exhibited prominent associations with premature death in young and middle-aged population. Maintaining an appropriate WC and BMI bears significant implications for preventing premature death.

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Section: Discussionmentioning

confidence: 99%

Association of waist circumference and BMI with premature death in young and middle-aged population

Hu,

Han,

Chen

et al. 2024

Front. Public Health

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“…Obesity is an independent risk factor for MAFLD 8 . Weight management may be an effective method to maintain body weight and weight loss 9 , 10 for the prevention of MAFLD 11 . Besides obesity, sarcopenia has been reported to have strong correlations with non-alcoholic fatty liver disease (NAFLD) and progressive cirrhosis 12 .…”

Section: Introductionmentioning

confidence: 99%

Relationship between skeletal muscle mass loss and metabolic dysfunction-associated fatty liver disease among Chinese patients with metabolic dysregulation

Xu,

Lin,

Yang

et al. 2024

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: The aim of this study was to explore the correlation between skeletal muscle content and the presence and severity of metabolic dysfunction-associated fatty liver disease in patients with metabolic dysregulation in China. METHODS: A cross-sectional study was conducted among patients from the endocrinology outpatient department at Ningbo First Hospital, in Ningbo, China, in April 2021. Adult patients with metabolic dysregulation who accepted FibroScan ultrasound were included in the study. However, those without clinical data on skeletal muscle mass were excluded. FibroScan ultrasound was used to noninvasively evaluate metabolic dysfunction-associated fatty liver disease. The controlled attenuation parameter was used as an evaluation index for the severity of liver steatosis. Bioelectrical impedance analysis was used to measure the skeletal muscle index. RESULTS: A total of 153 eligible patients with complete data were included in the final analysis. As the grading of liver steatosis intensifies, skeletal muscle index decreases (men: P trend <0.001, women: P trend =0.001), while body mass index, blood pressure, blood lipid, uric acid, aminotransferase, and homeostatic model assessment of insulin resistance increase (P trend <0.01). After adjusting for confounding factors, a negative association between skeletal muscle index and the presence of metabolic dysfunction-associated fatty liver disease was observed in men (OR=0.691, p=0.027) and women (OR=0.614, p=0.022). According to the receiver operating characteristic curve, the best cutoff values of skeletal muscle index for predicting the metabolic dysfunction-associated fatty liver disease presence were 40.37% for men (sensitivity, 87.5%; specificity, 61.5%) and 33.95% for women (sensitivity, 78.6%; specificity, 63.8%). CONCLUSION: Skeletal muscle mass loss among patients with metabolic dysregulation was positively associated with metabolic dysfunction-associated fatty liver disease severity in both sexes. The skeletal muscle index cutoff value could be used to predict metabolic dysfunction-associated fatty liver disease.

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RETRACTED: The effects of a midwife-led weight management program for pregnant women: A randomized controlled trial

Wang

Zhu

Liu

et al. 2023

International Journal of Nursing Studies

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36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

Cited by 3 publications

References 29 publications

Association of waist circumference and BMI with premature death in young and middle-aged population

Association of waist circumference and BMI with premature death in young and middle-aged population

Relationship between skeletal muscle mass loss and metabolic dysfunction-associated fatty liver disease among Chinese patients with metabolic dysregulation

RETRACTED: The effects of a midwife-led weight management program for pregnant women: A randomized controlled trial

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