Long-term weight loss maintenance in females after participation in a community weight management programme – A feasibility study

Avery, Amanda; Toon, Josef; Holloway, Laura; Bennett, Sarah; Lavin, Jacquie; Pallister, Carolyn

doi:10.1016/j.nutos.2023.07.003

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…Overall, a mean weight loss of greater than 6% was achieved after 12 months of accessing some level of support from Slimming World with those accessing more support achieving greater weight losses‐over 14%. It is likely that attendance may be associated with greater use of and adherence to the programme components, such as the compassion‐based self‐regulatory behaviours, behaviour change techniques and support mechanisms, although with individual variation 20 . However, it is important to note that this service evaluation did not include any outcome measures to determine which specific components are effective over time.…”

Section: Discussionmentioning

confidence: 99%

“…Given the scale of this service evaluation and the use of electronic weight records, the behaviour changes, which may have been made because of the support received, are unable to be reported in this paper. However other studies suggest that Slimming World members, alongside people accessing other community‐based weight management programmes, change their eating habits with increases in vegetable and fruit intake, reductions in unhealthy snacking, making more meals from scratch more often, eating fewer takeaways and reducing their consumption of sugary drinks 20,24 . They also reduce their alcohol intake, increase their activity levels and adopt healthier sleep patterns 25 .…”

Section: Discussionmentioning

confidence: 99%

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A service evaluation of more than 1 million self‐funding adults attending a community weight management programme

Toon,

Bennett,

Lavin

et al. 2024

Clinical Obesity

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SummaryScaled interventions are required to address levels of overweight and obesity and reduce health inequalities. Little data is available on the effectiveness of community weight management programmes for participants self‐selecting to attend across different socio‐economic backgrounds. This analysis investigates 3, 6, and 12‐month outcomes of adults joining a real‐life community weight management programme. Weight, attendance and Indices of Multiple Deprivation (IMD) data from all fee‐paying adults joining Slimming World in 2016 were collated. Data were analysed using descriptive and inferential statistics to determine predictors of weight loss. Mean BMI of 1 094 676 adults (7.6% male) was 33.0 ± 6.4 kg/m2. Mean % weight change at 3, 6, and 12 months was −5.0% ± 3.6%, −5.9% ± 5.2%, and −6.0% ± 5.8%. Those attending 75% sessions achieved greater weight loss with mean weight losses at 3, 6, and 12‐months of 7.7% ± 3.3%, 11.3% ± 5.2%, and 14.1% ± 7.5%, respectively. Effect sizes from comparison of weight change between deprivation deciles were negligible, with similar outcomes in the most and least deprived deciles at 12‐months (−5.7% ± 5.9% vs. −6.2% ± 5.9%). This service evaluation of more than 1 million adults attending a community weight management programme found they were able to achieve and/or maintain an average 6% weight loss at 12 months, with high attenders achieving >14% loss. Men and those with higher levels of deprivation were accessing the support and achieving significant weight losses. Slimming World as a real‐life, scalable weight management programme is well placed to help adults manage their weight and address health inequalities.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A service evaluation of more than 1 million self‐funding adults attending a community weight management programme

Toon,

Bennett,

Lavin

et al. 2024

Clinical Obesity

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

Toon,

Bennett,

Lavin

et al. 2024

J Prim Care Community Health

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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/m2; 91.7% had a BMI > 30 kg/m2. 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.

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Long-term weight loss maintenance in females after participation in a community weight management programme – A feasibility study

Cited by 2 publications

References 31 publications

A service evaluation of more than 1 million self‐funding adults attending a community weight management programme

A service evaluation of more than 1 million self‐funding adults attending a community weight management programme

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

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