Service evaluation of weight outcomes as a function of initial BMI in 34,271 adults referred to a primary care/commercial weight management partnership scheme

Stubbs, R. James; Brogelli, David Johnathan; Barber, Jenny; Pallister, Carolyn; Whybrow, Stephen; Avery, Amanda; Lavin, Jacquie

doi:10.1186/1756-0500-6-161

Cited by 15 publications

(18 citation statements)

References 11 publications

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“…Sixty percent of this population had a BMI over 30 kg/m 2 suggesting that lifestyle interventions can work on a large scale in populations who are overweight and obese at least over a period of 3 months. The analysis of weight outcomes by BMI groups suggested that lifestyle interventions can be as effective in individuals with higher BMIs as well as for those who are moderately overweight during their first 3 months attendance which is in accordance with previous analysis [ 27 ].…”

Section: Discussionsupporting

confidence: 89%

“…[ 14 ]. Slimming World already delivers an effective, national scale infrastructure for weight loss, including networks of local classes, 4000 group facilitators (Consultants), written, online and multi-media resources, eating plans and evidence based behaviour change approaches [ 22 , 27 , 28 , 61 ]. The present data set provides an important addition to the UK evidence base for commercial weight management programmes, particularly as this represents the majority of participants accessing such services.…”

Section: Discussionmentioning

confidence: 99%

“…We have previously reported rate and extent of weight loss in a primary care/commercial weight management organisation partnership scheme in 34,271 patients referred for 12 weekly sessions. We found that referral to a commercial organisation was as effective for people with high BMIs who may normally be recommended for more intensive and costly secondary or tertiary care, as for those who are moderately overweight [ 27 ]. It is not yet clear what the BMI structure of populations who attend such programmes as fee-paying members is, or how their weight outcomes vary as a function of initial BMI.…”

Section: Introductionmentioning

confidence: 99%

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Weight outcomes audit in 1.3 million adults during their first 3 months’ attendance in a commercial weight management programme

Stubbs

Morris²,

Pallister³

et al. 2015

BMC Public Health

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BackgroundOver sixty percent of adults in the UK are now overweight/obese. Weight management on a national scale requires behavioural and lifestyle solutions that are accessible to large numbers of people. Evidence suggests commercial weight management programmes help people manage their weight but there is little research examining those that pay to attend such programmes rather than being referred by primary care. The objective of this analysis was to evaluate the effectiveness of a UK commercial weight management programme in self-referred, fee-paying participants.MethodsElectronic weekly weight records were collated for self-referred, fee-paying participants of Slimming World groups joining between January 2010 and April 2012. This analysis reports weight outcomes in 1,356,105 adult, non-pregnant participants during their first 3 months’ attendance. Data were analysed by regression, ANOVA and for binomial outcomes, chi-squared tests using the R statistical program.ResultsMean (SD) age was 42.3 (13.6) years, height 1.65 m (0.08) and start weight was 88.4 kg (18.8). Mean start BMI was 32.6 kg/m2 (6.3 kg/m2) and 5 % of participants were men. Mean weight change of all participants was −3.9 kg (3.6), percent weight change −4.4 (3.8), and BMI change was −1.4 kg/m2 (1.3). Mean attendance was 7.8 (4.3) sessions in their first 3 months. For participants attending at least 75 % of possible weekly sessions (n = 478,772), mean BMI change was −2.5 kg/m2 (1.3), weight change −6.8 kg (3.7) and percent weight change −7.5 % (3.5).Weight loss was greater in men than women absolutely (−6.5 (5.3) kg vs −3.8 (3.4) kg) and as a percentage (5.7 % (4.4) vs 4.3 % (3.7)), respectively. All comparisons were significant (p < 0.001). Level of attendance and percent weight loss in the first week of attendance together accounted for 55 % of the variability in weight lost during the study period.ConclusionsA large-scale commercial lifestyle-based weight management programme had a significant impact on weight loss outcomes over 3 months. Higher levels of attendance led to levels of weight loss known to be associated with significant clinical benefits, which on this scale may have an impact on public health.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Weight outcomes audit in 1.3 million adults during their first 3 months’ attendance in a commercial weight management programme

Stubbs

Morris²,

Pallister³

et al. 2015

BMC Public Health

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“…Our findings suggest that these community programmes help people with higher BMIs to lose weight. A large audit of Slimming World found similar findings, in that percentage weight loss was similar across categories of BMI (27). This audit did not specifically consider participants with a BMI >40 kg/m 2 compared to lower BMI categories.…”

Section: Comparison With Existing Literaturementioning

confidence: 69%

What factors influence weight loss in participants of commercial weight loss programmes? Implications for health policy

Madigan

Roalfe

Daley

et al. 2017

Obesity Research & Clinical Practice

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“…Slimming World (SW), as a member of East Midlands Platform for Health and Wellbeing, is the largest commercial weight management organisation in the UK, based on group attendances, serving over 800,000 members each week. SW has also been operating referral schemes (SW on referral) to the NHS since 2000, with its effectiveness appropriately reviewed in the scientific literature (Lavin et al, 2006;Stubbs et al, 2011Stubbs et al, , 2013. However, little is known on the effectiveness of referral to community groups via the workplace.…”

Section: Introductionmentioning

confidence: 99%

Providing weight management via the workplace

Barber¹,

Hillier²,

Middleton

et al. 2015

International Journal of Workplace Health Management

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation.*Related content and download information correct at time of download. Purpose -The purpose of this paper is to assess the feasibility and benefits of providing weight management support via the workplace. Design/methodology/approach -Quasi-experimental design using non-random assignment to a 12-week Slimming World (SW) weight management programme, either within the workplace or at a regular community group. Weight was recorded weekly and a 39-item questionnaire focused on mental and emotional health, self-esteem, dietary habits and physical activity habits administered at baseline, 12 weeks, six and 12 months. Findings -In total, 243 participants enroled (workplace n ¼ 129, community n ¼ 114) with 138 completers (defined as those weighing-in at baseline and attending at least once within the last four weeks; workplace n ¼ 76, community n ¼ 62). Completers reported a mean weight change of −4.9 kg ± 3.4 or −5.7 per cent ± 3.8. Mental and emotional health scores increased ( po0.05) from baseline to 12 weeks. Self-worth scores increased ( po0.05) from baseline to 12 weeks, six and 12 months. Healthy dietary habit scores increased and unhealthy dietary habit scores decreased ( po0.05) from baseline to 12 weeks, six and 12 months. Healthy physical activity habit scores improved ( po0.05) from baseline to 12 weeks and six months. There were no significant differences between groups.Research limitations/implications -Participant demographic was predominantly female (94 per cent) aged 42.3 years, with only 13 men participating. Practical implications -The results support the use of a 12-week SW weight management programme as a credible option for employers wanting to support staff to achieve weight loss and improve psycho-social health outcomes which could lead to improvements in quality of life and work performance. Originality/value -Provides evidence for the delivery of weight management support via the workplace.

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Service evaluation of weight outcomes as a function of initial BMI in 34,271 adults referred to a primary care/commercial weight management partnership scheme

Cited by 15 publications

References 11 publications

Weight outcomes audit in 1.3 million adults during their first 3 months’ attendance in a commercial weight management programme

Weight outcomes audit in 1.3 million adults during their first 3 months’ attendance in a commercial weight management programme

What factors influence weight loss in participants of commercial weight loss programmes? Implications for health policy

Providing weight management via the workplace

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