Weight loss in obese type 2 diabetic patients on an intensive therapeutic programme: Importance of an initial short hospitalization period

Saldalamacchia, G.; Massaro, Paolo; Pacioni, D.; Giordano, Claudia; TIa, Vaĭnshteĭn; Pellegrino, Sara; Lilli, S.; Riccardi, Gabriele; Rivellese, Angela Albarosa

doi:10.1016/j.numecd.2007.05.008

Cited by 3 publications

(24 citation statements)

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“…The included 12 articles [47][48][49][50][51][52][53][54][55][56][57][58] reported on 10 studies published between 1997 and 2019 (October) with four articles [47][48][49]53 reporting on two studies (Table 1).…”

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

“…The study designs included randomized (n=2)/nonrandomized controlled trials (n=4) [47][48][49][52][53][54]57,58 (n=6 involving eight articles), evaluation 56 (n=1), and before-after intervention studies 50,51,55 (n=3). Settings for six studies 51,52,[54][55][56]58 were inpatient only, while four studies [47][48][49][50]53,57 combined inpatient and community settings with repeat readmissions to the inpatient setting. Total length of stay for the inpatient setting ranged from 1.3 57 to 17 47 weeks for nine of the ten studies.…”

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

“…Total length of stay for the inpatient setting ranged from 1.3 57 to 17 47 weeks for nine of the ten studies. 47,[49][50][51][53][54][55]57,58 Intensive lifestyle interventions, [47][48][49][50]53,55,57,58 were used in six studies. The implementation of an inpatient intervention using a very low calorie diet (VLCD) for rapid weight loss prior to surgery to reduce the anesthetic/surgical risk, 51,56 and acute medical interventions (a comparison of high flow and titrated oxygen therapy regimes 52 and a comparison of isonitrogenic and hypoenergetic total parenteral nutrition (TPN)) 54 were used in two studies each (Table 1).…”

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

“…The implementation of an inpatient intervention using a very low calorie diet (VLCD) for rapid weight loss prior to surgery to reduce the anesthetic/surgical risk, 51,56 and acute medical interventions (a comparison of high flow and titrated oxygen therapy regimes 52 and a comparison of isonitrogenic and hypoenergetic total parenteral nutrition (TPN)) 54 were used in two studies each (Table 1). The comparison of oxygen regimen study had an intervention period of 2.5 hours, 52 while four studies [47][48][49][50]53,57 had follow-up periods from 10 days 57 to 5 years. 47,48 Follow-up post-discharge from the inpatient stay was absent in six studies.…”

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

“…56,58 Mean (SD) BMI of the studies ranged from 36 (5) 54 to 64.3 (2.1). 51 Obesity treatment was the primary reason for admission in eight articles, [47][48][49][50][51]53,56,57…”

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

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Non-Surgical Interventions for Hospitalized Adults with Class II or Class III Obesity: A Scoping Review

Rees¹,

Collins²,

Vlieger³

et al. 2021

DMSO

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Adult inpatients with Class II or III obesity and comorbidities have a high health burden with frequent hospitalizations. Surgical risk and patient choice can be contraindications to bariatric surgery, which is considered the gold standard treatment. The best approach to non-surgical management for this adult inpatient group is currently unknown. The aim of this scoping review was to summarize current research in the inpatient setting. The unpublished literature and six electronic database searches identified 4,582 articles, with 12 articles (reporting on 10 studies) eligible and included. The literature on the interventions and their key components in the non-surgical care of the adult inpatient with Class II or III obesity were mapped identifying service provision successes and gaps. The articles reported on intensive lifestyle interventions, comparison of oxygen administration regimes, total parenteral nutrition regimens, and pre-surgical rapid weight loss. Study designs included evaluation (n=1), before–after intervention studies (n=3), and randomized/non-randomized controlled trials (n=6). The classification of obesity as a chronic disease is not universal resulting in reduced inpatient treatment options. Recommendations for consumers, practitioner practice, health policy-makers and future research priorities are reported. Further research in the development of cost-effective inpatient models of care is indicated.

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Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

“…56,58 Mean (SD) BMI of the studies ranged from 36 (5) 54 to 64.3 (2.1). 51 Obesity treatment was the primary reason for admission in eight articles, [47][48][49][50][51]53,56,57…”

Section: Study Country and Dissemination (Table 1)mentioning

confidence: 99%

See 3 more Smart Citations

Non-Surgical Interventions for Hospitalized Adults with Class II or Class III Obesity: A Scoping Review

Rees¹,

Collins²,

Vlieger³

et al. 2021

DMSO

View full text Add to dashboard Cite

show abstract

Therapeutic patient education in obesity: analysis of the 2005–2010 literature

Golay¹,

Andrade²,

Crozet³

et al. 2012

Educ Ther Patient/Ther Patient Educ

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Receptivity to Weight Management Interventions Among Hospitalized Obese Patients

Harris¹,

Rios²,

Landis³

et al. 2013

Southern Medical Journal

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HighlightsIn 2004, there were 1.7 million hospital stays during which obesity was noted, accounting for about 6 percent of all hospital stays-an increase of 112 percent since 1996.Among those principally hospitalized for obesity, 55.2 percent were age 18-44 and most of the remaining (42.9 percent) were age 45-64; only 1.2 percent were 65 or older. For those with obesity as a secondary diagnosis only, 23.7 percent were age 18-44 and 28.5 percent were 65 or older.Although just over 30 percent of both men and women were obese, about 82 percent of those with a principal diagnosis of obesity and 63.5 percent of those with obesity as a coexisting condition were women.The mean length of a hospital stay for obesity as a principal diagnosis was 3.1 days, but when obesity was a coexisting condition, the mean length of stay was 4.9 days.In the Northeast, 5.8 hospital stays per 10,000 were principally for obesity; in other regions, these stays ranged from 3.8 to 4.0 per 10,000. However, in the Northeast and West, 45 stays per 10,000 listed obesity as a secondary diagnosis, while rates were much higher in the Midwest and South, at 57 and 60 stays per 10,000.The most common principal diagnosis associated with obesity was coronary atherosclerosis, accounting for nearly 7 percent of all patients with obesity. This was 75 percent higher than among the nonobese hospitalized population.For hospital stays with obesity as a principal diagnosis, the majority involved gastric bypass and volume reduction surgery. Obese Patients in U.S. Hospitals, 2004Anne Elixhauser, Ph.D. and Claudia Steiner, M.D., M.P.H. IntroductionObesity has become a major public health problem in the United States. About 30 percent of the U.S. population is currently obese (body mass index [BMI] >=30), and an additional 35 percent of the population is overweight .1 An estimated 31.1 percent of adult males and 33.2 percent of adult females are obese. The health impacts of obesity are serious; the condition is linked to increased risk of hypertension, high blood cholesterol, diabetes, coronary heart disease, stroke, gallbladder disease, arthritis, respiratory problems, and some cancers. This Statistical Brief presents data from the Healthcare Cost and Utilization Project (HCUP) on obese patients hospitalized during 2004. Characteristics and locations of patients, usage and expense of hospital stays, and associated diagnoses are examined for patients admitted primarily for obesity as well as for those with a secondary diagnosis-or comorbidity-of obesity. FindingsIn 2004, there were nearly 1.7 million hospital stays during which obesity was noted, accounting for about 6 percent of all hospital stays. (Obesity appears to be under coded in hospital data given the much higher prevalence in the general population.) This figure has increased by 112 percent-or more than doubled-since 1996, when there were 797,000 admissions with a mention of obesity. In comparison, during this same time period, the total number of hospitalizations for any condition increased by about 1...

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Weight loss in obese type 2 diabetic patients on an intensive therapeutic programme: Importance of an initial short hospitalization period

Cited by 3 publications

References 1 publication

Non-Surgical Interventions for Hospitalized Adults with Class II or Class III Obesity: A Scoping Review

Non-Surgical Interventions for Hospitalized Adults with Class II or Class III Obesity: A Scoping Review

Therapeutic patient education in obesity: analysis of the 2005–2010 literature

Receptivity to Weight Management Interventions Among Hospitalized Obese Patients

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