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

Madigan, Claire; Roalfe, Andrea; Daley, Amanda; Jolly, Kate

doi:10.1016/j.orcp.2017.06.003

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…Previous research regarding the effect of baseline weight on weight loss is inconclusive. Studies suggest that the magnitude of weight loss is not related to baseline body weight [ 50 ] or BMI [ 51 ], yet preoperative BMI has shown to be inversely related to weight loss post weight loss surgery [ 52 , 53 ]. Therefore, the significant difference in weight loss observed in this study is unlikely to be due to baseline weight, nor to other demographic characteristics, as these were reportedly consistent between the two groups.…”

Section: Discussionmentioning

confidence: 99%

The Role of Choice in Weight Loss Strategies: A Systematic Review and Meta-Analysis

2018

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Effective strategies to achieve weight loss and long-term weight loss maintenance have proved to be elusive. This systematic review and meta-analysis aims to explore whether the choice of weight loss strategy is associated with greater weight loss. An electronic search was conducted using the MEDLINE (Medical Literature Analysis and Retrieval System Online, or MEDLARS Online), EMBASE (Excerpta Medica database), CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO (Database of Abstracts of Literature in the Field of Psychology, produced by the American Psychological Association and distributed on the association’s APA PsycNET) databases for clinical trials and randomized controlled trials, investigating the role of choice in weight loss strategies. A total of nine studies were identified as meeting the pre-specified criteria. All of the studies included a ‘Choice’ or preference arm and a ‘No Choice’ arm or group who did not receive their preference as a control. A total of 1804 subjects were enrolled in these studies, with weight loss observed in both experimental and control groups of all studies, irrespective of dietary intervention, study duration, or follow-up length. Twelve interventions in nine trials were used for the meta-analysis, with results indicating a greater weight loss in the control groups, 1.09 ± 0.28 (overall mean difference in weight loss between groups ± standard error; p = 0). There was no significant effect of duration or attrition. In this meta-analysis, the choice of weight loss strategy did not confer a weight loss benefit.

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Section: Discussionmentioning

confidence: 99%

The Role of Choice in Weight Loss Strategies: A Systematic Review and Meta-Analysis

2018

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“…The literature suggests that a dietician should be a guide in helping patients change their eating behaviors [36]. It is noteworthy that despite the dynamic development of advanced technological applications to help foster behavioral changes in obesity treatment [21,37], lifestyle dietary intervention implemented in the context of an interpersonal patient-dietician relationship remains a fundamentally effective strategy for achieving the targets and goals of obesity treatment [2,13,20,38].…”

Section: Health Problems Of Civilizationmentioning

confidence: 99%

Self-Reported Eating Behavior and Nutrition Knowledge in Women Starting Dietary Treatment Compared to Women Who Achieve Treatment Goals for Simple Obesity

Skrzypek¹,

Szczygieł²,

Fedurek³

et al. 2020

hpc

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Authors' contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane-analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary Background. The goal of the study was to compare self-reported eating behavior and knowledge of nutrition in cohorts of women with simple obesity, who begin nutritional intervention to treat obesity, and in women who achieved the goal of obesity treatment, i.e. reduction of initial body mass by a minimum of 10%. Material and methods. The study was conducted in a group of 38 women with simple obesity who were starting dietary treatment (aged 18-72, mean 41, SD 14.95) and 49 women with simple obesity, who, as a result of dietary treatment for obesity, achieved a body mass reduction by at least 10% (aged 18-67, mean 41, SD 13.44). The survey also included a control group of 100 women with normal body mass (aged 19-59, mean 33, SD 13.29). The study used the Questionnaire of Eating Behavior. Results. Women with simple obesity starting dietary treatment were characterized by a paradoxically higher intensity of characteristics of a pro-health diet as well as a higher intensity of unhealthy diet characteristics, compared to women with normal body mass. Women starting treatment compared to women who achieved successfully completed treatment, exhibited a significantly lower intensity of pro-health diet characteristics and higher intensity of unhealthy diet characteristics. The level of nutrition knowledge among healthy women was significantly higher compared to obese women starting treatment. The women who achieved the goal of treatment were characterized by a higher level of nutrition knowledge compared to those starting treatment. Conclusions. There are significant differences between the studied cohorts of women in terms of level of nutrition knowledge and eating behaviors associated with dietary treatment for obesity.

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“…Most people that access commercial weight management services are women, possibly due to social norms and the historical marketing of the programs to women (Allen et al 2015;Madigan et al 2017). Despite this, the men that access the services tend to have better outcomes than women; however, motivation may be a factor in these findings (Madigan et al 2012).…”

Section: Potential Limitations Of This Approachmentioning

confidence: 99%

Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems

Sturgiss

Madigan²,

Klein

et al. 2018

Aust. J. Prim. Health

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Abstract. Lifestyle behaviours are contributing to the increasing incidence of chronic disease across all developed countries. Australia, Canada and the UK have had different approaches to the role of primary care in the prevention and management of lifestyle-related diseases. Both obesity and metabolic syndrome have been targeted by programs to reduce individual risk for chronic disease such as type 2 diabetes. Three interventions are described -for either obesity or metabolic syndrome -that have varying levels of involvement of GPs and other primary care professionals. The structure of a healthcare system for example, financing and physical locations of primary care clinicians, shapes the development of primary care interventions. The type of clinicians involved in interventions, whether they work alone or in teams, is influenced by the primary care setting and resource availability. Australian clinicians and policymakers should take into account the healthcare system where interventions are developed when translating interventions to the Australian context.Additional keywords: delivery of healthcare, healthy people programs, patient care management, preventive medicine, primary healthcare.

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

Cited by 4 publications

References 23 publications

The Role of Choice in Weight Loss Strategies: A Systematic Review and Meta-Analysis

The Role of Choice in Weight Loss Strategies: A Systematic Review and Meta-Analysis

Self-Reported Eating Behavior and Nutrition Knowledge in Women Starting Dietary Treatment Compared to Women Who Achieve Treatment Goals for Simple Obesity

Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems

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