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An evaluation of a multi-component adult weight management on referral intervention in a community setting

Research output: Contribution to journalArticle

Original languageEnglish
Article number104
Pages (from-to)104
Number of pages8
JournalBMC Research Notes
Volume9
Issue number104
DOIs
DateAccepted/In press - 2 Feb 2016
DatePublished (current) - 17 Feb 2016

Abstract

Background

National Institute for Health and Care Excellence (NICE) guidance on adult weight management recommends interventions are multi-component. We aimed to assess the implementation and health benefits of a primary care referral to an adult multi-component weight management intervention in a community setting. The intervention was offered through Primary care in National Health Service (NHS) South Gloucestershire, UK, from Oct 2008 to Nov 2010, in partnership with statutory, community and commercial providers. The scheme offered 12 weeks’ community based concurrent support of dietary (Weight Watchers, WW), physical activity (Exercise on Prescription, EOP) and behavioural change (motivational interviewing) components to obese adults. Funding was available for 600 places.
Results

Five hundred and fifty nine participants engaged with the intervention, mean age 48 years, 88 % female. Mean weight loss for all engagers was 3.7 kg (95 % confidence interval 3.4, 4.1). Participants completing the intervention achieved the largest weight reduction (mean loss 5.9 kg; 5.3, 6.6). Achievement of 5 % weight loss was higher in completers (58 %; 50, 65) compared to non-completers (19 %; 12, 26) and people who only participated in one commercial component of the intervention (either WW or EOP; 19 %; 13, 24).
Conclusion

A multi-component weight management programme may be beneficial for weight loss, but a randomized controlled trial is needed to establish effectiveness and to evaluate cost.

    Structured keywords

  • Centre for Surgical Research

    Research areas

  • Obesity, Weight management, Diet, Physical activity, Behaviour change, Intervention

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  • art%3A10.1186%2Fs13104-016-1901-1

    Rights statement: © 2016 Birnie et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).

    Final published version, 842 KB, PDF document

    Licence: CC BY

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