“We've Had to Build the Plane as We Flew It.”: Impacts of the COVID-19 Pandemic on School-Based Weight Management Interventions

2021 ◽  
Author(s):  
Logan J. Camp-Spivey ◽  
Susan D. Newman ◽  
Robert N. Stevens ◽  
Michelle Nichols
Keyword(s):  
Weight Management ◽  
School Based ◽  
Management Interventions ◽  
It Impacts

scholarly journals Efficacy of a county-wide schools weight management intervention

2021 ◽  
pp. 175791392110067
Author(s):  
GJ Sanders ◽  
WL Marwa ◽  
B Wade ◽  
P Gately
Keyword(s):  
Body Mass Index ◽  
Weight Management ◽  
Body Mass ◽  
Healthy Lifestyles ◽  
Weight Category ◽  
Management Intervention ◽  
School Based ◽  
Management Interventions ◽  
Significant Difference ◽  
Weight Management Intervention

Aims: This study aimed to evaluate the effectiveness of the Local Authority commissioned large-scale public health service that provided a 6-week school-based weight management intervention for children aged 4–19 years. Methods: A quantitative retrospective cohort study identified participants from 130 schools consisting of 8550 potential children aged 4−19 years across a mixture of Lower Super Output Area (LSOA) deprivation groups. Participants were invited to take part in a 5- to 12-week Healthy Lifestyles intervention with a focus on weight management delivered by OneLife Suffolk between 1 January 2017 and 1 January 2020. This resulted in a final sample of 5163 participants. The following information for each child was collected anonymously: (1) age, (2) gender, (3) preprogramme body mass index (BMI), (4) postprogramme BMI, (5) weight category and (6) LSOA category. Results: Following the 6-week school-based intervention, there was a significant decrease in mean ΔBMI SDS (standardised body mass index) of −0.07 (−14.89%) among participants. Wilcoxon signed-rank test showed a significant change in weight status post 6-week weight management programme (WMP): BMI ( Z = −15.87, p < .001), BMI SDS ( Z = −21.54, p < .001), centile ( Z = −20.12, p < .01) and weight category ( Z = −7.89, p < .001), whereas Mann−Whitney U test showed no statistically significant difference in mean BMI SDS change between gender groups ( p = .24) and Kruskal−Wallis test revealed no statistically significant differences in mean BMI SDS change between child LSOA groups (c2(4) = 1.67, p = .796), school LSOA groups (c2(4) = 4.72, p = .317), ethnic groups (c2(4) = 2.53, p = .640) and weight category at the start of the intervention (c2(3) = 6.20, p = .102). Conclusions: This study contributes to the growing body of evidence demonstrating the efficacy of multicomponent school-based weight management interventions and demonstrates that such interventions can be successfully implemented as part of a wider healthy lifestyles service, without widening health inequalities.

scholarly journals Preventing and controlling water pipe smoking: a systematic review of management interventions

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Javad Babaie ◽  
Ayat Ahmadi ◽  
Gholamreza Abdollahi ◽  
Leila Doshmangir
Keyword(s):  
Data Extraction ◽  
Water Pipe ◽  
Health Crisis ◽  
Adverse Health Effects ◽  
Analysis Process ◽  
School Based ◽  
Management Interventions ◽  
School Based Interventions ◽  
Global Arena ◽  
And Control

Abstract Background Water pipe smoking (WPS) is re-gaining widespread use and popularity among various groups of people, especially adolescents. Despite different adverse health effects of WPS, many of the WPS interventions have failed to control this type of tobacco smoking. This study was conducted to identify experienced management interventions in preventing and controlling WPS worldwide. Methods A systematic literature review was conducted. Electronic databases were searched for recordes which were published from beginning 1990 to August 2018. Studies aiming at evaluating, at least, one intervention in preventing and controlling WPS were included in this review, followed by performing the quality assessment and data extraction of eligible studies by two independent investigators. Finally, interventions that were identified from the content analysis process were discussed and classified into relevant categories. Results After deleting duplications, 2228 out of 4343 retrieved records remained and 38 studies were selected as the main corpus of the present study. Then, the identified 27 interventions were grouped into four main categories including preventive (5, 18.51%) and control (8, 29.62%) interventions, as well as the enactment and implementation of legislations and policies for controlling WPS at national (7, 25.92%) and international (7, 25.92%) levels. Conclusion The current enforced legislations for preventing and controlling WPS are not supported by rigorous evidence. Informed school-based interventions, especially among adolescents can lead to promising results in preventing and controlling WPS and decreasing the effects of this important social and health crisis in the global arena.

scholarly journals SUN-543 Real World Evidence of Successful Weight Management for the Obese Population: Complete Reversal of Obesity Related Metabolic Co-Morbidities and Weight Loss in Patients Attending a Multidisciplinary Weight Management Clinic in Australia

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Zoe Rock ◽  
Juliana Chen ◽  
Joanna Jaques ◽  
Bernard L Champion ◽  
Reginald V Lord ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Weight Management ◽  
Exercise Physiology ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Management Interventions ◽  
Co Morbidity ◽  
Total Body ◽  
Total Body Weight Loss

Abstract Over 2.5 billion people worldwide are overweight or obese. Multidisciplinary weight management interventions have evolved to address the complexity of weight loss for those with one or more chronic diseases, and the trend of weight regain. The aim of these interventions is to encourage sustainable lifestyle changes, resulting in weight loss and weight maintenance and improvements in comorbidities. While some prospective clinical trials have demonstrated efficacy, results are often not reported by real life practices. The aim of this study was to evaluate the effectiveness of a Sydney based multidisciplinary weight management clinic with endocrinology, dietetics, exercise physiology, psychology, and bariatric surgical domains. All patients who attended the clinic for weight loss purposes between March 2017 and April 2019 were included (n=220). A retrospective chart review was conducted. Patient data on weight, BMI, waist circumference, body composition measurements, and selected blood test results and co-morbidities were analysed. All patient therapy included endocrinological input for co-morbidity identification and management, lifestyle intervention (dietetic and exercise physiology input) with optional adjunct pharmacotherapy or psychological counselling. Of the 220 cohort, 20 of the patients had sleeve gastrectomy. Patient retention in the clinic after the first consultation was 85% (n=186), a high rate within the weight management community. 59% of patients achieved a minimum of 5% total body weight loss, including 18% who achieved greater than 10% total body weight loss. Additionally, 31% of patients lost enough weight to decrease their BMI class by up to 2 or more classes. Of the gastric sleeve cohort average excess body weight loss was 32kg (21-56kg) enhanced by multidisciplinary care in the lead up to surgery. Across the cohort some patients completely reversed co-morbidities; including dyslipidaemia (n=1), hypertension (n=3), NAFLD (n=1), pre-diabetes (n=8) and type 2 diabetes (n=3), OSA (n=1). These results demonstrate that obesity is a chronic condition that can be successfully managed. We have demonstrated significant durable weight loss and improvement in metabolic co-morbidities with holistic coordinated care. Future directions include translating this model of care into standard practice in Australia and other countries where obesity to date not received the same coordinated approach as other chronic conditions.

scholarly journals Exploring the evidence base for Tier 3 weight management interventions for adults: a systematic review

2017 ◽  
Vol 7 (5) ◽  
pp. 260-272 ◽  
Author(s):  
T. J. Brown ◽  
C. O'Malley ◽  
J. Blackshaw ◽  
V. Coulton ◽  
A. Tedstone ◽  
...  
Keyword(s):  
Systematic Review ◽  
Weight Management ◽  
Evidence Base ◽  
Management Interventions ◽  
Tier 3

scholarly journals Informing the development of online weight management interventions: a qualitative investigation of primary care patient perceptions

BMC Obesity ◽  
2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Samantha B. van Beurden ◽  
Sally I. Simmons ◽  
Jason C. H. Tang ◽  
Avril J. Mewse ◽  
Charles Abraham ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Primary Care Patient ◽  
Care Patient ◽  
Patient Perceptions ◽  
Qualitative Investigation ◽  
Management Interventions

scholarly journals Comment on “External Validation of the Core Obesity Model to Assess the Cost-Effectiveness of Weight Management Interventions”

2020 ◽  
Vol 39 (1) ◽  
pp. 133-135 ◽  
Author(s):  
Bram L. T. Ramaekers ◽  
Ben Wijnen ◽  
Nigel Armstrong ◽  
Svenja Petersohn ◽  
Talitha Feenstra ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Weight Management ◽  
External Validation ◽  
The Core ◽  
Management Interventions ◽  
The Cost

scholarly journals Do weight management interventions delivered by online social networks effectively improve body weight, body composition, and chronic disease risk factors? A systematic review

2016 ◽  
Vol 23 (2) ◽  
pp. 263-272 ◽  
Author(s):  
Erik A Willis ◽  
Amanda N Szabo-Reed ◽  
Lauren T Ptomey ◽  
Felicia L Steger ◽  
Jeffery J Honas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Social Networks ◽  
Weight Loss ◽  
Body Weight ◽  
Weight Management ◽  
Online Social Networks ◽  
Disease Risk ◽  
Primary Source ◽  
Outcome Data ◽  
Management Interventions

Introduction Currently, no systematic review/meta-analysis has examined studies that used online social networks (OSN) as a primary intervention platform. Therefore, the purpose of this review was to evaluate the effectiveness of weight management interventions delivered through OSN. Methods PubMed, EMBASE, PsycINFO, Web of Science, and Scopus were searched (January 1990–November 2015) for studies with data on the effect of OSNs on weight loss. Only primary source articles that utilized OSN as the main platform for delivery of weight management/healthy lifestyle interventions, were published in English language peer-reviewed journals, and reported outcome data on weight were eligible for inclusion in this systematic review. Five articles were included in this review. Results One-hundred percent of the studies ( n = 5) reported a reduction in baseline weight. Three of the five studies (60%) reported significant decreases in body weight when OSN was paired with health educator support. Only one study reported a clinical significant weight loss of ≥5%. Conclusion Using OSN for weight management is in its early stages of development and, while these few studies show promise, more research is needed to acquire information about optimizing these interventions to increase their efficacy.

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