scholarly journals A service evaluation exploring the effectiveness of a locally commissioned tier 3 weight management programme offering face‐to‐face, telephone and digital dietetic support

2021 ◽  
Author(s):  
Rosemary Huntriss ◽  
Matthew Haines ◽  
Lucy Jones ◽  
Danielle Mulligan





2015 ◽  
Vol 74 (OCE1) ◽  
Author(s):  
R. P. G. Hayhoe ◽  
M. Haddow ◽  
J. Shareef ◽  
S. Barnes ◽  
A. A. Welch


2018 ◽  
Vol 32 (3) ◽  
pp. 329-337 ◽  
Author(s):  
L. McCombie ◽  
N. Brosnahan ◽  
H. Ross ◽  
A. Bell‐Higgs ◽  
L. Govan ◽  
...  


2015 ◽  
Vol 97 (3) ◽  
pp. 235-237 ◽  
Author(s):  
P Patel ◽  
A Hartland ◽  
A Hollis ◽  
R Ali ◽  
A Elshaw ◽  
...  

Introduction In 2013 the Department of Health specified eligibility for bariatric surgery funded by the National Health Service. This included a mandatory specification that patients first complete a Tier 3 medical weight management programme. The clinical effectiveness of this recommendation has not been evaluated previously. Our bariatric centre has provided a Tier 3 programme six months prior to bariatric surgery since 2009. The aim of our retrospective study was to compare weight loss in two cohorts: Roux-en-Y gastric bypass only (RYGB only cohort) versus Tier 3 weight management followed by RYGB (Tier 3 cohort). Methods A total of 110 patients were selected for the study: 66 in the RYGB only cohort and 44 in the Tier 3 cohort. Patients in both cohorts were matched for age, sex, preoperative body mass index and pre-existing co-morbidities. The principal variable was therefore whether they undertook the weight management programme prior to RYGB. Patients from both cohorts were followed up at 6 and 12 months to assess weight loss. Results The mean weight loss at 6 months for the Tier 3 cohort was 31% (range: 18–69%, standard deviation [SD]: 0.10 percentage points) compared with 23% (range: 4–93%, SD: 0.12 percentage points) for the RYGB only cohort (p=0.0002). The mean weight loss at 12 months for the Tier 3 cohort was 34% (range: 17–51%, SD: 0.09 percentage points) compared with 27% (range: 14–48%, SD: 0.87 percentage points) in the RYGB only cohort (p=0.0037). Conclusions Our study revealed that in our matched cohorts, patients receiving Tier 3 specialist medical weight management input prior to RYGB lost significantly more weight at 6 and 12 months than RYGB only patients. This confirms the clinical efficacy of such a weight management programme prior to gastric bypass surgery and supports its inclusion in eligibility criteria for bariatric surgery.



2021 ◽  
Vol 9 ◽  
Author(s):  
Xi Yang ◽  
Kaushik Chattopadhyay ◽  
Richard Hubbard ◽  
Jia-Lin Li ◽  
Li Li ◽  
...  

Background: Few comprehensive lifestyle intervention programmes have been investigated on overweight and obese adults in China. This study was to evaluate the effect of a 36-month weight management programme on weight loss and its maintenance among overweight and obese patients in Ningbo, China.Methods: Adults with BMI ≥24kg/m2 enrolled in this programme, including nutritional, physical activity, psychological and endocrinological counselling sessions, from July 2015 to January 2020. Adults participated in face-to-face counselling sessions and group-based education. Then, participants joined 21-day intensive programme using Bohe health APP and WeChat group to get personal advice of nutrition and lifestyle. In the end, participants were requested to join 33-month follow-ups including face-to-face counselling and personal advice on WeChat group. The main outcome was to evaluate the changes in weight at each followup from baseline weight.Results: In total, 692 adults participated in this entire weight management programme. During follow-ups, 579, 475, 299, 219, and 135 adults participated at 3, 6, 12, 24, and 36 months, respectively. All participants had a significant initial weight loss at 3 months, then maintained the weight loss during 33-month follow-ups. At 36 months, 11.0%, 6.4%, and 3.5% of all participants achieved 5%, 10%, and 15% weight loss from the baseline weight, respectively. Adjusted weight at 36 months was significantly reduced from the baseline weight in both sex (−7.2 kg).Conclusion: This weight management programme is suggested to benefit to reduce initial body weight and maintain long-term weight loss among overweight and obese adults.



2005 ◽  
Vol 94 (0) ◽  
pp. 54b-54
Author(s):  
C Barth ◽  
A Cederström ◽  
H Mannerstråle-Paradisi


2019 ◽  
Author(s):  
Josef Toon ◽  
Sarah Bennett ◽  
Amanda Avery ◽  
Kath Roberts ◽  
Jacquie Lavin




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