The nurse's role in providing strategies and advice on weight management

2021 ◽  
Vol 30 (21) ◽  
pp. S20-S27
Author(s):  
Alison Coutts
Keyword(s):  
Weight Management ◽  
Evidence Base ◽  
Overweight And Obesity ◽  
Health Conditions ◽  
Healthy Weight ◽  
Lifestyle Modifications ◽  
The Subject ◽  
The Uk

Maintaining a healthy weight is a concern for a large proportion of adults in the UK, with obesity rates having almost doubled between 1993 and 2011. With overweight and obesity linked to several diseases and health conditions, nurses are often tasked with raising the subject with their clients/patients and advising on lifestyle modifications. This article examines ways to identify whether a person needs to lose weight and establishing targets. It then reviews the evidence base for different approaches to weight management currently available and the advice nurses can provide.

scholarly journals Area deprivation, screen time and consumption of food and drink high in fat salt and sugar (HFSS) in young people: results from a cross-sectional study in the UK

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e027333 ◽  
Author(s):  
Fiona Thomas ◽  
Christopher Thomas ◽  
Lucie Hooper ◽  
Gillian Rosenberg ◽  
Jyotsna Vohra ◽  
...  
Keyword(s):  
Young People ◽  
Screen Time ◽  
Health Knowledge ◽  
Overweight And Obesity ◽  
Health Conditions ◽  
Area Deprivation ◽  
Cross Sectional ◽  
Time Exposure ◽  
Sugary Drinks ◽  
The Uk

ObjectivesTo investigate associations between deprivation in young people and consumption of foods high in fat, salt and sugar (HFSS), screen time exposure and health knowledge.DesignAn online cross-sectional survey with people aged 11–19 years in the UK, where participants reported consumption behaviours across 13 HFSS and two non-HFSS groups; screen time for commercial television and streaming services; and knowledge of health conditions and their links to obesity.SettingUKParticipantsA total of 3348 young people aged 11–19 years across the UK.Main outcome measuresThe study assessed the consumption behaviours, commercial screen time exposure and the health knowledge of 3348 people aged 11–19 years. Multivariate binary regression analysis, controlling for age and gender, was performed.ResultsDeprivation level was associated with increases in consumption of six of the HFSS products including energy drinks (OR: 2.943, p<0.001) and sugary drinks (OR: 1.938, p<0.001) and a reduction in consumption in the two non-HFSS products included in the study, fruit (OR: 0.668, p=0.004) and vegetables (OR: 0.306, p<0.001). Deprivation was associated with high weekly screen time of both television (OR: 2.477, p<0.001) and streaming (OR: 1.679, p=0.001). Health knowledge was also associated with deprivation. There was lower awareness of the association of obesity and cancer (OR: 0.697, p=0.003), type 2 diabetes (OR: 0.64, p=0.004) and heart disease (OR: 0.519, p<0.001) in the most deprived.ConclusionsYoung people from the more deprived areas of the UK were more likely to consume a range of HFSS products, report increased exposure to HFSS advertising and have a poorer awareness of health conditions associated with overweight and obesity. The findings suggest that population-level measures addressing childhood obesity should account for consumption patterns among different groups of children and young people and the factors that may influence these.

scholarly journals Lessons from a publicly funded tier 2 healthy weight programme in Cornwall, UK

2019 ◽  
Author(s):  
A J Williams ◽  
T Barter ◽  
R A Sharpe
Keyword(s):  
Statistical Tests ◽  
Evidence Base ◽  
Lessons Learned ◽  
Healthy Weight ◽  
Anthropometric Measures ◽  
Prevention Services ◽  
Treatment And Prevention ◽  
Weight Management Programme ◽  
The Uk ◽  
The Impact

Abstract Background The UK has one of the highest prevalence rates of obesity worldwide. Public health departments have a duty to provide some obesity treatment and prevention services. With evidence of effective programmes lacking, we investigate lessons learned from a healthy weight programme in Cornwall, UK. Methods Data from the 12-week multi-component adult healthy weight management programme were obtained for 2012–2016. Descriptive statistics and statistical tests were used to describe participants’ demographics, health status and anthropometric measures to explore the enrolment and retention of the programme as well as the impact. Results A total of 1872 adults were referred into the programme. Overall, 646 completed the programme and, 48.8% achieved the programme’s aim of a >3% reduction in weight. Those who completed and met the programme aim tended to have had healthier outcomes at baseline. Conclusions For those who engage with the programme the impact can be meaningful. However, <1% of the population of Cornwall with overweight or obesity enroled in the programme, and those who benefitted most might have been in least need. Providing services that meet the needs of the population is challenging when a variety of services is needed, and the evidence base is poor.

A Nurse-Led and Teacher-Assisted Adolescent Healthy Weight Program to Improve Health Behaviors in the School Setting

2017 ◽  
Vol 35 (3) ◽  
pp. 178-188 ◽  
Author(s):  
Gary Dupart ◽  
Diane C. Berry ◽  
Jennifer D’Auria ◽  
Leslie Sharpe ◽  
Linda McDonough ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Repeated Measures ◽  
School Setting ◽  
Overweight And Obesity ◽  
Healthy Weight ◽  
Management Intervention ◽  
Repeated Measures Design ◽  
Nutrition And Physical Activity ◽  
Weight Management Intervention

Adolescents with overweight and obesity are at risk for future health problems. The purpose of this study was to examine the feasibility and initial efficacy of a weight management intervention to help adolescents develop healthy nutrition and physical activity behaviors and improve their anthropometrics. This study used a single-group repeated measures design in a small school in Durham, North Carolina (NC). The intervention consisted of a nurse-led and teacher-assisted nutrition and physical activity education and exercise classes that met twice each week for 45–60 minutes for 7 weeks. Data were collected at Time 1 (baseline), Time 2 (after intervention completion), and Time 3 (after 3 months on their own). Interview feedback, low cost, and successful completion of all planned activities indicated that all stakeholders found the project beneficial and suitable for their school. This study suggests that a weight management intervention for adolescents was feasible in the school setting.

scholarly journals Knowledge, attitudes and management skills of medical practitioners regarding weight management

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Vangile B. Mkhatshwa ◽  
Gboyega A. Ogunbanjo ◽  
Langalibalele H. Mabuza
Keyword(s):  
Weight Management ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
The Body ◽  
Management Skills ◽  
Lifestyle Modifications ◽  
Gauteng Province ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
Self Administered Questionnaire

Background: Overweight and obesity have become a global problem. Health professionals are poorly prepared in weight management, which has an effect on their attitudes and management skills with regard to overweight and obese patients.Aim and setting: To assess the knowledge, attitudes and management skills of medical practitioners regarding weight management at Odi District Hospital, Gauteng Province, South Africa.Methods: We conducted a cross-sectional study on 48 medical practitioners at Odi Hospital between 01 October and 31 October 2013. A self-administered questionnaire was used to assess their knowledge, attitudes and management skills in weight management. The SPSS® statistical software (Version 22) was used for data analysis. A p < 0.05 was considered significant.Results: Fifty medical practitioners were recruited, 48 consented to participate and 28 (58.3%) were male. Their categories were community service doctors (3), medical officers (21), registrars (22) and others (2). Thirty-seven (77.1%) never received training in weight management (p < 0.001). Thirty-two (66.7%) regarded weight management as not confined to a dietician (p < 0.001) and 27 (56.2%) regarded weight management as usually unsuccessful (p = 0.004). Forty-seven (97.9%) provided lifestyle modifications and 43 (89.6%) involved the patient’s family in weight management (p < 0.001). More non-registrars [14 (77.8%)] than registrars [8 (38.1%)] measured the body mass index (BMI) routinely (p = 0.013).Conclusion: Few medical practitioners received training in weight management. They regarded weight management as usually unsuccessful and lacked confidence in the same owing to lack of training. They provided lifestyle modifications and involved the patient’s family in weight management. Non-registrars measured the BMI routinely. There is a need for training in weight management at undergraduate and post-graduate levels.

scholarly journals Development of a core outcome set for behavioural weight management programmes for adults with overweight and obesity: protocol for obtaining expert consensus using Delphi methodology

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e025193 ◽  
Author(s):  
Ruth M Mackenzie ◽  
Louisa J Ells ◽  
Sharon Anne Simpson ◽  
Jennifer Logue
Keyword(s):  
Weight Management ◽  
Core Outcome Set ◽  
Health Department ◽  
Evidence Base ◽  
Overweight And Obesity ◽  
Delphi Process ◽  
Core Outcome ◽  
Management Interventions ◽  
Outcome Set ◽  
Scottish Government

IntroductionWeight management interventions in research studies and in clinical practice differ in length, advice, frequency of meetings, staff and cost. Very few real-world programmes have published patient-related outcomes, and those that have published used different ways of reporting the information, making it impossible to compare interventions and further develop the evidence base. Developing a core outcome set for behavioural weight management programmes (BWMPs) for adults with overweight and obesity will allow different BWMPs to be compared and reveal which interventions work best for which members of the population.Methods and analysisAn expert group, comprised of 40 people who work in, refer to, or attend BWMPs for adults with overweight and obesity, will be asked to decide which outcomes services should report. An online Delphi process will be employed to help the group reach consensus as to which outcomes should be measured and reported, and which definitions/instruments should be used in order to do so. The first stage of the Delphi process (three rounds of questionnaires) will focus on outcomes while the second stage (three additional rounds of questionnaires) will focus on definition/instrument selection.Ethics and disseminationEthical approval for this study has been received from the University of Glasgow College of Medical, Veterinary and Life Sciences Ethics Committee. With regard to disseminating results, a report will be submitted to our funding body, the Chief Scientist Office of the Scottish Government Health Department. In addition, early findings will be shared with Public Health England and Health Scotland, and results communicated via conference presentations, peer review publication and our institutions’ social media platforms.

scholarly journals Developing a whole systems obesity classification for the UK Biobank Cohort

2020 ◽  
Author(s):  
Stephen Clark ◽  
Mark Birkin ◽  
Nik Lomax ◽  
Michelle Morris
Keyword(s):  
Physical Activity ◽  
Systems Approach ◽  
Multinomial Logistic Regression ◽  
Overweight And Obesity ◽  
Healthy Weight ◽  
Uk Biobank ◽  
Global Challenge ◽  
Effective Interventions ◽  
The Uk ◽  
Whole Systems

The number of people who are obese and overweight presents a global challenge, and the development of effective interventions is hampered by a lack of research which takes in to account a joined up, whole systems approach to understanding the drivers of the phenomena. We need to better understand the collective characteristics and behaviours of the overweight and obese population and how these differ from those who maintain a healthy weight. Using the UK Biobank cohort of 500 000 adults, we develop an obesity classification system using k-means clustering. Variable selection from UK Biobank is informed by the Foresight whole system obesity map across key domains (Societal Influences, Individual Psychology, Individual Physiology, Individual Physical Activity, Physical Activity Environment). This paper presents the first study of UK Biobank participants to adopt this whole systems approach. Our classification identifies six groups of people, similar in respect to their exposure to known drivers of obesity: ‘Younger, active and working hard’, ‘Retirees with good lifestyle’ , ‘Stressed, sedentary and struggling’, Older with poor lifestyle’, ‘Younger, busy professionals’ and ‘Younger, fitter families’. Pen portraits are developed to describe the characteristics of these different groups. Multinomial logistic regression is used to demonstrate that the classification can effectively detect groups of individuals more likely to be overweight or obese. The group identified as ‘Younger, fitter families’ are observed to have a higher proportion of healthy weight, while three groups have increased relative risk of being overweight or obese: ‘Younger, active and working hard’, ‘Stressed, sedentary and struggling’ and ‘Older with poor lifestyles’. This work presents an innovative new approach to better understand the whole systems drivers of obesity which has the potential to produce meaningful tools for policy makers to better target interventions across the whole system to reduce overweight and obesity.

scholarly journals Exploring the evidence base for Tier 3 specialist weight management interventions for children aged 2–18 years in the UK: a rapid systematic review

2017 ◽  
Vol 40 (4) ◽  
pp. 835-847
Author(s):  
Tamara Brown ◽  
Claire O’Malley ◽  
Jamie Blackshaw ◽  
Vicki Coulton ◽  
Alison Tedstone ◽  
...  
Keyword(s):  
Systematic Review ◽  
Weight Management ◽  
Evidence Base ◽  
Management Interventions ◽  
The Uk ◽  
Tier 3

Fad Diets: Dietary Dilemmas, Predicaments, and Recommendations for its Use

2020 ◽  
Vol 16 (9) ◽  
pp. 1362-1380
Author(s):  
Jyoti Singh ◽  
Prasad Rasane ◽  
Vidisha Tomer ◽  
Sawinder Kaur ◽  
Yogesh Gat ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Health Care Expenditures ◽  
Overweight And Obesity ◽  
Lifestyle Changes ◽  
Health Issues ◽  
Lifestyle Modifications ◽  
Treatment Measures ◽  
Long Time ◽  
Extra Weight

The health issues, mainly overweight and obesity are the growing concerns nowadays due to the associated factors and lifestyle changes which significantly have increased the individual’s health care expenditures. Fad diets are promoted as the easiest and simplest way of shedding the extra weight despite the availability of several treatments available. The prevention and treatment measures, including modification in lifestyle, dietary pattern, and physical activity, are the foundation of weight loss. However, the standard treatment measures are not effective for certain populations as they require long time adherence, which leads to the search for other approaches like fad diet. We steered a comprehensive literature review to present the facts related to fad diets to their efficacy and sustainability. Although fad diets have yielded tremendous positive results in weight loss and cardiovascular risk prevention, the studies reported death in long-term interventions and the results and some of them show side effects too. Randomized controlled trials have significantly reported weight loss in comparison with the popular fad diets; however, persisting on the same diet has also reported kidney problems, ketosis, and other metabolic related problems. The conclusion of this critical review reported that gradual weight loss could be attained by the combination of lifestyle modifications, physical activity, and recommended dietary approaches.

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