Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients

Background There is a limited evidence on the effectiveness of lifestyle interventions in achieving and maintaining a significant level of weight loss in morbidly obese patients. This study evaluated the impact on weight loss and psychological well-being of a community-based weight management ser...

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Main Authors: Wallace, Dean, Myles, Puja, Holt, Rachel, Nguyen-Van-Tam, Jonathan S.
Format: Article
Language:English
Published: Oxford University Press 2016
Online Access:https://eprints.nottingham.ac.uk/54993/
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author Wallace, Dean
Myles, Puja
Holt, Rachel
Nguyen-Van-Tam, Jonathan S.
author_facet Wallace, Dean
Myles, Puja
Holt, Rachel
Nguyen-Van-Tam, Jonathan S.
author_sort Wallace, Dean
building Nottingham Research Data Repository
collection Online Access
description Background There is a limited evidence on the effectiveness of lifestyle interventions in achieving and maintaining a significant level of weight loss in morbidly obese patients. This study evaluated the impact on weight loss and psychological well-being of a community-based weight management service for morbidly obese patients [body mass index (BMI) ≥35 with related co-morbidities or BMI >40] in Derbyshire county. Methods Five hundred and fifty-one participants entered the service since 2010, and 238 participants were still active within the service or had completed the 2-year intervention in April 2013. A one-group pre–post design was used to determine average weight loss (kg) and impact on mental health and well-being [using the validated clinical outcomes of routine evaluation-outcome measure (CORE-OM) questionnaire] among participants. Measurements were recorded at baseline, 12 weeks, 24 weeks, 1 year, 18 months and 2 years, and significance (P [less than] 0.05) was determined using the paired sample t-test. Results Statistically significant weight loss was recorded at each measurement point for those participants who remained engaged with the service (4.9 kg weight loss at 12 weeks to 18.2 kg at 2 years). There was a significant positive impact on psychological well-being demonstrated by CORE-OM score. Conclusions Findings show clinically and statistically significant weight loss among participants with improvements in physical and mental health.
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spelling nottingham-549932018-09-17T08:14:11Z https://eprints.nottingham.ac.uk/54993/ Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients Wallace, Dean Myles, Puja Holt, Rachel Nguyen-Van-Tam, Jonathan S. Background There is a limited evidence on the effectiveness of lifestyle interventions in achieving and maintaining a significant level of weight loss in morbidly obese patients. This study evaluated the impact on weight loss and psychological well-being of a community-based weight management service for morbidly obese patients [body mass index (BMI) ≥35 with related co-morbidities or BMI >40] in Derbyshire county. Methods Five hundred and fifty-one participants entered the service since 2010, and 238 participants were still active within the service or had completed the 2-year intervention in April 2013. A one-group pre–post design was used to determine average weight loss (kg) and impact on mental health and well-being [using the validated clinical outcomes of routine evaluation-outcome measure (CORE-OM) questionnaire] among participants. Measurements were recorded at baseline, 12 weeks, 24 weeks, 1 year, 18 months and 2 years, and significance (P [less than] 0.05) was determined using the paired sample t-test. Results Statistically significant weight loss was recorded at each measurement point for those participants who remained engaged with the service (4.9 kg weight loss at 12 weeks to 18.2 kg at 2 years). There was a significant positive impact on psychological well-being demonstrated by CORE-OM score. Conclusions Findings show clinically and statistically significant weight loss among participants with improvements in physical and mental health. Oxford University Press 2016-06-01 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/54993/1/Wallace%20J%20Public%20Health.pdf Wallace, Dean, Myles, Puja, Holt, Rachel and Nguyen-Van-Tam, Jonathan S. (2016) Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients. Journal of Public Health, 38 (2). e138-e149. ISSN 1741-3850 http://dx.doi.org/10.1093/pubmed/fdv103 doi:10.1093/pubmed/fdv103 doi:10.1093/pubmed/fdv103
spellingShingle Wallace, Dean
Myles, Puja
Holt, Rachel
Nguyen-Van-Tam, Jonathan S.
Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients
title Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients
title_full Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients
title_fullStr Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients
title_full_unstemmed Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients
title_short Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients
title_sort evaluation of the ‘live life better service’, a community-based weight management service, for morbidly obese patients
url https://eprints.nottingham.ac.uk/54993/
https://eprints.nottingham.ac.uk/54993/
https://eprints.nottingham.ac.uk/54993/