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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

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Abstract

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.

Item Type:	Article
Schools/Departments:	University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health
Identification Number:	https://doi.org/10.1093/pubmed/fdv103
Depositing User:	Eprints, Support
Date Deposited:	17 Sep 2018 08:06
Last Modified:	17 Sep 2018 08:14
URI:	https://eprints.nottingham.ac.uk/id/eprint/54993

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