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

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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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.


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.


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.


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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