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. 2011;4(2):113-20.
doi: 10.1159/000327249. Epub 2011 Mar 28.

Weight outcomes audit for 34,271 adults referred to a primary care/commercial weight management partnership scheme

R James Stubbs  1 , Carolyn Pallister, Stephen Whybrow, Amanda Avery, Jacquie Lavin
Affiliations

Weight outcomes audit for 34,271 adults referred to a primary care/commercial weight management partnership scheme

R James Stubbs et al. Obes Facts. 2011.

Abstract

Objective: This project audited rate and extent of weight loss in a primary care/commercial weight management organisation partnership scheme.

Methods: 34,271 patients were referred to Slimming World for 12 weekly sessions. Data were analysed using individual weekly weight records.

Results: Average (SD) BMI change was -1.5 kg/m² (1.3), weight change -4.0 kg (3.7), percent weight change -4.0% (3.6), rate of weight change -0.3 kg/week, and number of sessions attended 8.9 (3.6) of 12. For patients attending at least 10 of 12 sessions (n = 19,907 or 58.1%), average (SD) BMI change was -2.0 kg/m² (1.3), weight change -5.5 kg (3.8), percent weight change -5.5% (3.5), rate of weight change -0.4 kg/week, and average number of sessions attended was 11.5 (0.7) (p < 0.001, compared to all patients). Weight loss was greater in men (n = 3,651) than in women (n = 30,620) (p < 0.001). 35.8% of all patients enrolled and 54.7% in patients attending 10 or more sessions achieved at least 5% weight loss. Weight gain was prevented in 92.1% of all patients referred. Attendance explained 29.6% and percent weight lost in week 1 explained 18.4% of the variance in weight loss.

Conclusions: Referral to a commercial organisation is a practical option for National Health Service (NHS) weight management strategies, which achieves clinically safe and effective weight loss.

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Figures

Fig. 1
Fig. 1
Percent of completers and non-completers achieving less than 5%, between 5–10%, and >10% weight loss by the end of the referral scheme (n = 34,271).
Fig. 2
Fig. 2
Regression of attendance against weight loss over the 12 sessions for the whole audit population (n = 34,271).
See this image and copyright information in PMC

References

    1. Government Office for Science Tackling Obesities: Future Choices. London. 2007
    1. Department of Health/Joint Health Surveys Unit (on behalf of the Department of Health) Forecasting Obesity to 2010. London, The Stationary Office. 2006
    1. House of Commons Health Select Committee Obesity. London, The Stationary Office. 2004
    1. National Institute for Health and Clinical Excellence: Obesity: The Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children London, Department of Health. 2006 - PubMed
    1. World Health Organisation: Obesity: Preventing and Managing the Global Epidemic Geneva, World Health Organisation. 1998 - PubMed

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