Issue Information
(Source: Clinical Obesity)
Source: Clinical Obesity - September 13, 2021 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research

The effect of a physical activity consultation in the management of adolescent excess weight: Results from a non ‐randomized controlled trial
SummaryThe value of physical activity (PA) counselling and its impact on PA behaviour and weight management have been in question. The main aim of this study was to analyse 6 and 12-month effects of a PA consultation (PAC —a structured form of PA counselling) with and without the inclusion of structured exercise, on body mass index (BMI) z-score, body composition and PA levels of adolescents with excess weight (BMI ≥p85), as part of a clinical multicomponent weight management program. Participants were allocated at baseline into a control (CG—standard care, including paediatric and nutrition consultations) a...
Source: Clinical Obesity - September 2, 2021 Category: Eating Disorders & Weight Management Authors: Antonio Videira ‐Silva, Megan Hetherington‐Rauth, Luís B. Sardinha, Helena Fonseca Tags: Original Research Article Source Type: research

Effect of weight ‐loss diets prior to elective surgery on postoperative outcomes in obesity: A systematic review and meta‐analysis
SummaryThis systematic review investigated the effects of weight-loss diets before elective surgery on preoperative weight loss and postoperative outcomes in people with obesity. Electronic databases were searched from inception to May 2021. Inclusion criteria were prospective cohort or randomised controlled studies that compared effects of weight-loss diets to standard care on postoperative outcomes in adults with obesity awaiting surgery. Participants with cancer or undergoing bariatric surgery were excluded. Data on preoperative weight change, length of stay, postoperative complications and patient-reported outcome meas...
Source: Clinical Obesity - September 1, 2021 Category: Eating Disorders & Weight Management Authors: Natalie Pavlovic, Robert A. Boland, Bernadette Brady, Furkan Genel, Ian A. Harris, Victoria M. Flood, Justine M. Naylor Tags: Original Research Article Source Type: research

Orthostatic intolerance after bariatric surgery: A systematic review and meta ‐analysis
SummaryThere have been increased reports of orthostatic intolerance post-bariatric surgery. However, the prevalence, pathophysiology and long-term outcomes have not been well described. Therefore, we sought to summarize evidence of orthostatic intolerance after bariatric surgery. We conducted a systematic review using PubMed, Scopus, CINAHL, Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials (CENTRAL) to identify relevant articles from the date of inception until 1st April 2020. Study selection, data extraction and quality assessment of the included studies were performed indepen...
Source: Clinical Obesity - August 19, 2021 Category: Eating Disorders & Weight Management Authors: Jawahar Al Nou'mani, Abdullah M. Al Alawi, Henrik Falhammar, Ahmed Al Qassabi Tags: Original Research Article Source Type: research

Confirmatory psychometric evaluations of the Impact of Weight on Quality of Life –Lite Clinical Trials Version (IWQOL‐Lite‐CT)
SummaryThe Impact of Weight on Quality of Life –Lite Clinical Trials Version (IWQOL-Lite-CT) was developed to assess weight-related physical and psychosocial functioning in the context of clinical trials. Data from two pivotal trials of once-weekly subcutaneous semaglutide for the purpose of weight management (NCT03548935 and NCT03552757) were analysed to confirm the structure, reliability, validity, and responsiveness of the IWQOL-Lite-CT and evaluate the magnitude of meaningful within-patient change in patients with overweight or obesity, with and without type 2 diabetes. Factor analyses and inter-item correlations...
Source: Clinical Obesity - July 23, 2021 Category: Eating Disorders & Weight Management Authors: Ronette L. Kolotkin, Valerie S. L. Williams, Lisa von Huth Smith, Henrik Hjorth Meincke, Shanshan Qin, Nicole Williams, Sheri E. Fehnel Tags: Original Research Article Source Type: research

Effects of glucagon ‐like peptide‐1 analogue treatment in genetic obesity: A case series
In conclusion, our case series shows beneficial effects of GLP-1 analogues on weight, metabo lic parameters and quality of life in all four patients with genetic obesity. (Source: Clinical Obesity)
Source: Clinical Obesity - July 22, 2021 Category: Eating Disorders & Weight Management Authors: Mila S. Welling, Cornelis J. Groot, Lotte Kleinendorst, Bibian Voorn, Jan Steven Burgerhart, Eline S. Valk, Mieke M. Haelst, Erica L. T. Akker, Elisabeth F. C. Rossum Tags: Original Research Article Source Type: research

The effect of overweight/obesity on diastolic function in children and adolescents: A meta ‐analysis
SummaryLeft ventricular diastolic function (LVDF) is an important marker of early cardiovascular remodelling, which has not been well summarized in young people with overweight/obesity. Weighted, random-effects regression was used to determine the strength of associations of both body mass index (BMI) and homeostatic model assessment of insulin resistance (HOMA-IR) with LVDF measures, adjusting for age and sex. Six databases were searched after PROSPERO registration (CRD42020177470) from inception to July 2020 for studies that compared LVDF between overweight/obesity and control groups aged ≤24 years, yielding 70...
Source: Clinical Obesity - July 19, 2021 Category: Eating Disorders & Weight Management Authors: Samuel Burden, Benjamin Weedon, Luke Whaymand, Josefien Rademaker, Helen Dawes, Alexander Jones Tags: REVIEW ARTICLE Source Type: research

Weight bias reduction among first ‐year medical students: A quasi‐randomized, controlled trial
This study aimed to decrease weight bias in medical students via a one-session, curriculum-based intervention founded on the elaboration likelihood model (ELM). First-year medical students (N = 101) were quasi-randomly assigned to a group-based experimental or education-based control intervention. Data collected included measures of implicit and explicit weight bias and empathy (pre-intervention and up to 2 days post-intervention), and thoughts regarding weight bias (collected at th e end of the intervention). Social desirability was identified as an important covariate. After controlling for social desira...
Source: Clinical Obesity - July 15, 2021 Category: Eating Disorders & Weight Management Authors: Hannah F. Fitterman ‐Harris, Jillon S. Vander Wal Tags: Original Research Article Source Type: research

The impact of COVID ‐19 on obesity services across Europe: A physician survey
This study aimed to determine the impact of COVID-19 on the provision of obesity services across 10 European countries via a survey of physicians (n  = 102) specializing in treating persons with obesity (PwO). In total, 62–95 out of 102 physicians reported that COVID-19 affected obesity-related services, with cancellations/suspensions ranging from 50% to 100% across the 10 countries. Approximately 75% of cancellations/suspensions were provid er- rather than patient-initiated. A median increase of 20%–25% in waiting times was reported for most services across the countries. When services resume, 87 out...
Source: Clinical Obesity - July 13, 2021 Category: Eating Disorders & Weight Management Authors: Katrin Nather, Fiachra Bolger, Laurie DiModica, Mary Fletcher ‐Louis, Javier Salvador, François Pattou, Ulrik Haagen Panton, Ana‐Paula Cancino Tags: Original Research Article Source Type: research

Distribution of comorbidities as primary diagnoses by obesity class among patients in a large US paediatric healthcare system
SummaryThere is little documentation of the distribution of specific health conditions across obesity classes (I, II, III), especially for paediatric populations who are seen for routine care in large United States US healthcare systems. The aim of this study was to assess the odds of presenting ≥2 obesity-related comorbidities as well as assess the overall distribution of these co-morbidities in children by class I/II/III obesity status controlling for key sociodemographic characteristics. This retrospective (2015–2019) electronic health record review analysed 49 276 patients from th e Children's Health Sy...
Source: Clinical Obesity - July 12, 2021 Category: Eating Disorders & Weight Management Authors: Brandon M. Nussbaum, Matthew Sunil Mathew, Folefac Atem, Sarah E. Barlow, Olga T. Gupta, Sarah E. Messiah Tags: Original Research Article Source Type: research

Issue Information
(Source: Clinical Obesity)
Source: Clinical Obesity - July 2, 2021 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research

Affordability and features of home scales for self ‐weighing
SummarySelf-weighing is an evidence-based weight management strategy, which requires patients to have a home scale. For clinicians to effectively counsel patients on self-weighing, they should be aware of the costs and features available in typical home scales. Our objective was to describe the cost and features of the top bathroom scales available online. We performed content analysis of top 100 scales listed on a popular online retailer. Two coders independently extracted price and scale features (i.e., digital connectivity, body mass index [BMI] calculation, maximum weight accommodated). We usedt-tests and ANOVA, as app...
Source: Clinical Obesity - July 1, 2021 Category: Eating Disorders & Weight Management Authors: Ji Seok Park, Carolyn Bramante, Rachit Vakil, Grace Lee, Kimberly Gudzune Tags: Original Research Article Source Type: research

Understanding bariatric patients' experiences of self ‐management post‐surgery: A qualitative study
SummaryAlthough most bariatric patients achieve significant weight loss and improvements in both physical and mental health-related quality of life (HRQoL) in the short-term, there is wide variability in weight and long-term HRQoL outcomes. The role of bariatric patients' self-management style in explaining variability in long-term outcomes is unclear. This qualitative study examined bariatric patients' self-management experiences after bariatric surgery in relation to long-term outcomes. A qualitative study was conducted using semi-structured individual interviews with post-surgery patients (n  = 23) at a Canadi...
Source: Clinical Obesity - June 15, 2021 Category: Eating Disorders & Weight Management Authors: Alaa Youssef, Maria Mylopoulos, Robert Maunder, David Wiljer, Stephanie E. Cassin, Susan Wnuk, Samantha Leung, Sanjeev Sockalingam Tags: Original Research Article Source Type: research

A clinical model to predict fibrosis on liver biopsy in paediatric subjects with nonalcoholic fatty liver disease
This study aimed to identify non-invasive parameters to predict advanced NAFLD and fibrosis. We conducted a single-center, retrospective 10-year analysis of 640 paediatric patients who underwent liver biopsy. 55 patients, age 3 –21 years, had biopsy-confirmed NAFLD. We assessed primary outcomes, NAFLD activity score (NAS) and fibrosis scores, against non-invasive parameters by linear regression, by using binary cutoff values, and by a multivariate logistic regression fibrosis prediction model. NAS correlated with plate lets and female sex. Fibrosis scores correlated with platelet counts, gamma glutamyl transfe...
Source: Clinical Obesity - June 10, 2021 Category: Eating Disorders & Weight Management Authors: Sakil Kulkarni, Nadia Naz, Hongjie Gu, Janis M. Stoll, Michael D. Thompson, Brian J. DeBosch Tags: Original Research Article Source Type: research

Preferences and emotional response to weight ‐related terminology used by healthcare professionals to describe body weight in people living with overweight and obesity
This study explored the preferences and emotional responses of terms used by HCPs to describe body weight and of parents to describe their children's weight. A total of 2911 adults completed an online cross-sectional survey, with 1693 living with overweight or obesity (mean age 49.2  years [SD 12.5], female (96%), median body mass index (BMI) 31.4 kg/m2 [28.1, 36.5]). The survey explored preferences of 22 weight-related terms using a 5-point Likert scale and their emotional response to these terms (using 7-core emotions). Parents also indicated preferences and emotional responses to terms used to describe their...
Source: Clinical Obesity - June 9, 2021 Category: Eating Disorders & Weight Management Authors: Adrian Brown, Stuart W. Flint Tags: Original Research Article Source Type: research

Views of Black women patients with obesity on desired and undesired weight ‐focused clinical encounters
This study investigated the views of Black women with overweight and obesity treated in a primary care setting regarding desired and undesired verbal and non-verbal behaviours by providers in provider-patient clinical encounters focused on losing weight, maintaining weight loss, and/or obesity. Two focus groups and an individual interview (n  = 15) were conducted. Qualitative data analysis yielded five distinct themes, with 11 codes (listed in parenthesis): (a) desired weight-focused discussions (codes: Discussing weight loss with patients and discussing weight-loss maintenance with patients), (b) desired weight-...
Source: Clinical Obesity - June 8, 2021 Category: Eating Disorders & Weight Management Authors: Carolyn M. Tucker, Julia Roncoroni, Kirsten G. Klein, Terry O. Derias, Wafaa Ateyah, Jaime Williams, Nwakaego A Nmezi, Nipa R. Shah, Lori A. Bilello, Stephen Anton Tags: Original Research Article Source Type: research

People with weight ‐related long‐term conditions want support from GPs: A qualitative interview study
SummaryTwo-thirds of UK adults do not have an up-to-date weight record in primary care. Some studies suggest that doctors do not raise the topic of weight management for fear of causing embarrassment or offence, or are doubtful whether people will make changes. However, for people with weight-related long-term conditions, conversations with general practitioners (GPs) can be crucial. Our study explores how people with long-term conditions associated with overweight recall and interpret conversations about weight in British primary care. An experienced qualitative researcher interviewed 41 people aged
Source: Clinical Obesity - June 5, 2021 Category: Eating Disorders & Weight Management Authors: Amelia Talbot, Maria Salinas, Charlotte Albury, Sue Ziebland Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Emotional eating as predictor of weight loss 2  years after Roux‐en‐Y gastric bypass
SummaryThere has been little agreement on the predictive value of emotional eating on weight loss outcomes after bariatric surgery. The aim of this study was to examine the predictive value of preoperative emotional eating, in response to clearly labelled emotions and diffuse emotions, on excess weight loss (EWL) and total weight loss (TWL) 2  years after Roux-en-Y gastric bypass (RYGB). All participants included in this retrospective cohort study were screened for RYGB surgery by a multidisciplinary team. The level of emotional eating was derived from the Dutch Eating Behaviour Questionnaire (DEBQ); the level of ps...
Source: Clinical Obesity - May 31, 2021 Category: Eating Disorders & Weight Management Authors: Marleen M. Romeijn, Jessica Schellekens, Dani ëlle S. Bonouvrie, Loes Janssen, François M. H. Dielen, Wouter K. G. Leclercq, Marieke Wal Tags: Original Research Article Source Type: research

A retrospective case ‐control cohort analysis of comorbidity and health expenditure in hospitalized adults diagnosed with obesity utilizing ICD‐10 diagnostic coding
SummaryThe cost and comorbidity of obesity in hospitalized inpatients, is less known. A retrospective study of patients presenting to a large district hospital in Western Sydney (April 2016-February 2017) using clinical, pathological as well as diagnostic coding data for obesity as per ICD-10. Of 43  212 consecutive hospital presentations, 390 had an obesity-coded diagnosis (Ob, 0.90%), of which 244 were gender and age-matched to a non-obesity coded cohort (NOb). Weight and BMI were higher in the Ob vs NOb group (126 ± 37 vs 82 ± 25 kg; BMI 46 ± 1...
Source: Clinical Obesity - May 30, 2021 Category: Eating Disorders & Weight Management Authors: Ramy H. Bishay, G. Meyerowitz ‐Katz, T. M. Hng, C. M. G. Colaco, S. Khanna, R. Klein, D. Sanjeev, M. McLean, G. Ahlenstiel, G. F. Maberly Tags: Original Research Article Source Type: research

Current preoperative strategies applied in the Dutch bariatric centers: A national survey
This study aimed to identify current weight loss goals prior to bariatric surgery, as well as aimed to explore preoperative strategies related to diet, nutritional supplements and physical activity. An online survey was distributed among bariatric surgeons and dietitians in all 18 Dutch bariatric centers. This survey included the following four domains: weight loss, diet, nutritional supplements and physical activity. For the analyses one answer per center was used, either the most common answer or the answer given by the most expert responder. All 18 centers reported at least one response. Preoperative weight loss was req...
Source: Clinical Obesity - May 26, 2021 Category: Eating Disorders & Weight Management Authors: Aniek M. Kolen, Marleen M. Romeijn, Dani ëlle D. B. Holthuijsen, Loes Janssen, Jan Willem M. Greve, Wouter K. G. Leclercq, François M. H. Dielen Tags: Original Research Article Source Type: research

Weight loss with bariatric surgery or behaviour modification and the impact on female obesity ‐related urine incontinence: A comprehensive systematic review and meta‐analysis
SummaryWomen with obesity are at risk of pelvic floor dysfunction with a 3-fold increased incidence of urge urinary incontinence (UUI) and double the risk of stress urinary incontinence (SUI). The National Institute for Health and Care Excellence (NICE) and European Association of Urology (EAU) recommend that women with a body mass index ≥30 kg/m2 should consider weight loss prior to consideration for incontinence surgery. This systematic review and meta-analysis will assess this recommendation to aid in the counselling of women with obesity-related urinary incontinence (UI). Medical Literature Analysis and Retri...
Source: Clinical Obesity - May 18, 2021 Category: Eating Disorders & Weight Management Authors: William Sheridan, Ana Sofia Da Silva, Bianca M Leca, Eduard Ostarijas, Ameet G Patel, Simon JB Aylwin, Royce P Vincent, Spyros Panagiotopoulos, Shamsi El ‐Hasani, Carel W Roux, Alexander D Miras, Linda Cardozo, Georgios K Dimitriadis Tags: Original Research Article Source Type: research

Use of motivational interviewing in behavioural interventions among adults with obesity: A systematic review and meta ‐analysis
SummaryThis review aimed to identify whether motivational interviewing (MI) (a counselling approach for supporting behaviour change [BC]) helps to reduce bodyweight and BMI in an adult obesity context. This included evaluating effectiveness of MI interventions within this population and reporting the methodology used, including theoretical underpinnings and identification of BC and MI techniques. Eight databases were searched using controlled vocabulary. Eligible studies included adults with obesity (BMI ≥30 kg/m2), author-reported interventions using MI aiming to reduce body weight or BMI, and comparator groups ...
Source: Clinical Obesity - May 6, 2021 Category: Eating Disorders & Weight Management Authors: Harriet Makin, Anna Chisholm, Victoria Fallon, Laura Goodwin Tags: Review Source Type: research

Prevalence of sarcopenic obesity and association with metabolic syndrome in an adult Iranian cohort: The Fasa PERSIAN cohort study
SummarySarcopenic obesity (SO) is characterised by a concomitant high fat mass (FM) and low fat free mass (FFM) leading to an increased cardio-metabolic risk. This analysis aims to estimate the SO prevalence in Iranian adults and evaluate the association of SO with metabolic syndrome (MetS) risk. This cross-sectional analysis included 4296 subjects (age 35-70  years, 55.2% females). Body composition parameters, measured by bioelectrical impedance included: FM, FFM, appendicular lean mass (ALM) and skeletal mass index. SO was classified according to five criteria: (1) FM%-SMI; (2) FM%-ALM/% weight (wt%); (3) FM%-ALM/...
Source: Clinical Obesity - May 4, 2021 Category: Eating Disorders & Weight Management Authors: Mario Siervo, Sofia Rubele, Oliver M Shannon, Carla M. Prado, Lorenzo Maria Donini, Mauro Zamboni, Reza Homayounfar, Mojtaba Farjam, Shiva Faghih, Mohsen Mazidi Tags: Original Research Article Source Type: research

The role of staging laparoscopy in complex bariatric surgery
SummaryDetermining which patients will benefit from bariatric surgery is complex; however, in those who have had previous bariatric surgery or extensive abdominal surgery, this can be particularly challenging. Decisions are often made based on assumptions rather than a complete assessment of all the anatomical and physiological factors. Adopting the approach utilised in gastrointestinal surgery with a diagnostic or staging laparoscopy, it may be possible to more accurately stage disease and determine fitness bariatric surgery. Laparoscopy is relatively low risk and contributes critical information with regard to access, po...
Source: Clinical Obesity - May 4, 2021 Category: Eating Disorders & Weight Management Authors: Alexis C. Sudlow, Carel W. Roux, Richard Hardwick, Dimitri J. Pournaras Tags: Case Report Source Type: research

Issue Information
(Source: Clinical Obesity)
Source: Clinical Obesity - May 3, 2021 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research

Consider the context: An analysis of personal social networks of caregivers of children participating in a paediatric weight management program
This study aimed to identify and understand the social networks of caregivers of children participating in the KidFit Health and Wellness Clinic, a paediatric weight management program. An egocentric social network analysis was used. Caregivers with children enroll ed in KidFit participated in semi‐structured interviews by completing a personal network map and discussing the individuals in their social networks and their influence on them and their family. Twenty‐two caregivers (90.9% mothers) completed the interview. Four structural patterns were identifi ed within the networks: existence of a core, star‐shaped netw...
Source: Clinical Obesity - April 17, 2021 Category: Eating Disorders & Weight Management Authors: Chelsea D'Silva, Bronwyn Thompson, Dianne Fierheller, Sara Martel, Reza Yousefi Nooraie, Ian Zenlea Tags: Original Research Source Type: research

Impact of the COVID ‐19 pandemic lockdown on weight status and factors associated with weight gain among adults in Massachusetts
SummaryThe study aims to examine the impact of the coronavirus disease ‐2019 (COVID‐19) pandemic lockdown on weight, overweight and obesity, and identify factors associated with weight gain. At a safety net health system in Massachusetts, 11 534 adults were retrospectively followed within 3 months of the COVID‐19 lockdown. Chi‐square and 95% confidence inte rvals (CI) were reported for categorical and continues variables, respectively. Multivariate analyses were performed to identify factors associated with weight gain (≥0.01 kg and 5%). During the lockdown period, greater proportion of wome...
Source: Clinical Obesity - April 15, 2021 Category: Eating Disorders & Weight Management Authors: Wudeneh Mulugeta, Hailemicheal Desalegn, Samrawit Solomon Tags: Original Research Article Source Type: research

Association of weight status and carbohydrate intake with gestational weight gain
SummaryTest the hypothesis that women with obesity have greater gestation weight gain (GWG) with a moderately higher, vs lower, carbohydrate (CHO) diet, independent of energy intake, whereas GWG for women of normal weight would not differ by CHO group. This was a secondary analysis of data collected from glucose tolerant women with normal weight (NW) or obesity in pregnancy. Women completed a three ‐day food diary 16 to 20 weeks. A median split for percent kilocalories from CHO (median = 49.6%) categorized women into moderately highCHO vs lowCHO groups (n = 13‐15/group). GWG was calculated between consent and th...
Source: Clinical Obesity - April 10, 2021 Category: Eating Disorders & Weight Management Authors: Makenzie L. Callahan, Camille R. Schneider ‐Worthington, Samantha L. Martin, Barbara A. Gower, Patrick M. Catalano, Paula Chandler‐Laney Tags: Original Research Article Source Type: research

Validation of the modified weight bias internalization scale in a Spanish adult population
In conclusion, the Spanish WBIS‐M version seems to be a robust psychometric tool for use in clinical and research settings. (Source: Clinical Obesity)
Source: Clinical Obesity - April 6, 2021 Category: Eating Disorders & Weight Management Authors: Sergio Macho, Ana Andr és, Carmina Saldaña Tags: Original Research Article Source Type: research

Assessment of urinary podocalyxin as a marker of glomerular injury in obesity ‐related kidney disease in children and adolescents with obesity compared to urinary albumin creatinine ratio
SummaryObesity increases the risk of chronic kidney disease in children. Our aim was to assess urinary podocalyxin (PCX) in children and adolescents with obesity as a potential marker of obesity ‐related kidney disease (ORKD). The current case‐control study included 128 children with obesity compared to 60 non‐obese age and sex matched controls. Study population were subjected to full history taking as well as thorough physical examination. Urine samples for albumin creatinine ratio ( uACR) and PCX were collected from the study population as well as blood samples for assessment of serum creatinine and fasting lipid p...
Source: Clinical Obesity - April 2, 2021 Category: Eating Disorders & Weight Management Authors: Noha Musa, Tarek Ramzy, Ahmed Hamdy, Noha Arafa, Mona Hassan Tags: Original Research Article Source Type: research

Reactions to the U.S. Preventive Services Task Force guidelines for the management of adolescent obesity: A multi ‐informant qualitative approach
SummaryThe U.S. Preventive Services Task Force (USPSTF) has set forth recommendations for clinicians to screen youth (6 ‐18 years) for obesity. Those identified should be referred to comprehensive weight management programs consisting of at least 26 contact hours and focus on multiple targets of behaviour (ie, diet, physical activity, behaviour change). However, these recommendations are primarily based upon outc omes from randomized controlled trials and the feasibility of meeting these guidelines for adolescents in a clinical setting is unknown. The present study employed a multi‐informant qualitative approach...
Source: Clinical Obesity - March 30, 2021 Category: Eating Disorders & Weight Management Authors: Katherine E. Darling, Jennifer Warnick, Wendy Hadley, Kate Guthrie, Elissa Jelalian Tags: Original Research Article Source Type: research

An analysis of weight loss efforts and expectations in a Canadian Cohort: A retrospective medical chart review
SummaryThe weight loss history and weight loss goals were examined in 4108 patients referred to a publicly funded evidence ‐based clinical weight management program using a retrospective chart review. The majority of patients were white females, aged of 50.1 ± 13.7 years and a BMI of 39.0 ± 7.5 kg/m2. Pregnancy was the most common reason for weight gain in women (17.7%) and while the reasons in men are more varied (injury, stress and medication: all ~5%). Over 50% of patients cited no specific reason for their weight gain. Self ‐directed diet and exercise were the...
Source: Clinical Obesity - March 21, 2021 Category: Eating Disorders & Weight Management Authors: Jennifer L. Kuk, Maral Dehlehhosseinzadeh, Elham Kamran, Sean Wharton Tags: Original Research Article Source Type: research

Giving “prescriptions” for paediatric weight management follow‐up in primary care
SummaryThe American Academy of Paediatrics recommends that primary care paediatricians “prescribe” follow‐up for weight management between well child checks. We sought to describe rates and predictors of prescribed and actual clinic attendance for weight management in primary care in a predominantly low‐income population. A chart review was performed at a large, hospital‐bas ed, primary care clinic, where a treatment algorithm for obesity exists. Eligible children were 6 to 12 years of age with a body mass index (BMI) ≥85th percentile and seen for a well child check in 2014. Primary outcomes wer...
Source: Clinical Obesity - March 18, 2021 Category: Eating Disorders & Weight Management Authors: Roohi Y. Kharofa, Amrik Singh Khalsa, Meg H. Zeller, Avani C. Modi, Nicholas J. Ollberding, Kristen A. Copeland Tags: Original Research Article Source Type: research

Preoperative weight loss in women with obesity in gynaecologic oncology: A retrospective study
SummaryTo retrospectively review the efficacy of short term supervised medical weight loss for women with obesity, body mass index (BMI ≥40 kg/m2) in gynaecologic oncology, and the associated perioperative and pathologic outcomes. A retrospective study of a dedicated preoperative weight loss clinic for gynaecologic oncology patients from March to December 2019. Statistical analysis was performed with McNemar's test for correlated proportions, Pearson's correlation tests for continuous variables, and pairedt‐tests to compare means. Generalized estimating equations (GEE) were used to determine the factors associa...
Source: Clinical Obesity - March 15, 2021 Category: Eating Disorders & Weight Management Authors: Christa Aubrey, Matthew Skeldon, Sarah Chapelsky, Nadia Giannakopoulos, Sunita Ghosh, Helen Steed, Sophia Pin Tags: Original Research Article Source Type: research

Diet, eating behaviour and weight gain in men and women with overweight/obesity receiving varenicline for smoking cessation
SummaryBecause trying to quit smoking and not gain weight requires changes in two major behaviours simultaneously we explored eating behaviour in smokers with overweight/obesity making a quit attempt using guideline ‐based treatment. Participants were randomized to a carbohydrate‐reduced or fat‐reduced diet. The Three Factor Eating Questionnaire and Binge Eating Scale were completed by 48 of 64 participants in the low‐carbohydrate and 47 of 58 in the fat‐reduced group at randomization, after 6 and 14  weeks. At 6 weeks, no between group differences were seen in eating behaviour scores thus, we combi...
Source: Clinical Obesity - March 10, 2021 Category: Eating Disorders & Weight Management Authors: Mette Svendsen, Eli Heggen, Tor Ole Klemsdal, Serena Tonstad Tags: Original Research Article Source Type: research

Influence of prenatal perceived stress on postpartum weight retention is mediated by high gestational weight gain in women with overweight
This study examined: (a) pre‐pregnancy weight status (ie, normal, overweight, obesity) differences in PPWR and its psychosocial determinants (perceived s ocial support, perceived stress, depression) in women with excessive GWG (ie, above 2009 Institute of Medicine guidelines); and (b) whether GWG mediated associations between psychosocial determinants and PPWR. Women (N = 1352) reported third trimester perceived social support, perceived stress, and depressive symptoms, GWG, and 6‐ and 12‐month PPWR via telephone interviews. Multivariate ANOVA analyses showed women with normal weight had higher 6‐month PPWR than wo...
Source: Clinical Obesity - March 8, 2021 Category: Eating Disorders & Weight Management Authors: Krista S. Leonard, Elizabeth L. Adams, Jennifer S. Savage, Ian M. Paul, Jennifer L. Kraschnewski, Krista L. Pattison, Kristen H. Kjerulff, Danielle Symons Downs Tags: Original Research Article Source Type: research

A systematic review of randomized controlled trials of dietary interventions for weight loss in adults in the Middle East and north Africa region
SummaryThe prevalence and incidence of obesity, and associated complications, such as type 2 diabetes, in the Middle East and north Africa (MENA) region rank among the highest in the world. Little is known about the effectiveness of dietary weight loss interventions conducted in the MENA region. We conducted a systematic review of randomized clinical trials aiming to assess the effectiveness of dietary interventions for weight loss in the adult population originating from and residing in the MENA region. In accordance with PRISMA guidelines, PubMed, CINAHL, Cochrane, and EMBASE were systematically searched for randomized c...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Hadeel Zaghloul, Hadya Elshakh, Abdullah Elzafarany, Odette Chagoury, Barbara McGowan, Shahrad Taheri Tags: REVIEW ARTICLE Source Type: research

The safety and efficacy of supervised exercise on pregnant women with overweight/obesity: A systematic review and meta ‐analysis of randomized controlled trials
SummaryBehavioural modification through physical activity and dietary counselling has been shown to have beneficial effects on pregnant women with overweight/obesity. Whether exercise alone with supervision (ie, supervised exercise) may also benefit for pregnant women with overweight/obesity is still unknown. This systematic review and meta ‐analysis aimed to determine the safety and efficacy of supervised exercise on pregnant women with overweight/obesity. PubMed, Cochrane library, Embase (Ovid), CINAHL (EBSCO), and Web of Science were used to search publications using a combination of main keywords “obesity&rdquo...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Harry Freitag Luglio Muhammad, Adriyan Pramono, Muhammad Nurhadi Rahman Tags: REVIEW ARTICLE Source Type: research

Glucagon ‐like peptide‐1 receptor agonists in the era of COVID‐19: Friend or foe?
SummaryThe aim of the present manuscript is to discuss on potential pros and cons of glucagon ‐like peptide‐1 receptor agonists (GLP‐1RAs) as glucose‐lowering agents during COVID‐19 pandemic, and what is more to evaluate them as potential candidates for the treatment of patients, affected by COVID‐19 infection, with or even without diabetes mellitus type 2. Besides being importan t glucose‐lowering agents, GLP‐1RAs pose promising anti‐inflammatory and anti‐obesogenic properties, pulmonary protective effects, as well as beneficial impact on gut microbiome composition. Hence, taking everything previously ...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Andrej Belan čić, Andrea Kresović, Marija Troskot Dijan Tags: REVIEW ARTICLE Source Type: research

Issue Information
(Source: Clinical Obesity)
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research

Efficacy and safety of glucagon ‐like peptide‐1/glucagon receptor co‐agonist JNJ‐64565111 in individuals with type 2 diabetes mellitus and obesity: A randomized dose‐ranging study
SummaryWeight loss has been shown to improve metabolic parameters and cardiovascular risk in people with type 2 diabetes mellitus (T2DM). This phase 2 study evaluated the safety and efficacy of JNJ ‐64565111, a dual agonist of GLP‐1 and glucagon receptors, in individuals with T2DM and class II/III obesity. In this randomized, double‐blind study, participants with T2DM (HbA1c 6.5%‐9.5%), body mass index of 35 to 50 kg/m2 and stable weight were randomly assigned (1:1:1:1) to placebo or JNJ ‐64565111 (5.0 mg, 7.4 mg or 10.0 mg). The primary endpoint was percent change from baseline in body weight at week 12. ...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Nicholas A. Di Prospero, Jaqueline Yee, Mary E. Frustaci, Mahesh N. Samtani, Maria Alba, Penny Fleck Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Efficacy and safety of glucagon ‐like peptide‐1/glucagon receptor co‐agonist JNJ‐64565111 in individuals with obesity without type 2 diabetes mellitus: A randomized dose‐ranging study
SummaryIndividuals with obesity have a heightened risk of developing serious comorbidities, and pharmacological treatments for people with obesity are limited. This phase 2 study assessed the safety and efficacy of JNJ ‐64565111, a dual agonist of glucagon‐like peptide‐1 and glucagon receptors, in individuals with class II/III obesity without type 2 diabetes. In this randomized, double‐blind, placebo‐controlled and open‐label active‐controlled, parallel‐group, multicentre study, participants aged 1 8 to 70 years with a body mass index of 35 to 50 kg/m2 and stable weight were randomly assigned ...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Maria Alba, Jaqueline Yee, Mary Ellen Frustaci, Mahesh N. Samtani, Penny Fleck Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

“If you're offered help, take it”: A qualitative study examining bariatric patients' experience of telephone‐based cognitive behavioural therapy
SummaryThe increased recognition of patients' mental health needs after bariatric surgery has resulted in the emergence of accessible psychosocial interventions; however, there is a dearth of literature on patient experience and satisfaction with these interventions. We explored patients' perceptions and experiences of telephone ‐based cognitive behavioural therapy (Tele‐CBT) in this qualitative study. Ten participants from the Toronto Western Hospital Bariatric Surgery Program in Toronto, Canada who completed the Tele‐CBT (ClinicalTrials.gov Identifier: NCT02920112) were individually interviewed from November 2014 t...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Vincent A. Santiago, Stephanie E. Cassin, Susan Wnuk, Chau Du, Raed Hawa, Sagar V. Parikh, Sanjeev Sockalingam Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Intermittent and continuous energy restriction result in similar weight loss, weight loss maintenance, and body composition changes in a 6 month randomized pilot study
This study assessed changes in weight, body composition, and macronutrient intake for an IER and a continuous energy restriction (CONT) approach within a multicomponent weight management intervention. We randomized 35 adults with overweight/obesity (BMI = 31.2  ± 2.4 kg/m2) to CONT or IER for 24  weeks (12‐week weight loss intervention and 12 weeks of weight loss maintenance). Diets were delivered within a multimodal weight management program including weekly group meetings with a registered dietitian, increased physical activity, and a comprehensive lifestyle change program. Retentio n...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Felicia L. Steger, Joseph E. Donnelly, Holly R. Hull, Xinyang Li, Jinxiang Hu, Debra K. Sullivan Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Costs of the COVID ‐19 pandemic associated with obesity in Europe: A health‐care cost model
SummaryExcess weight is associated with severe outcomes of coronavirus disease 2019 (COVID ‐19). We aimed to estimate the total secondary care costs by body mass index (BMI, kg/m2) category when hospitalized due to COVID ‐19 in Europe during the first wave of the pandemic from January to June 2020. Building a health‐care cost model, this study aimed to estimate the total costs of COVID‐19. Information on risk of hospitalization, admission to intensive care unit (ICU) and risk of ventilation were based on publi shed data. Average cost per patient and in total were calculated based on risks of admission to ICU, risk ...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Sebastien Czernichow, Stephen C. Bain, Matthew Capehorn, Mette B øgelund, Maria Elmegaard Madsen, Cecilie Yssing, Annabell Cajus McMillan, Ana‐Paula Cancino, Ulrik Haagen Panton Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

A disability ‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study
This study concluded that PwCSO face significant barriers to accessing dental servi ces across all six categories highlighted in the disability literature. The study findings provide valuable patient‐based information regarding the psychosocial barriers to accessing dental services, which are relevant for all healthcare professionals. The study reflected an increased need for pro motion of the dentist's role in obesity management and obesity‐related dental training, including familiarization with the biopsychosocial domains of obesity to reduce weight related stigma and discrimination, as an area for further study. The...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Zanab Malik, Alexander C. L. Holden, Woosung Sohn, Kathryn Williams Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Substance use, mental health and weight ‐related behaviours during the COVID‐19 pandemic in people with obesity
SummaryStudies have shown the negative impact of COVID ‐19 lockdown orders on mental health and substance use in the general population. The aim of this study was to examine the impact of the COVID‐19 pandemic onsubstance use, mental health and weight‐related behaviors in a sample of adults with obesity after lockdown orders were lifted (June‐Se ptember 2020). A retrospective medical chart review identified patients with obesity from one university‐based obesity medicine clinic, and two metabolic and bariatric surgery (MBS) practices. Patients who completed an online survey from June 1, 2020 to September 30, 2020...
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Authors: Jaime P. Almandoz, Luyu Xie, Jeffrey N. Schellinger, M. Sunil Mathew, Nora Bismar, Ashley Ofori, Sachin Kukreja, Benjamin Schneider, Denise Vidot, Sarah E. Messiah Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Issue Information
(Source: Clinical Obesity)
Source: Clinical Obesity - March 2, 2021 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research

A service evaluation exploring the effectiveness of a locally commissioned tier 3 weight management programme offering face ‐to‐face, telephone and digital dietetic support
In this study, a service evaluation compared weight loss for adults with a BMI ≥ 45 kg/m2 or  ≥ 40 kg/m2 with a comorbidity, who were offered a non ‐randomized dietetic intervention through face‐to‐face, telephone, or digital support using the Oviva smartphone app as part of a tier 3 weight management programme. One hundred and sixty‐nine patients commenced the core programme. There were no significant differences in weight loss between patients receiving face‐to‐face (5.3 ± 5.5 kg [−4.1%]), telephone (−4 ± 5.3...
Source: Clinical Obesity - February 18, 2021 Category: Eating Disorders & Weight Management Authors: Rosemary Huntriss, Matthew Haines, Lucy Jones, Danielle Mulligan Tags: Original Research Article Source Type: research