Exploring Australian Dietitians' knowledge, experience and perspectives of time ‐restricted eating in private practice: A qualitative study
SummaryTime-restricted eating is a novel nutrition intervention with evidence of beneficial effects on weight loss, blood glucose management, and other metabolic health outcomes. Adherence to time-restricted eating is higher than some traditional nutrition interventions to support individuals living with overweight/obesity and type 2 diabetes mellitus. However, there may be an evidence-practice gap of time-restricted eating in Australian dietetic practice. The present study aimed to explore dietitians' knowledge, experiences, and perspectives of time-restricted eating and timing of eating advice in practice. Semi-structure...
Source: Clinical Obesity - April 26, 2024 Category: Eating Disorders & Weight Management Authors: Caitlin Pye,
Evelyn B. Parr,
Steve A. Flint,
Brooke L. Devlin Tags: ORIGINAL RESEARCH Source Type: research
Multimodal approach utilising a weight management programme prior to bariatric surgery in patients with BMI ≥50 kg/m2: A propensity score matching retrospective cohort study
SummaryWe evaluated preoperative weight loss and days from initial consult to surgery in patients with BMI ≥50 kg/m2 who were and were not enrolled in medical weight management (MWM) prior to laparoscopic sleeve gastrectomy. We retrospectively identified patients with BMI ≥50 kg/m2 who had primary sleeve gastrectomy between 2014 and 2019 at two bariatric surgery centres in our healthcare system. Patients presenting after 2017 that received preoperative MWM (n = 28) were compared to a historical cohort of non-MWM patients (n = 118) presenting prior to programme initiation in 2017 on preoperative percent tota...
Source: Clinical Obesity - April 25, 2024 Category: Eating Disorders & Weight Management Authors: Cetin Sari,
Connie Santana,
Richard L. Seip,
Dale Bond,
Aziz Benbrahim,
Edward Hannoush,
Tara McLaughlin,
Ya ‐Huei Li,
Ilene Staff,
Yin Wu,
Pavlos Papasavas,
Darren Tishler,
Devika Umashanker Tags: ORIGINAL RESEARCH Source Type: research
Managing the new wave of weight loss medication in general practice: A qualitative study
This study shows that the availability of a new, sought-after weight loss medication presents both opportunities and challenges for HCPs in general practice. The management of Wegovy involves numerous factors, including medical, economic, organizational, interpersonal and moral concerns. (Source: Clinical Obesity)
Source: Clinical Obesity - April 25, 2024 Category: Eating Disorders & Weight Management Authors: Pernille Andreassen,
Sissel Due Jensen,
Jens M. Bruun,
Annelli Sandb æk Tags: ORIGINAL RESEARCH Source Type: research
A service evaluation of more than 1 million self ‐funding adults attending a community weight management programme
SummaryScaled interventions are required to address levels of overweight and obesity and reduce health inequalities. Little data is available on the effectiveness of community weight management programmes for participants self-selecting to attend across different socio-economic backgrounds. This analysis investigates 3, 6, and 12-month outcomes of adults joining a real-life community weight management programme. Weight, attendance and Indices of Multiple Deprivation (IMD) data from all fee-paying adults joining Slimming World in 2016 were collated. Data were analysed using descriptive and inferential statistics to determin...
Source: Clinical Obesity - April 25, 2024 Category: Eating Disorders & Weight Management Authors: Josef Toon,
Sarah ‐Elizabeth Bennett,
Jacquie Lavin,
Carolyn Pallister,
Amanda Avery Tags: ORIGINAL RESEARCH Source Type: research
Bariatric surgeons' views on pre ‐operative factors associated with improved health‐related quality of life following surgery
This study offers an initial in sight into bariatric surgeons' views on the influence of different pre-operative factors on post-operative health-related quality of life. The array of views identified suggests that there may be an opportunity for medical education, but the findings warrant caution due to the sample size. Replicati on with a larger survey may be useful, especially as predicted health-related quality of life outcomes could guide decisions regarding surgical (non)progression. (Source: Clinical Obesity)
Source: Clinical Obesity - April 21, 2024 Category: Eating Disorders & Weight Management Authors: M. Majstorovic,
A. Chur ‐Hansen,
J. M. Andrews,
A. L. J. Burke Tags: ORIGINAL RESEARCH Source Type: research
Gender diversity among adolescents with obesity in a weight management programme
In conclusion, adolescents with obesity, particularly AF with non-heterosexual orientation, reported high rates of non-cisgender identity and GD. Routine screening for gender-related concerns in weight management settings may be warranted. (Source: Clinical Obesity)
Source: Clinical Obesity - April 16, 2024 Category: Eating Disorders & Weight Management Authors: Zachary J. E. Zytner,
Joshua R. Stanley,
Preeti Grewal,
Elizabeth Dettmer,
Alene Toulany,
Mark R. Palmert,
Julia C. Sorbara Tags: ORIGINAL RESEARCH Source Type: research
Perceptions of an acceptance ‐based weight management treatment among adults living in rural areas
SummaryObesity and obesity-related comorbidities disproportionately affect rural communities. Research has emerged in support of a novel acceptance-based behavioural weight management treatment (ABT) that integrates the principles and procedures of acceptance-commitment therapy (ACT) with traditional components of standard behavioural treatment (SBT). The current study assessed the perceptions of community stakeholders in rural areas to session materials of a commercially available ABT program. Surveys and focus groups were used to solicit feedback from three former interventionists with experience delivering SBTs in rural...
Source: Clinical Obesity - April 13, 2024 Category: Eating Disorders & Weight Management Authors: Viviana Bauman,
Taylor N. Swanson,
Abraham J. Eastman,
Kathryn M. Ross,
Michael G. Perri Tags: ORIGINAL RESEARCH Source Type: research
IMPROVE 2022 International Meeting on Pathway ‐Related Obesity: Vision of Excellence
SummaryNearly 90 clinicians and researchers from around the world attended the first IMPROVE 2022 International Meeting on Pathway-Related Obesity. Delegates attended in person or online from across Europe, Argentina and Israel to hear the latest scientific and clinical developments in hyperphagia and severe, early-onset obesity, and set out a vision of excellence for the future for improving the diagnosis, treatment, and care of patients with melanocortin-4 receptor (MC4R) pathway-related obesity. The meeting co-chair Peter K ühnen, Charité Universitätsmedizin Berlin, Germany, indicated that change was needed with the ...
Source: Clinical Obesity - April 12, 2024 Category: Eating Disorders & Weight Management Authors: Peter K ühnen,
Jesús Argente,
Karine Clément,
Hélène Dollfus,
Béatrice Dubern,
Sadaf Farooqi,
Corjan de Groot,
Annette Grüters,
Jens‐Christian Holm,
Mark Hopkins,
Lotte Kleinendorst,
Antje Körner,
David Meeker,
Mikael Rydén,
Julia Tags: CONFERENCE PROCEEDING Source Type: research
Computed Tomography and Dual ‐Energy X‐Ray Asorptiometry body composition parameter harmonisation to universalise adipose tissue measurements in a population‐based cross‐sectional study
SummaryTo harmonise computed tomography (CT) and dual-energy x-ray absorptiometry (DXA) body composition measurements allowing easy conversion in longitudinal assessments and across cohorts to assess cardiometabolic risk and disease. Retrospective cross-sectional observational study from 1996 to 2008 included participants in the Pennington Center Longitudinal Study (PCLS) (N = 1967; 571 African American/1396 White). Anthropometrics, whole-body DXA and abdominal CT images were obtained. Multi-layer segmentation techniques (Analyze; Rochester, MN) quantified visceral adipose tissue (VAT). Clinical biomarkers were obtaine...
Source: Clinical Obesity - April 11, 2024 Category: Eating Disorders & Weight Management Authors: Elliot T. Varney,
Seth Lirette,
Peter T. Katzmarzyk,
Frank Greenway,
Candace M. Howard Tags: ORIGINAL RESEARCH Source Type: research
GNB1 and obesity: Evidence for a correlation between haploinsufficiency and syndromic obesity
SummaryMost patients withGNB1 encephalopathy have developmental delay and/or intellectual disability, brain anomalies and seizures. Recently, two cases withGNB1 encephalopathy caused by haploinsufficiency have been reported that also show a Prader –Willi-like phenotype of childhood hypotonia and severe obesity. Here we present three new cases from our expert centre for genetic obesity in whichGNB1 truncating and splice variants, probably leading to haploinsufficiency, were identified. They all have obesity, hyperphagia and intellectual deficit. The clinical cases and their weight courses are presented, together with a re...
Source: Clinical Obesity - April 10, 2024 Category: Eating Disorders & Weight Management Authors: Lotte Kleinendorst,
Ozair Abawi,
Niels Vos,
Eline S. van der Valk,
Saskia M. Maas,
Angela T. Morgan,
Michael S. Hildebrand,
Jorge D. Da Silva,
Ralph J. Florijn,
Peter Lauffer,
Jenny A. Visser,
Elisabeth F. C. van Rossum,
Erica L. T. van den Ak Tags: ORIGINAL RESEARCH Source Type: research
An obesity medicine curriculum increases the obesity care self ‐efficacy of internal medicine residents in the primary care setting
SummaryPrimary care physicians (PCPs) report insufficient knowledge and training gaps in obesity care. Internal Medicine (IM) residency offers an opportunity to address this educational gap for future PCPs. We designed an innovative, multicomponent curriculum on obesity medicine (OM) in the primary care setting for IM residents. We then conducted a prospective, 6-month, two-arm study within two residency programs in Maryland evaluating feasibility (use, appropriateness for IM training, and satisfaction) of the curriculum as well as changes in self-efficacy within seven obesity care domains, assessed on 4-point scales (1 ...
Source: Clinical Obesity - March 30, 2024 Category: Eating Disorders & Weight Management Authors: Kacey Chae,
Jashalynn German,
Karla Kendrick,
Sean Tackett,
Paul O'Rourke,
Kimberly A. Gudzune,
Marci Laudenslager Tags: ORIGINAL RESEARCH Source Type: research
‘My goal was to become normal’—A qualitative investigation of coping with stigma, body image and self‐esteem long‐term after bariatric surgery
SummaryImproved self-esteem and body image, as well as reduced experiences of weight stigma are important patient-reported obesity treatment outcomes. However, more knowledge is needed about how individuals who have undergone metabolic and bariatric surgery (MBS) perceive themselves and their bodies and use different coping strategies in relation to body image and self-esteem long-term after MBS. In this qualitative study body image, self-esteem, weight stigma and coping strategies were explored among 18 individuals who underwent MBS more than 10 years ago when interviewed. Using reflexive thematic analysis, two primary...
Source: Clinical Obesity - March 29, 2024 Category: Eating Disorders & Weight Management Authors: Linda Jiretorn,
My Engstr öm,
Cecilia Laursen,
Ximena Ramos Salas,
Kajsa Järvholm Tags: ORIGINAL RESEARCH Source Type: research
Comparison of fluid and body composition measures in women with lipoedema, lymphoedema, and control participants
SummaryLipoedema is the disproportionate accumulation of adipose tissue in the lower body, often associated with hormonal changes in women. Lipoedema is commonly misdiagnosed as lymphoedema or obesity due to similarities in appearance. The aim of this study is to compare body composition and fluid measures of women with lipoedema, lymphoedema, and matched control participants, to determine differences that may help distinguish between each condition. One hundred and eleven participants aged over 18, who presented with the complaint of leg swelling and underwent indocyanine green lymphography were included in this study. Ou...
Source: Clinical Obesity - March 29, 2024 Category: Eating Disorders & Weight Management Authors: Rhiannon Stellmaker,
Belinda Thompson,
Helen Mackie,
Louise Koelmeyer Tags: ORIGINAL RESEARCH Source Type: research
Supporting faculty development for obesity education: A National Survey of United States family medicine residency programme directors
This study examines the prevalence of American Board of Obesity Medicine (ABOM) certified obesity specialists on the faculty of US Family Medicine residency training programmes, the preparedness of graduating resident physicians to treat obesity, and residency training programme director preferences for supporting faculty development to improve residency education in obesity management. This cross-sectional on-line survey of programme directors addressed the number of ABOM-certified faculty, perceived graduate preparedness to treat obesity, and priorities to improve faculty expertise and obesity curriculum. Of 672 eligible...
Source: Clinical Obesity - March 26, 2024 Category: Eating Disorders & Weight Management Authors: Jonathan Gabison,
Beatrice Palazzolo,
Christina Saleh,
Olivia Ritchie,
Kayla Sheehan,
Amal Othman,
Diane M. Harper,
Lauren Oshman Tags: ORIGINAL RESEARCH Source Type: research
Improving multidisciplinary management of patients living with obesity: The evaluation of seated bioimpedance measures and relationship to functional performance following targeted intervention
This article reports on the physical and functional outcomes achieved during a 12-week intensive multidisciplinary intervention targeting obesity and evaluates correlations between body composition and functional outcomes. We additionally aimed to investigate the test –retest reliability and levels of agreement in body composition measurements using bioimpedance spectroscopy between seated and standing positions. Of the 35 participants included in analysis, significant differences were observed between baseline and post-intervention measures. These included wei ght loss of 12.6 kg, waist circumference reduction of 10.5...
Source: Clinical Obesity - March 15, 2024 Category: Eating Disorders & Weight Management Authors: Elizabeth Ryan,
Helen MacLaughlin,
Robin Hay,
Andrea Cawte,
Leonie Naumann,
Gemma Woodruff,
Michelle Cottrell,
Peter Window Tags: ORIGINAL RESEARCH Source Type: research
