Identifying obesity ‐related multimorbidity combinations in the United States
SummaryInterest in understanding the effects of multimorbidity on outcomes has increased in recent years. This paper presents the most common obesity ‐related groupings of multimorbidity in the United States. Using Cerner HealthFacts data, we applied the frequent pattern growth algorithm to identify prevalent multimorbidity groupings of 3 or more diseases (one being obesity) by race using a dataset of 574 172 patients with obesity from all ov er the United States. We set the minimum prevalence to 10% and identified groupings of ICD10‐CM diagnoses that occur in our dataset at or above the minimum prevalence level...
Source: Clinical Obesity - August 15, 2019 Category: Eating Disorders & Weight Management Authors: Charisse Madlock ‐Brown, Rebecca B. Reynolds Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Response to Vorland et al's Letter to the Editor about “Impact of motivational interviewing on outcomes of an adolescent obesity treatment: Results from the MI Values randomized controlled pilot trial”
Clinical Obesity, EarlyView. (Source: Clinical Obesity)
Source: Clinical Obesity - August 8, 2019 Category: Eating Disorders & Weight Management Authors: Melanie K. Bean, Karen S. Ingersoll, Priscilla Powell, Marilyn Stern, Ronald K. Evans, Edmond P. Wickham, Suzanne E. Mazzeo Tags: LETTER TO THE EDITOR Source Type: research

Spin in the abstract in “Impact of motivational interviewing on outcomes of an adolescent obesity treatment: Results from the MI Values randomized controlled pilot trial”
Clinical Obesity, EarlyView. (Source: Clinical Obesity)
Source: Clinical Obesity - August 4, 2019 Category: Eating Disorders & Weight Management Authors: Colby J. Vorland, Andrew W. Brown, David B. Allison Tags: LETTER TO THE EDITOR Source Type: research

Body mass index and risk of sick leave: A systematic review and meta ‐analysis
SummaryBody mass index (BMI) is related to different health dimensions and can be a risk factor for diseases. Our objective was to systematically review and meta ‐analysis the association BMI and the risk of sick leave. Four databases were searched for articles until late December 2018 and the results of the studies were extracted and combined using random effects methods. Several sub‐group analyses were conducted as well as bias of publication were meas ured. A total of 23 longitudinal studies entered into meta‐analysis. BMI ≥ 25 was a risk factor for sick leave; the risk ratio (RR) is equal to 1.20...
Source: Clinical Obesity - August 1, 2019 Category: Eating Disorders & Weight Management Authors: Sohrab Amiri, Sepideh Behnezhad Tags: REVIEW ARTICLE Source Type: research

Perceptions of barriers to effective obesity management in Canada: Results from the ACTION study
In this study adult PwO (body mass index ≥30 kg/m2, based on self ‐reported height/weight), HCPs (physicians and allied HCPs managing PwO) and employers (≥20 employees; offering health insurance), completed online surveys between 3 August and 11 October 2017 in a cross‐sectional design. Survey respondents (N = 2545) included 2000 PwO, 395 HCPs and 150 employ ers. Obesity was viewed as a “chronic medical condition” by most PwO (60%), HCPs (94%) and employers (71%) and deemed to have a large impact on overall health (74%, 78%, 81%, respectively). Many PwO (74%) believed weight management was thei...
Source: Clinical Obesity - July 11, 2019 Category: Eating Disorders & Weight Management Authors: Arya M. Sharma, Andr é Bélanger, Veronica Carson, Jodi Krah, Marie‐France Langlois, Diana Lawlor, Suzanne Lepage, Aiden Liu, David A. Macklin, Noel MacKay, Arash Pakseresht, Sue D. Pedersen, Ximena Ramos Salas, Michael Vallis Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Issue Information
Clinical Obesity, Volume 9, Issue 4, August 2019. (Source: Clinical Obesity)
Source: Clinical Obesity - July 10, 2019 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research

Objective vs self ‐report assessment of height, weight and body mass index: Relationships with adiposity, aerobic fitness and physical activity
SummaryResearchers, policymakers and clinicians commonly use height and weight to determine body mass index (BMI) and classify weight status. Self ‐report measures are widely used but often result in misreported height and weight and, consequentially, underestimation of BMI and—potentially—weight status misclassification. The purpose of this study was to examine differences in objective and self‐reported height, weight and BMI values a nd to find whether discordance is associated with other anthropometric measures, fitness and physical activity. Data were collected from college students through: (a) a pre...
Source: Clinical Obesity - July 10, 2019 Category: Eating Disorders & Weight Management Authors: Oliver W. A. Wilson, Christopher M. Bopp, Zack Papalia, Melissa Bopp Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Weight gain following treatment of hyperthyroidism —A forgotten tale
SummaryHyperthyroidism causes weight loss in the majority, but its effect is variable and 10% of patients gain weight. Its treatment usually leads to weight gain and some studies have reported an excess weight regain. However, there is considerable inter ‐individual variability and a differential effect on body weight by different treatments, with some studies reporting more weight increase with radioiodine, and perhaps surgery, compared with anti‐thyroid drugs. The excess weight regain may relate to treatment‐induced hypothyroidism. Furthermo re, the transition from hyperthyroidism to euthyroidism may unmask, or exa...
Source: Clinical Obesity - July 3, 2019 Category: Eating Disorders & Weight Management Authors: Angelos Kyriacou, Alexis Kyriacou, Konstantinos C. Makris, Akheel A. Syed, Petros Perros Tags: REVIEW ARTICLE Source Type: research

Relation between cognitive restraint and weight: Does a content validity problem lead to a wrong axis of care?
SummaryThe aim of this research is to examine the relation between weight and cognitive restraint (CR), which is the intention to control food intake in order to maintain or lose weight, in a general French population sample. Is CR more prevalent in individuals with obesity than overweight, underweight or normal ‐weight subjects in this cross‐sectional study? Are people affected by obesity non‐restrained eaters? A total of 507 French people (80.2% women and 19.8% men), aged 18‐78 years, responded to an online questionnaire. It appears that the most used questionnaire measuring CR has content validit y problems as i...
Source: Clinical Obesity - June 27, 2019 Category: Eating Disorders & Weight Management Authors: Sabrina Julien Sweerts, Damien Fouques, Baptiste Lignier, G érard Apfeldorfer, Katherine Kureta‐Vanoli, Lucia Romo Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Adult weight management patients' perceptions of family dynamics and weight status
SummaryOur overall objective was to describe the parent ‐child, romantic, and family dynamics of adult weight management program (WMP) patients, and associations with children's and partners' weight status. First, we determined if family functioning mediated the effect between parent‐child feeding practices and perceived child weight status, and roma ntic relationship anxiety and avoidance and perceived partner weight status. Second, we assessed if perceived child and partner weight status moderated the associations between family functioning and parent‐child feeding practices and romantic relationship anxiety and av...
Source: Clinical Obesity - June 24, 2019 Category: Eating Disorders & Weight Management Authors: Keeley J. Pratt, Megan Ferriby, Callie L. Brown, Sabrena Noria, Bradley Needleman, Joseph A. Skelton Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Total and regional body fat status among children and young people with cerebral palsy: A scoping review
SummaryThe purpose of our scoping review was to determine if children and young people with cerebral palsy (CP) have elevated total or regional body fat compared to children and young people without CP. Databases (Ovid MEDLINE, Embase Ovid, CINHAL and Scopus) were systematically searched from 1 January 1993 to 7 December 2018 in order to identify articles that compared weight status, total body fat or regional body fat (eg, abdominal) between children and young people (0 ‐21 years) with and without CP. Extracted data included country, subject characteristics, group sample sizes and matching strategies, methods/mea...
Source: Clinical Obesity - June 24, 2019 Category: Eating Disorders & Weight Management Authors: Daniel G. Whitney, Penina Gross ‐Richmond, Edward A. Hurvitz, Mark D. Peterson Tags: REVIEW ARTICLE Source Type: research

Development and outcomes of an immersive obesity summit workshop for medical resident and fellow education
SummaryPhysicians need better training to manage patients with obesity. Our study capitalized on the intimate nature of an extracurricular obesity workshop, creating an interactive educational programme. We assessed the short ‐ and long‐term impact of the workshop on trainees' knowledge, competence and confidence in caring for patients with obesity in an outpatient setting. This is a cross‐sectional study, involving regionally diverse mix of resident and fellow physicians. A live 2.5‐day continuing medical educat ion summit was held 11 to 13 March 2016. Obesity‐related topics were reviewed using state‐of‐the ...
Source: Clinical Obesity - June 23, 2019 Category: Eating Disorders & Weight Management Authors: Amanda Velazquez, Katie J. H. Robinson, Jennifer L. Frederick, Robert F. Kushner Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Obesity in older adults: Effect of degree of weight loss on cardiovascular markers and medications
SummaryObesity worsens the age ‐related tendency towards cardiovascular disease and diabetes. Older adults are vulnerable to medication adverse effects. Intentional weight loss in older adults with obesity has been shown to improve cardiovascular and glycaemic markers. The effect of rapid weight loss induced by very‐low‐cal orie diets (VLCDs) on these markers has not been evaluated in this group. In this 12‐week study, participants were randomized to one of healthy eating, hypocaloric diet or VLCD, all combined with three times weekly exercise (Ex/HE, Ex/Diet, Ex/VLCD, respectively). The effects of these interventi...
Source: Clinical Obesity - June 17, 2019 Category: Eating Disorders & Weight Management Authors: Cilla J. Haywood, Luke A. Prendergast, Ratana Lim, Martha Lappas, Wen Kwang Lim, Joseph Proietto Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Determining patient attendance, access to interventions and clinical outcomes in a publicly funded obesity programme: Results from the Canberra Obesity Management Service
We present these findings in the hope that they may serve as an example for data collection, individual service monitoring and comparison across multiple obesity services. (Source: Clinical Obesity)
Source: Clinical Obesity - June 17, 2019 Category: Eating Disorders & Weight Management Authors: Louise Brightman, Hsin ‐Chia Carol Huang, Paul Dugdale Tags: Original Research Article Source Type: research

Liraglutide 3.0 mg for the management of insufficient weight loss or excessive weight regain post ‐bariatric surgery
SummaryTo assess the effectiveness of liraglutide 3.0 mg in post ‐bariatric surgery patients, and to determine whether this would differ based on the type of bariatric surgery. One hundred seventeen post‐bariatric surgery patients from the Wharton Medical Clinic were analysed. Changes in weight while taking liraglutide 3.0 mg were examined for all patients, a nd by three types of bariatric surgery—Roux‐en‐Y gastric bypass, gastric banding and gastric sleeve. Patients primarily underwent Roux‐en‐Y gastric bypass (n = 53, 45.3%) or gastric banding (n = 50, 42.7%). Over 7.6 ± 7.1 months ...
Source: Clinical Obesity - June 10, 2019 Category: Eating Disorders & Weight Management Authors: Sean Wharton, Jennifer L. Kuk, Magdalena Luszczynski, Elham Kamran, Rebecca A. G. Christensen Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Effects of alpha ‐cyclodextrin on cholesterol control and Compound K on glycaemic control in people with pre‐diabetes: Protocol for a Phase III randomized controlled trial
SummaryThe prevalence of pre ‐diabetes and of type 2 diabetes mellitus is increasing. Preventing disease progression is important to improve outcomes. Natural products are becoming popular alternatives to pharmaceutical products for preventative health and treatment of disease; however, the evidence to support the use of natu ral alternatives for pre‐diabetes and type 2 diabetes is lacking. Two such natural medicines include alpha‐cyclodextrin (marketed as FBCx), a fibre derived from corn starch that has been found to bind triglycerides in the intestines to prevent its absorption, aiding weight maintenance and lipid ...
Source: Clinical Obesity - June 6, 2019 Category: Eating Disorders & Weight Management Authors: Erica Bessell, Nicholas R. Fuller, Tania P. Markovic, Jessica Burk, Tegan Picone, Chelsea Hendy, Michelle M. C. Tan, Ian D. Caterson Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Youth weight status and family functioning in paediatric primary care
SummaryThe purpose of this study is to examine the associations between family functioning and youth overweight and obesity in a sample of primary care paediatric patients. Specially, we hypothesize that caregivers of youth with an overweight/obese weight status will report more impaired family functioning. A cross ‐sectional descriptive study was conducted with 329 caregivers of youth ages 2 to 18 seen in paediatric primary care. Caregivers completed the Family Assessment Device General Functioning Scale and clinical demographics, including parent‐reported youth height and weight to calculate body mass in dex (BMI). F...
Source: Clinical Obesity - May 21, 2019 Category: Eating Disorders & Weight Management Authors: Keeley J. Pratt, Catherine A. Van Fossen, Jerica M. Berge, Robert Murray, Joseph A. Skelton Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

A meta ‐analysis of the effect of chromium supplementation on anthropometric indices of subjects with overweight or obesity
The objective of this meta‐analysis was to evaluate the current evidence for the efficacy of or al chromium supplementation in individuals with overweight/obesity from randomized controlled trials. Studies were identified by a search of electronic databases from inception to November 2018 and combined and stratified analyses were used. Twenty‐one trials from 19 studies were identified which met all inclusion criteria which were suitable for statistical pooling, and data from 1316 participants were included. Pooled analysis showed significant reductions in anthropometric indices associated with body composition; for wei...
Source: Clinical Obesity - May 21, 2019 Category: Eating Disorders & Weight Management Authors: Catherine Tsang, Mohsen Taghizadeh, Elahe Aghabagheri, Zatollah Asemi, Sadegh Jafarnejad Tags: REVIEW ARTICLE Source Type: research

Obesity prevention in corticosteroid ‐treated patients: Use and effectiveness of strategies for weight management
SummaryWe conducted a systematic review to identify the use and effectiveness of clinical interventions to prevent or mitigate weight gain in patients using systemic corticosteroids. We independently searched nine bibliometric databases for reviews and longitudinal studies published up to 26 October 2018, and assessed the quality of studies meeting inclusion criteria. We identified 3893 records and screened 3037 eligible studies, read four full ‐texts and extracted data from three randomized control trials. Two studies examined a diet‐only intervention for weight management, while one study examined a mixed interventio...
Source: Clinical Obesity - May 17, 2019 Category: Eating Disorders & Weight Management Authors: Annalijn I. Conklin, Jenny Hong Tags: Review Source Type: research

Issue Information
Clinical Obesity, Volume 9, Issue 3, June 2019. (Source: Clinical Obesity)
Source: Clinical Obesity - May 7, 2019 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research

Impact of self ‐efficacy on risk aversion in the context of surgical weight loss decision scenarios
This study conducted an experiment set within an online survey assessing risk aversion towards bariatric surgery as a weight loss intervention. The survey asked about hypothetical weight loss scenarios for bariatric surgery among a national probability‐based sample of US adults aged 18 years and older. Participants answered their willingness to achieve different weight loss amounts within the context of bariatric surgery in varying risk scenarios. The analysis utilized a repeated‐measures linear mixed model. A three‐way interaction demonstrated that participants were more willing to take risks under ideal weight loss...
Source: Clinical Obesity - May 2, 2019 Category: Eating Disorders & Weight Management Authors: Monique Turner, Andrea C. Johnson, Paula Lantz Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Validation of a new measure of quality of life in obesity trials: Impact of Weight on Quality of Life ‐Lite Clinical Trials Version
The Impact of Weight on Quality of Life ‐Lite (IWQOL‐Lite) is widely used in evaluations of weight‐loss interventions, including pharmaceutical trials. Because this measure was developed using input from individuals undergoing intensive residential treatment, the IWQOL‐Lite may include concepts not relevant to clinical trial popul ations and may be missing concepts that are relevant to these populations. An alternative version, the IWQOL‐Lite Clinical Trials Version (IWQOL‐Lite‐CT), was developed and validated according to the US Food and Drug Administration's (FDA's) guidance on patient‐reported outcomes. ...
Source: Clinical Obesity - April 16, 2019 Category: Eating Disorders & Weight Management Authors: Ronette L. Kolotkin, Valerie S. L. Williams, Claire M. Ervin, Nicole Williams, Henrik H. Meincke, Shanshan Qin, Lisa Huth Smith, Sheri E. Fehnel Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

A call to action to inform patient ‐centred approaches to obesity management: Development of a disease‐illness model
Patient ‐centred care is an essential component of high‐quality health care, shown to improve clinical outcomes and patient satisfaction, and reduce costs. While there are several authoritative models of obesity pathophysiology and treatment algorithms, a truly patient‐centred model is lacking. We des cribe the development of a patient‐centric obesity model. A disease‐illness framework was selected because it emphasizes each patient's unique experience while capturing biomedical aspects of the disease. Model input was obtained from an accumulation of research including contributions from expe rts in obesity and p...
Source: Clinical Obesity - April 11, 2019 Category: Eating Disorders & Weight Management Authors: John Fastenau, Ronette L. Kolotkin, Ken Fujioka, Maria Alba, William Canovatchel, Shana Traina Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Influence of subsidies and promotional strategies on outcomes in a beneficiary ‐based commercial weight‐loss programme
To determine whether initial engagement, continued participation, and weight loss vary by subsidy and promotional strategies in a beneficiary ‐based, commercial weight‐loss programme. We conducted a retrospective analysis of data from 2013 to 2016. Our dependent variables included initial engagement (≥1 calls; ≥2 weights), coach calls and weight change. Our independent variables were subsidy strategy (total subsidy (n = 9) vs cost sharing (n = 3)) and combination of promotional‐subsidy strategies (mixed campaign + total subsidy (n = 6) vs mass media + total subsidy (n&t...
Source: Clinical Obesity - April 7, 2019 Category: Eating Disorders & Weight Management Authors: Kimberly A. Gudzune, Eleanore Alexander, Eva Tseng, Nowella Durkin, Gerald J. Jerome, Arlene Dalcin, Lawrence J. Appel, Jeanne M. Clark Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

OAGB vs BGBP: A retrospective comparative study of a cohort of patients who had bariatric surgery in 2012 at one centre by a single surgeon
Two modifications of Roux ‐en‐Y gastric bypass (RYGB), one anastomosis gastric bypass (OAGB) and Roux‐en‐Y banded gastric bypass (BGBP), are gaining popularity in use because the OAGB is reported to be a simpler operation, and the BGBP is reported to have sustained weight loss compared to standard RYGB. A retrospecti ve review and analysis of data comparing outcomes up to 5 years after BGBP and OAGB from a prospectively maintained database of all bariatric metabolic operations in 2012 was performed. Eighty‐two patients underwent a BGBP and 90 an OAGB. The average age and body mass index were 44.12 and 43.97 an d ...
Source: Clinical Obesity - April 7, 2019 Category: Eating Disorders & Weight Management Authors: Mohit Bhandari, Hemant K. Nautiyal, Winni Mathur, Susmit Kosta Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

5 ‐2‐1‐0 Lifestyle risk factors predict obesity in Millennials
We report baseline levels of the 5‐2‐1‐0 healthy lifestyle patterns to predict a body mass index (BMI) ≥30 vs3 daily servings of fruits/vegetables (odds ratio, OR  = 0.90, 95% confidence interval, CI = 0.81, 0.99), and reporting>2.5 hours/week of vigorous physical activity (OR  = 0.93, 95% CI = 0.89‐0.96,P 
Source: Clinical Obesity - March 25, 2019 Category: Eating Disorders & Weight Management Authors: Dennis J. Kerrigan, Margaret R. Rukstalis, Jonathan K. Ehrman, Steven J. Keteyian, Ruicong She, Gwen L. Alexander Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Issue Information
Clinical Obesity, Volume 9, Issue 2, April 2019. (Source: Clinical Obesity)
Source: Clinical Obesity - March 13, 2019 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research

Effect of body mass index on depression in a UK cohort of 363 037 obese patients: A longitudinal analysis of transition
This study aims to determine the impact of BMI on depression risk in patients with obesity and to investigate trends of depression in a large cohort of British patients with BMI> 30 kg/m2. A nationwide primary care database, the Clinical Practice Research Datalink (CPRD), was analysed for diagnoses of obesity (BMI> 30 kg/m2). Obese patients were then sub ‐classified into seven BMI categories. Primary health care–based records of patients entered in the CPRD were analysed. A total of 363 037 patients had a BMI ≥ 30 kg/m2; of these patients 97 392 (26.8%) also had a diagnosis of depression. Absolute event ra...
Source: Clinical Obesity - March 5, 2019 Category: Eating Disorders & Weight Management Authors: Osama M. Moussa, Maddalena Ardissino, Priyantha Kulatilake, Ara Faraj, Elisabetta Muttoni, Ara Darzi, Paul Ziprin, Samantha Scholtz, Sanjay Purkayastha Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Patient perception of obesity versus physician documentation of obesity: A quality improvement study
This study evaluates the relationship between patient perception of obese weight and physician documenta tion of obesity. This quality improvement observational study surveyed patients of an academic internal medicine clinic on their perception of obesity. Responses were compared to longitudinal physician documentation of obesity and body mass index (BMI). A total of 59.9% of patients with obesity perc eived their weight as obese. While 33.7% of patients with a BMI of 30 to 34.9 kg/m2 perceived themselves as having obesity, 71.4% of patients with a BMI of 45 to 49.9 kg/m2 perceived themselves as having obesity. A total of ...
Source: Clinical Obesity - February 27, 2019 Category: Eating Disorders & Weight Management Authors: George Mawardi, Elizabeth B. Kirkland, Jingwen Zhang, Devin Blankinship, Marc E. Heincelman, Andrew D. Schreiner, William P. Moran, Samuel O. Schumann Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Absence of 18F ‐fluorodeoxyglucose uptake using Positron Emission Tomography/Computed Tomography in Madelung's disease: A case report
Madelung's disease is characterized by the manifestation of multiple ectopic lipomas, usually found in the cervical ‐thoracic region, however, clinical manifestation may vary among patients. It has been postulated that lipomas associated with Madelung's disease are linked to brown adipose tissue (BAT) due to the presence of uncoupling protein 1 (UCP1). Therefore, we here investigated whether BAT activity is pre sent in a patient with Madelung's disease.18F ‐fluorodeoxyglucose (18F ‐FDG) uptake using PET/CT after a cooling procedure was measured together with body temperature and energy expenditure. Finally, adipose t...
Source: Clinical Obesity - February 27, 2019 Category: Eating Disorders & Weight Management Authors: Michiel P.B. Moonen, Emmani B.M. Nascimento, Marinus J.P.G. van Kroonenburgh, Dees Brandjes, Wouter D. van Marken Lichtenbelt Tags: Case Report Source Type: research

Hyperuricemia and acute gout after laparoscopic sleeve gastrectomy
The aim of this study was to evaluate the prevalence of hyperuricemia and acute gout after laparoscopic sleeve gastrectomy (LSG). Risk factors for developing gout were also examined. Eighty ‐five patients underwent LSG were enrolled in this prospective study. Serum uric acid levels, gout attacks and total water levels % derived by bioimpedance were examined pre‐operatively and 1 month post‐operatively. Hyperuricemia was identified in 30.6% pre‐operatively and in 18.82% of patie nts post‐operatively. From the patients’ group with pre‐operative hyperuricemia, 53.9% were normalized, 46.2% had increased uric ...
Source: Clinical Obesity - February 27, 2019 Category: Eating Disorders & Weight Management Authors: Georgia Katsogridaki, George Tzovaras, Eleni Sioka, Konstantinos Perivoliotis, Eleni Zachari, Dimitrios Magouliotis, Vassiliki Tasiopoulou, Dimitrios Zacharoulis Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Mental illness and obesity among Veterans undergoing percutaneous coronary intervention: Insights from the VA CART program
Mental illness and obesity are highly prevalent in patients with coronary disease and are frequently comorbid. While mental illness is an established risk factor for major adverse cardiac and cerebrovascular events (MACCEs), prior studies suggest improved outcomes in people with obesity. It is unknown if obesity and mental illness interact to affect cardiac outcomes or if they independently influence MACCE. We identified 55  091 patients undergoing percutaneous coronary intervention (PCI) between 2009 and 2014, using the Veterans Affairs (VA) Clinical Assessment Reporting and Tracking (CART) program. Cox methods wer...
Source: Clinical Obesity - February 21, 2019 Category: Eating Disorders & Weight Management Authors: Diana P. Brostow, Theodore J. Warsavage, Lauren M. Abbate, Amy J. Starosta, Lisa A. Brenner, Mary E. Plomondon, Javier A. Valle Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Continued attendance for paediatric weight management: A multicentre, qualitative study of parents' reasons and facilitators
Although prolonged engagement in paediatric weight management (PWM) is associated with positive treatment outcomes, little is currently known about enablers of long ‐term programme attendance. The purpose of our study was to explore families' reasons for and facilitators of their continued attendance at health services for PWM. Semi‐structured, individual interviews were conducted with parents of children (10‐17 year old; body mass index ≥85th percent ile) who completed the active phase of treatment in one of four Canadian multidisciplinary clinics for PWM. Interview data were recorded digitally, transcribe...
Source: Clinical Obesity - February 18, 2019 Category: Eating Disorders & Weight Management Authors: Biagina ‐Carla Farnesi, Arnaldo Perez, Nicholas L. Holt, Katherine M. Morrison, Rebecca Gokiert, Laurent Legault, Jean‐Pierre Chanoine, Arya M. Sharma, Geoff D.C. Ball Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Standard baseline data collections in obesity management clinics: A Delphi study with recommendations from an expert panel
We present the first expert panel consensus on recommendations for a minimum and standard set of baseline patient data collections in obesity managem ent services in Australia. These may be relevant to other countries with similar obesity management service models. Implementation of these recommendations should facilitate data pooling for clinical audits and research collaborations across clinics seeking to improve the quality of specialist obesi ty care. (Source: Clinical Obesity)
Source: Clinical Obesity - February 13, 2019 Category: Eating Disorders & Weight Management Authors: Divya Ramachandran, Evan Atlantis, Tania Markovic, Samantha Hocking, Timothy Gill Tags: Original Research Article Source Type: research

Sustained behaviour change in healthy eating to improve obesity outcomes: It is time to abandon willpower to appreciate wanting
The purpose of this study was to report on a nationally representative survey of the experience of Canadian adults regarding food cravings and the impact of these cravings on behaviour and quality of life. A total of 1532 respondents (16% of members of an online panel emailed an invitation and link) completed a nationally distributed survey. Almost two ‐thirds of the sample reported experiencing cravings, with women being more likely to report cravings than men. Of those with cravings, 83.1% reported moderate or strong cravings. Cravings impacted eating behaviours and quality of life, especially for those with strong cra...
Source: Clinical Obesity - February 11, 2019 Category: Eating Disorders & Weight Management Authors: Michael Vallis Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Patient perceptions of primary care providers' knowledge of bariatric surgery
As the rate of obesity continues to rise, primary care providers (PCPs) must be aware and informed of the treatment options available. Bariatric surgery is the most effective long ‐term treatment for weight loss and improvement of obesity‐related comorbidities. The aim of this study was to assess patients' perception of their PCP's opinion, support and knowledge of bariatric surgery and changes over time. In 2009 and 2015, a 27‐question survey was developed and mailed t o patients who had undergone laparoscopic Roux‐en‐Y gastric bypass (LRYGB) at our institution. Statistical analysis included chi‐square and Fis...
Source: Clinical Obesity - February 1, 2019 Category: Eating Disorders & Weight Management Authors: Kara J. Kallies, Andrew J. Borgert, Shanu N. Kothari Tags: Original Research Article Source Type: research

Psychological distress among bariatric surgery candidates: The roles of body image and emotional eating
The increased risk of psychological distress among bariatric surgery candidates may be attributed, at least in part, to body image dissatisfaction (BID). The aim of the present study was to test the hypotheses that body image could be correlated with the psychological distress variables, and that emotional eating behaviours could mediate the relationship between body image and psychological distress. A sample of consecutive participants seeking bariatric surgery (N  = 169, 67% females, mean age, 41.8 years [SD = 11.46], mean body mass index 42.0 kg/m2 [SD  = 11.0]) was recruited fr...
Source: Clinical Obesity - February 1, 2019 Category: Eating Disorders & Weight Management Authors: Shulamit Geller, Sigal Levy, Gil Goldzweig, Sami Hamdan, Anat Manor, Shiran Dahan, Eyal Rothschild, Yelena Stukalin, Subhi Abu ‐Abeid Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Profiling obesity phenotypes and trajectories in older adults of the Quebec NuAge cohort on nutrition and successful aging: A cluster analysis
Obesity in older adults results from several interacting factors. Consequently, interventions have shown mitigated effects. We determined (a) the different subgroups of older adults with obesity based on clusters of associated comorbidities and (b) the trajectory of these clusters to assess their stability over 3 years and factors contributing to transitions. Obese men (n  = 193; body mass index [BMI] = 33.15 ± 2.69 kg/m2) and women (n  = 220; BMI = 33.71 ± 3.71 kg/m2) aged between 68 and 82  years were st...
Source: Clinical Obesity - January 29, 2019 Category: Eating Disorders & Weight Management Authors: Ahmed Ghachem, Maimouna Bagna, H élène Payette, Pierrette Gaudreau, Martin Brochu, Isabelle J. Dionne Tags: Original Research Article Source Type: research

Incremental cost ‐effectiveness of evidence‐based non‐surgical weight loss strategies
Recent medical advancements have led to new modes of treatment for non ‐surgical weight loss, including several new medications. Our aim was to conduct an incremental cost‐effectiveness analysis for all commercially available, evidence‐based non‐surgical weight loss interventions for people with excess weight. We identified interventions through a systematic re view of randomized controlled trials that reported weight loss 12 months from baseline. We then meta‐analysed the results, sourced costs and performed an incremental cost‐effectiveness analysis from the payer perspective. Cost‐effectiveness was ...
Source: Clinical Obesity - January 24, 2019 Category: Eating Disorders & Weight Management Authors: Eric A. Finkelstein, Naina R. Verghese Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Obesity and hospital outcomes following traumatic injury: Associations in 9 years of patient data from a single metropolitan area
Traumatic injury is a leading cause of death and disability worldwide. Obesity may put trauma patients at risk for complications leading to negative clinical outcomes. Data on all hospital admissions due to traumatic injury in the Detroit metropolitan area between 2006 and 2014 were obtained from the Michigan State Inpatient Database. Generalized linear modelling was used to compare patients with and without obesity on three outcomes: mortality, length of hospital stay and total charges for care. Adjusting for demographics, patients with obesity had 26% longer hospitalization. Adjusting for demographics and length of stay,...
Source: Clinical Obesity - January 18, 2019 Category: Eating Disorders & Weight Management Authors: Kathryn Rock, Richard D. Hayward, Elango Edhayan Tags: Original Research Article Source Type: research

Issue Information
Clinical Obesity, Volume 9, Issue 1, February 2019. (Source: Clinical Obesity)
Source: Clinical Obesity - January 11, 2019 Category: Eating Disorders & Weight Management Tags: Issue Information Source Type: research

Evaluation of Weigh Forward: A group intervention delivered by dietitians and psychologists within a National Health Service specialist weight management service
There is limited evidence of the effectiveness of non ‐surgical interventions for severe obesity. Our aim was to evaluate a group intervention delivered by a National Health Service (NHS) specialist weight management service to contribute to the evidence base and inform the development of future services. Participants in this prospective cohort study were patients attending NHS Grampian Specialist Weight Management Services. The intervention was an interactive 12‐session group programme based on evidence‐based psychological model, with combined dietetic and psychological knowledge and support provided. The primary ou...
Source: Clinical Obesity - December 27, 2018 Category: Eating Disorders & Weight Management Authors: Helen Moffat, Fiona Campbell, Claire Donald, Pauline Insch, Sophie Little, Susan Logan, Mary McCallum Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Evaluation of spin within abstracts in obesity randomized clinical trials: A cross ‐sectional review
This is a cross ‐sectional analysis of spin in randomized controlled trial (RCT) abstracts published in top‐ranked obesity and general medicine journals. The top seven obesity and four general medicine journals were searched from 1 January 2016 to 31 December 2017. To be included in this study, a trial must be an RCT with non‐significant primary endpoint (P >  0.05), exclusively randomize subjects with overweight or obesity or have a primary endpoint of weight loss. These studies were analysed by two reviewers for spin in the abstract. The primary endpoint of our investigation was the frequency and t...
Source: Clinical Obesity - December 21, 2018 Category: Eating Disorders & Weight Management Authors: J. Austin, C. Smith, K. Natarajan, M. Som, C. Wayant, M. Vassar Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Mental health quality of life after bariatric surgery: A systematic review and meta ‐analysis of randomized clinical trials
Recent literature has raised concerns regarding the risk of adverse psychiatric events among bariatric surgery patients. However, the relationship between weight loss therapy and psychiatric outcomes is confounded by baseline psychosocial characteristics in observational studies. To understand the impact of bariatric surgery on the risk of adverse mental health outcomes, we conducted a systematic review and meta ‐analysis of randomized controlled trials that compared surgical and non‐surgical treatments and assessed mental health quality of life (QoL). We evaluated the PubMed, EMBASE, Web of Science PsycINFO,Clinicaltr...
Source: Clinical Obesity - November 20, 2018 Category: Eating Disorders & Weight Management Authors: Alejandro Szmulewicz, Kerollos N. Wanis, Ashley Gripper, Federico Angriman, Jeff Hawel, Ahmad Elnahas, Nawar A. Alkhamesi, Christopher M. Schlachta Tags: REVIEW ARTICLE Source Type: research

Health behaviours, intentions and barriers to change among obesity classes I, II and III
SummaryHealth behaviour change is a cornerstone in the management of obesity, and data on health behaviours, intentions and barriers to change would be useful to inform the development of interventions. The aim of this study was to describe these variables in individuals with obesity, and to compare obesity classes. The study obtained data from the Canadian Community Health Survey 2011 –2012 including 5614 adults with body mass index (BMI) ≥30 kg m−2. The majority of participants reported eating four or more fruits and vegetables daily (65.3% [95% confidence interval {CI}: 64.1 –66.6]), b...
Source: Clinical Obesity - November 20, 2018 Category: Eating Disorders & Weight Management Authors: A. Bastin, A. J. Romain, J. Marleau, A. Baillot Tags: Original Research Article Source Type: research

Issue Information
Clinical Obesity, Volume 8, Issue 6, Page i-iv, December 2018. (Source: Clinical Obesity)
Source: Clinical Obesity - November 8, 2018 Category: Eating Disorders & Weight Management Tags: Issue Information Source Type: research

Decreased serum neuregulin 4 levels associated with non ‐alcoholic fatty liver disease in children with obesity
Neuregulin 4 (Nrg4), a newly identified adipokine secreted by brown adipose tissue, is hypothesised to play a crucial role in metabolism. The present study aimed to evaluate the association between serum Nrg4 levels and non ‐alcoholic fatty liver disease (NAFLD) in children with obesity in China. A total of 123 children with obesity were included in this study. Anthropometric and biochemical parameters were measured in all subjects. NAFLD was diagnosed using ultrasonography. The serum levels of Nrg4, leptin and adipo nectin were measured by enzyme‐linked immunosorbent assay. NAFLD was identified in 58 children with obe...
Source: Clinical Obesity - November 8, 2018 Category: Eating Disorders & Weight Management Authors: Ran Wang, Fan Yang, Li Qing, Rong Huang, Qianqi Liu, Xiaonan Li Tags: Original Research Article Source Type: research

Factors influencing medical student self ‐competence to provide weight management services
Clinical Obesity, EarlyView. (Source: Clinical Obesity)
Source: Clinical Obesity - October 25, 2018 Category: Eating Disorders & Weight Management Authors: R. S. Doshi, K. A. Gudzune, L. N. Dyrbye, J. F. Dovidio, S. E. Burke, R. O. White, S. Perry, M. Yeazel, M. van Ryn, S. M. Phelan Source Type: research

Women's perceptions of body mass index
Clinical Obesity, EarlyView. (Source: Clinical Obesity)
Source: Clinical Obesity - October 10, 2018 Category: Eating Disorders & Weight Management Authors: C. P. Holliday, N. P. Holliday, M. Mulekar Source Type: research

Unrecognized pregnancy prior to bariatric surgery: case report and review of implications
Clinical Obesity, EarlyView. (Source: Clinical Obesity)
Source: Clinical Obesity - October 5, 2018 Category: Eating Disorders & Weight Management Authors: P. Rye, R. Modi, A. M. Sharma Source Type: research