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 Retrieval S...
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 not re...
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/body ...
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 women gained weight ...
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 the las...
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 with...
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 most commonly used self‐reported weight...
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 were the physicia...
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 associated wi...
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 combined the sa...
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
