Is the NHS low ‐calorie diet programme delivered as planned? An observational study examining adherence of intervention delivery to service specification
This study aimed to determine the extent to which providers and coaches adhered to the service specification outlined by NHS England. An observational qualitative study was conducted to examine the delivery of both one-to-one and group-based delivery of programme sessions. Observations of 122 sessions across eight programme delivery samples and two service providers were completed. Adherence to the service specification was stronger for those outcomes that were easily measurable, such as weight and blood glucose, while less tangible elements of the specification, such as empowering service users, and person-centred deliver...
Source: Clinical Obesity - March 3, 2024 Category: Eating Disorders & Weight Management Authors: Jordan Marwood,
Karina Kinsella,
Catherine Homer,
Kevin J. Drew,
Tamara Brown,
Tamla S. Evans,
Pooja Dhir,
Charlotte Freeman,
Susan Jones,
Chirag Bakhai,
Louisa J. Ells Tags: ORIGINAL RESEARCH Source Type: research
The need for standardized perioperative care for patients undergoing bariatric and metabolic surgery in the United Kingdom
This study aims to survey the level of consistency in patient care undergoing BMS. Bariatric nurse specialists from 30 bariatric units completed an anonymised, online survey from 21 December 2022 to 21 February 2023. Most units (77%) have implemented a premade postoperative care bundle protocol including predetermined timing of oral intake (77%) and postoperative day 1 bloods (60%). 63% of units have also established pre-set analgesia and anti-emetic bundles. Date of discharge is variable, ranging from 1 day after surgery (50%) to a ‘two night stay’ protocol (33%) to within 4 days after surgery (17%). Most follow-up ...
Source: Clinical Obesity - March 1, 2024 Category: Eating Disorders & Weight Management Authors: Shiela Lee,
Michael Courtney Tags: ORIGINAL RESEARCH Source Type: research
Obstructive sleep apnoea in obesity: A review
SummaryObstructive sleep apnea is a common comorbidity that occurs in individuals with obesity. It classically manifests with excessive daytime sleepiness, resulting in reduced quality of life, workplace productivity, and an increased risk of motor vehicle accidents. Weight gain plays an important role in its pathogenesis through worsening upper airway collapsibility, and current treatment options are targeted towards mechanically overcoming upper airway obstruction and weight loss. Continuous positive airway pressure therapy remains the most widely prescribed treatment for obstructive sleep apnea but poor tolerance is a c...
Source: Clinical Obesity - February 29, 2024 Category: Eating Disorders & Weight Management Authors: Jian E. Tai,
Craig L. Phillips,
Brendon J. Yee,
Ronald R. Grunstein Tags: REVIEW Source Type: research
Treatment of childhood obesity based on the reduction of ultra ‐processed foods plus energy restriction: A randomised controlled trial based on the Brazilian guidelines
This study aimed to compare an intervention based on the reduction of UPF, according to the Dietary Guideline for the Brazilian Population (DGBP), with and without advice on energy intake. A parallel and randomised controlled trial was carried out with children with obesity from 7 to 12 years old. Both control (CG) and intervention groups (IG) participated monthly in 6 standardised educational activities based on the 10 steps of the DGBP. An individualised food plan was also provided to the IG. The rate of change for body mass index (BMI), waist circumference, body weight, and U PF consumption were investigated based on...
Source: Clinical Obesity - February 25, 2024 Category: Eating Disorders & Weight Management Authors: Joana Maia Brand ão,
Rosely Sichieri,
Vitor Barreto Paravidino,
Simone Augusta Ribas,
Diana Barbosa Cunha Tags: ORIGINAL RESEARCH Source Type: research
Correlation between neck circumference and hepatic steatosis determined by controlled attenuation parameter
SummaryNeck circumference is an attractive method for determining metabolic profiles and has many advantages over waist circumference. However, the correlation between neck circumference and hepatic fibrosis has not been evaluated. The aim of this study was to evaluate the correlation between neck circumference and hepatic fibrosis and define the optimal cut-off point for neck circumference to determine hepatic fibrosis. A cross-sectional study (n = 333) was conducted among Thai healthcare workers at Phramongkutklao Hospital who received an annual health maintenance program. Neck circumference was measured at the lower...
Source: Clinical Obesity - February 17, 2024 Category: Eating Disorders & Weight Management Authors: Sakkarin Chirapongsathorn,
Pakapop Jinatongthai,
Sudatip Sirichana,
Apussanee Boonyavarakul,
Sombat Treeprasertsuk,
Nakarin Sansanayudh Tags: ORIGINAL RESEARCH Source Type: research
Impact of COVID ‐19 pandemic on sleep parameters and characteristics in individuals living with overweight and obesity
This study assessed the impact of the COVID-19 lockdown on sleep duration and quality as well as identify predictors of poor sleep quality in individuals with reported diagnoses of obstructive sleep apnoea and those without sleep apnoea. An online survey (June –October 2020) was conducted with two samples; one representative of Canadians living with overweight and obesity (n = 1089) and a second of individuals recruited through obesity clinical services or patient organisations (n = 980). While overall sleep duration did not decline much, there were identifiable groups with reduced or increased sleep. Those with ...
Source: Clinical Obesity - February 13, 2024 Category: Eating Disorders & Weight Management Authors: Stephen A. Glazer,
Michael Vallis Tags: ORIGINAL RESEARCH Source Type: research
The double burden: Navigating type 1 diabetes and obesity
(Source: Clinical Obesity)
Source: Clinical Obesity - February 10, 2024 Category: Eating Disorders & Weight Management Authors: Nele Steenackers,
Alix Nessa Feldman,
Chantal Mathieu,
Jonathan Rosen,
Jeannette Soderberg,
Ebaa Al ‐Ozairi,
Carel W. le Roux,
Bart Van der Schueren Tags: CORRESPONDENCE Source Type: research
ACTION APAC: Understanding perceptions, attitudes and behaviours in obesity and its management across south and Southeast Asia
SummaryTo identify perceptions and attitudes among people with obesity (PwO) and healthcare professionals (HCPs) toward obesity and its management in nine Asia-Pacific (APAC) countries, a cross-sectional online survey was conducted among adult PwO with self-reported body mass index of ≥25 kg/m2 ( ≥27 kg/m2, Singapore), and HCPs involved in direct patient care. In total, 10 429 PwO and 1901 HCPs completed the survey. Most PwO (68%) and HCPs (84%) agreed that obesity is a disease; however, a significant proportion of PwO (63%) and HCPs (41%) believed weight loss was the complete responsibility of PwO and only 43% ...
Source: Clinical Obesity - February 9, 2024 Category: Eating Disorders & Weight Management Authors: Kwang Wei Tham,
Asma Ahmed,
Apussanee Boonyavarakul,
Mariana Mercado Garcia,
Miroslava Guajardo,
Zubaidah Nor Hanipah,
Tran Quang Nam,
Nemencio A. Nicodemus Jr.,
Faruque Pathan,
Jack Garcia Uranga Romano,
Sidartawan Soegonda,
Edgardo L. Tolenti Tags: ORIGINAL RESEARCH Source Type: research
Defining success in adult obesity management: A systematic review and framework synthesis of clinical practice guidelines
SummaryObesity is a chronic and complex disease affecting millions of people worldwide. Currently, there is no standard definition of success for the management of obesity. We set out to complete a synthesis of clinical practice guidelines for obesity management for adult populations, aiming to provide both a quantitative descriptive and qualitative analysis of definitions of success in clinical practice guidelines. An electronic search retrieved 4477 references. Sixteen clinical practice guidelines were included after screening and full-text review. We coded definitions of success 147 times across the included guidelines....
Source: Clinical Obesity - February 7, 2024 Category: Eating Disorders & Weight Management Authors: Nicole Juul ‐Hindsgaul,
Zahra Alalwani,
Anne‐Marie Boylan,
Jamie Hartmann‐Boyce,
David Nunan Tags: ORIGINAL RESEARCH Source Type: research
‘Surgery is my only hope’: A qualitative study exploring perceptions of living with obesity and the prospect of having bariatric surgery
SummaryThe health benefits of bariatric surgery are well documented; however, the occurrence of weight-regain after surgery, along with the development of mental health difficulties poses a question of how contemporary psychology could assist to prepare people living with obesity prior to undergoing bariatric surgery. This research explored individuals' (in the immediate pre-operative and post-operative population) attitudes, beliefs and experiences towards obesity and their journey to bariatric surgery. Seventeen adult participants (malesn = 4; age range: 26–64 years) were recruited and participated in a semi-stru...
Source: Clinical Obesity - February 2, 2024 Category: Eating Disorders & Weight Management Authors: Rebecca Keyte,
Michail Mantzios,
Misba Hussain,
Abd A. Tahrani,
Sally Abbott,
Rachel Strachan,
Rishi Singhal,
Helen Egan Tags: ORIGINAL RESEARCH Source Type: research
Exploring potential reach and representativeness of a self ‐weighing weight gain prevention intervention in adults with overweight and obesity
SummaryMost adults with obesity do not enrol in comprehensive weight loss interventions when offered. For these individuals, lower burden self-weighing interventions may offer an acceptable alternative, though data is lacking on the potential for reach and representativeness of such interventions. Health system patients with BMI ≥30 kg/m2 (or 25 –30 kg/m2 with an obesity comorbidity) completed a general health survey. During the survey, patients were given information about comprehensive weight loss interventions. If they denied interest or did not enrol in a comprehensive intervention, they were offered enrolmen...
Source: Clinical Obesity - February 2, 2024 Category: Eating Disorders & Weight Management Authors: Kellie B. Scotti,
Melinda Rajoria,
Montserrat Carrera Seoane,
Kathryn M. Ross,
Sofia Muenyi,
Megan A. McVay Tags: ORIGINAL RESEARCH Source Type: research
The role of glucagon ‐like peptide 1 receptor agonists for weight control in individuals with acquired hypothalamic obesity—A systematic review
SummaryHypothalamic obesity does not respond well to conventional interventions for obesity. GLP-1 receptor agonists have mechanisms independent of the hypothalamus which may be potentially beneficial for managing hypothalamic obesity. This systematic review summarizes the efficacy and safety of GLP-1 receptor agonists use in hypothalamic obesity. A PRISMA-compliant systematic review was performed. Data was extracted from included studies and analysed based on change in weight, body mass index, glycaemic control, satiety, and safety profile with GLP-1 receptor agonist use. Ten studies comprising 5 case reports, 4 case seri...
Source: Clinical Obesity - January 26, 2024 Category: Eating Disorders & Weight Management Authors: Victoria Wen Wei Ng,
Gheslynn Gerard,
Jonathan Jin Kai Koh,
Kah Yin Loke,
Yung Seng Lee,
Nicholas Beng Hui Ng Tags: ORIGINAL RESEARCH Source Type: research
Long ‐term changes in lung function after Roux‐en‐Y gastric bypass in patients with severe obesity
SummaryObesity can decrease the lung function. The proposed mechanisms of reduced lung function in persons with obesity have been altered mechanical properties in the lung and chest wall, airway narrowing and increased respiratory resistance. The aim of this current study was to analyse the long-term results after gastric bypass surgery in patients with reduced lung function. The bariatric surgery observation study invited patients to a follow up 10 years after gastric bypass surgery. We compared the spirometry results before surgery to the spirometry 10 years after surgery. Thirty percent of 198 participants had redu...
Source: Clinical Obesity - January 19, 2024 Category: Eating Disorders & Weight Management Authors: Kjetil Roth,
Maria St øle,
Ingvild Vadseth,
Eivind Ottersen Samstad,
Jorunn Sandvik,
Dag Arne Lihaug Hoff Tags: ORIGINAL RESEARCH Source Type: research
Review of impacts of using body mass index as a screening tool in school children: A scoping review
SummaryBody mass index (BMI) is used to screen for under- or overweight. However, it is unknown whether BMI-screening in school children reduces the incidence of overweight and obesity. We aimed to summarise the knowledge on positive and negative consequences on BMI and weight-related perceptions and behaviours of BMI-screening followed by an intervention to prevent and/or address obesity. We performed a systematic literature search, April 2023, using the PubMed, ScienceDirect and Google Scholar databases. We included randomised controlled trials and observational studies, including children aged 6 to 18 years and exami...
Source: Clinical Obesity - January 11, 2024 Category: Eating Disorders & Weight Management Authors: Bj örk Sigurðardóttir,
Sigrid Bjerge Gribsholt,
Lise Geisler Bjerregaard,
Jens Meldgaard Bruun Tags: REVIEW Source Type: research
Issue Information
(Source: Clinical Obesity)
Source: Clinical Obesity - January 9, 2024 Category: Eating Disorders & Weight Management Tags: ISSUE INFORMATION Source Type: research
