Challenges and solutions to sustaining paediatric weight management programs in the United States
SummaryPaediatric weight management (PWM) programs in the United States (US) face challenges in providing sustainable multidisciplinary care for patients. The aim of this study was to report PWM program approaches to sustaining program delivery. A survey of 39 PWM programs was administered to identify challenges and solutions to program sustainability. Common and useful strategies for optimizing reimbursement for services included the use of applicable reimbursable diagnostic codes and management, billing for assessments and non-medical personnel services, and the use of hospital outpatient department clinic billing. Incre...
Source: Clinical Obesity - January 12, 2023 Category: Eating Disorders & Weight Management Authors: Amy L. Christison,
Adolfo J. Ariza,
Cristina Fernandez,
Seema Kumar,
Marsha B. Novick,
Melissa Santos,
William B. Stratbucker,
Brooke R. Sweeney,
Alaina Vidmar,
Shelley Kirk Tags: ORIGINAL RESEARCH Source Type: research
Weight regain and mental health outcomes following behavioural weight management programmes: A systematic review with meta ‐analyses
SummaryBehavioural weight management programmes (BWMPs) lead to weight loss but subsequent weight regain may harm mental health outcomes. We searched for randomised trials of BWMPs in adults with overweight/obesity with follow-up ≥12 months from baseline that measured weight change both at and after programme-end. We included only studies reporting mental health at or after programme-end. We meta-analysed changes in various mental health outcomes using a random-effects model by nature of the comparator group and by time since programme end. Subgroup analysis explored heterogeneity. We used mixed models and meta-regress...
Source: Clinical Obesity - January 10, 2023 Category: Eating Disorders & Weight Management Authors: Annika Theodoulou,
Jamie Hartmann ‐Boyce,
Jordan Gorenberg,
Jason L. Oke,
Ailsa R. Butler,
Anastasios Bastounis,
Susan A. Jebb,
Paul Aveyard Tags: ORIGINAL RESEARCH Source Type: research
Incidence of self ‐harm after bariatric surgery: A nationwide registry‐based matched cohort study
SummaryThe aims of this study were to evaluate the longitudinal risk of self-harm and the risk factors for self-harm after bariatric surgery in patients and control subjects without prior self-harm. This observational cohort study was based on prospectively registered data. Patients 18 –70 years at time of surgery, body mass index (BMI)> 30 kg/m2, who underwent a primary Roux-en-Y gastric bypass (RYGB) procedure or a primary sleeve gastrectomy between 2007 and 2019 were considered for inclusion. All patients who met the inclusion criteria were matched 1:10 to the general population in Sweden (69 492 patients...
Source: Clinical Obesity - January 7, 2023 Category: Eating Disorders & Weight Management Authors: Karuna Dahlberg,
Maria Jaensson,
Yang Cao,
Erik N äslund,
Erik Stenberg Tags: ORIGINAL RESEARCH Source Type: research
Use of behavioural change taxonomies in systematic reviews and meta ‐analyses regarding obesity management
SummaryWe investigated the prevalence of behavioural change taxonomies in systematic reviews and meta-analyses related to obesity management. In addition, we analysed the funding sources, author conflicts of interest statements, risk of bias, and favorability of the results in such studies to determine if there was a relationship between methodological quality and taxonomy use. We searched several databases including MEDLINE, Epistemonikos, Cochrane EDSR, Pubmed and Embase for systematic reviews and meta-analyses regarding the behavioural treatment of obesity. Screening and data extraction was performed in a masked, duplic...
Source: Clinical Obesity - December 15, 2022 Category: Eating Disorders & Weight Management Authors: Ochije Okonya,
Bilal Siddiqui,
David George,
Colony Fugate,
Micah Hartwell,
Matt Vassar Tags: ORIGINAL RESEARCH Source Type: research
Early childhood exposure to maternal smoking and obesity: A nationwide longitudinal survey in Japan
This study utilized a nationwide, population-based longitudinal survey. The participants were restricted to 32 081 children who had available information on maternal smoking history as well as childhood height and weight. We conducted a binomial log–linear regression analysis with children of non-smoking mothers as the reference group. The children with mothers who were smokers had a higher risk of deve loping obesity or being overweight compared to the children with mothers who were nonsmokers. The risk ratios were 1.20 (95% confidence interval [CI]: 1.09–1.32) for overweight and 1.17 (95% CI: 0.95–1.44) for obes...
Source: Clinical Obesity - December 13, 2022 Category: Eating Disorders & Weight Management Authors: Miho Yamashita,
Takashi Yorifuji,
Naomi Matsumoto,
Toshihide Kubo,
Hirokazu Tsukahara Tags: ORIGINAL RESEARCH Source Type: research
Using the BODY ‐Q to develop a prospective cohort of patients undergoing bariatric and body contouring surgery: A study protocol
This study will be a multicentre, prospective longitudinal cohort study with participation of three bariatric medical centres in the Netherlands. The BODY-Q will be used to measure the satisfaction with appearance and HRQL. Patients undergoing bariatric surgery, age>18 years and<65 years and who are able to read and understand Dutch can be included. All bariatric procedures are eligible for inclusion. Administration of the questionnaires will be done preoperatively for bariatric and body contouring surgery as well as at 3, 12, 24, 36, 48 and 60 months post-operatively. Pa tient-reported outcomes measurements ...
Source: Clinical Obesity - December 6, 2022 Category: Eating Disorders & Weight Management Authors: Annewiek Grift,
Claire Vries,
Valerie Monpellier,
Dennis Makarawung,
Christel Raaff,
Leontien Nijland,
Aebele Mink van der Molen,
Rene Wiezer,
Bart Wagensveld,
Ruben Veen,
Steve Castro,
Joyce Florisson,
Maarten Hoogbergen Tags: ORIGINAL RESEARCH Source Type: research
The impact of Allied Health Professionals on the primary and secondary prevention of obesity in young children: A scoping review
SummaryAllied Health Professionals (AHPs) have the capacity to promote healthy behaviours in young children through routine ‘contact points’, as well as structured weight management programmes. This scoping review aims to evaluate the impact of AHPs in the prevention of obesity in young children. Databases were searched for relevant evidence between 1st January 2000 and 17th January 2022. Eligibility criteria include d primary evidence (including, but not limited to; randomized controlled trials, observational studies, service evaluations) evaluating the impact of AHPs on the primary and secondary prevention of obesity...
Source: Clinical Obesity - December 1, 2022 Category: Eating Disorders & Weight Management Authors: Alex Griffiths,
Rob Brooks,
Rebecca Haythorne,
Gill Kelly,
Jamie Matu,
Tamara Brown,
Kanar Ahmed,
Linda Hindle,
Louisa Ells Tags: REVIEW Source Type: research
Overlooked and under ‐evidenced: Community health and long‐term care service needs, utilization, and costs incurred by people with severe obesity
This study provides a framework with which to inform service provision and economic analysis of weight management interventions. People with severe obesity may need sustained care from multiple community care services. (Source: Clinical Obesity)
Source: Clinical Obesity - November 30, 2022 Category: Eating Disorders & Weight Management Authors: Kath Williamson,
David N. Blane,
Eleanor Grieve,
Michael E. J. Lean Tags: ORIGINAL RESEARCH Source Type: research
Bariatric surgery and weight loss in the short ‐ and long‐term: Evidence from NHANES 2015–2018
SummaryThe present study aimed to examine short- and long-term weight change in a nationally representative sample of US adults who reportedly underwent bariatric surgery. Individuals aged 20 –64 at survey from the US National Health and Nutrition Examination Survey 2015–2018 were included in the analyses (n = 6776). The primary comparison groups include 62 participants who underwent bariatric surgery, 1531 eligible but did not receive surgery, and 5183 not eligible for bariatric surgery. After adjusting for demographic characteristics and comorbidity, adults who reported receiving bariatric surgery were 5.0 times (...
Source: Clinical Obesity - November 29, 2022 Category: Eating Disorders & Weight Management Authors: Wubin Xie,
Stephen S. Johnston,
Jason R. Waggoner,
Ishita D. Doshi,
Andrew C. Stokes Tags: ORIGINAL RESEARCH Source Type: research
Adipocytokine plasma concentrations reflect influence of inflammation but not body mass index (BMI) on clinical outcomes of COVID ‐19 patients: A prospective observational study from the Netherlands
In conclusion, leptin and adiponectin are associated with BMI, but not with clinical outcomes and inflammation in COVID-19 patients. In contrast, resistin is not associated with BMI, but high concentrations are associat ed with worse clinical outcomes and more pronounced inflammation. Therefore, it is unlikely that BMI-related adipocytokines or differences in the inflammatory response underlie obesity as a risk factor for severe COVID-19. (Source: Clinical Obesity)
Source: Clinical Obesity - November 26, 2022 Category: Eating Disorders & Weight Management Authors: Aline H. Nooijer,
Emma J. Kooistra,
Inge Grondman,
Nico A. F. Janssen,
Leo A. B. Joosten,
Frank L. Veerdonk,
Matthijs Kox,
Peter Pickkers,
Mihai G. Netea, on behalf of the RCI ‐COVID‐19 study group Tags: ORIGINAL RESEARCH Source Type: research
The relationship of body image and weight: A cross ‐sectional observational study of a Dutch female sample
The objective of this study was to assess body image in different weight groups. Participants reported satisfaction with (AE) and investment in (AO) appearance, and the discrepancy between current and ideal body size (BS). These scores were compared between weight groups based on body-mass index (BMI) using analysis of variance. One-samplet-tests and Cohen'sd effect sizes examined the magnitude of differences within each weight group relative to neutral midpoints of the scales; cluster analysis identified body image profiles. A total of 27 896 women were included in this study. AE scores were highest for people with und...
Source: Clinical Obesity - November 24, 2022 Category: Eating Disorders & Weight Management Authors: Dennis J. S. Makarawung,
Mijke J. Boers,
Femke Brink,
Valerie M. Monpellier,
Liesbeth Woertman,
Aebele B. Mink van der Molen,
Rinie Geenen Tags: ORIGINAL RESEARCH Source Type: research
Is adiposity related to repeat measures of blood leukocyte DNA methylation across childhood and adolescence?
SummaryEpigenetic modifications such as DNA methylation may influence gene expression and phenotypes, including obesity in childhood. The directionality of this relationship is nevertheless unclear, and some evidence suggests that adiposity modifies the epigenome, rather than the other way around. In this pilot study, we utilize data from the Early Life Exposures in Mexico to Environmental Toxicants (ELEMENT) study to examine whether measures of adiposity in childhood and early adolescence are associated with repeated measures of blood leukocyte DNA methylation at LINE-1 repetitive elements and two genes implicated in grow...
Source: Clinical Obesity - November 23, 2022 Category: Eating Disorders & Weight Management Authors: Yue Wu,
Luke Montrose,
Joseph K. Kochmanski,
Dana C. Dolinoy,
Martha M. T éllez‐Rojo,
Alejandra Cantoral,
Adriana Mercado‐García,
Karen E. Peterson,
Jaclyn M. Goodrich Tags: ORIGINAL RESEARCH Source Type: research
Targeted dietary approaches for the management of obesity and severe obesity in children and adolescents: A systematic review and meta ‐analysis
SummaryThere is a need for a detailed understanding of effective dietary interventions for children with obesity. This systematic review examined the effectiveness of diets of varying energy content as a component of weight treatment in children and adolescents with obesity, severe obesity and obesity-related comorbidity. A systematic search of six databases, from 2000 to 2021, for intervention studies of targeted dietary treatment for obesity in children aged 2 –18 years identified 125 studies. Dietary interventions were grouped according to diet type and energy target. Risk of bias was assessed using the Effective Pu...
Source: Clinical Obesity - November 18, 2022 Category: Eating Disorders & Weight Management Authors: Faye Southcombe,
Fang Lin,
Slavica Krstic,
Kyra A. Sim,
Sarah Dennis,
Raghu Lingam,
Elizabeth Denney ‐Wilson Tags: REVIEW ARTICLE Source Type: research
Validation of a Greek adaptation of the Anti ‐Fat Attitudes Questionnaire
SummaryThe Anti-Fat Attitudes Questionnaire (AFA) measures prejudicial attitudes that are held about individuals with overweight BMI or obesity. Despite increased interest in research on anti-fat attitudes worldwide, the psychometric properties of the AFA have rarely been examined in non-English speaking populations. The present study aimed to address this gap in the literature by translating and validating the AFA in the Greek language. An online, community-based sample of 642 individuals (364 women) responded to the Greek translation of the AFA and measures of appearance satisfaction and appreciation, disordered eating, ...
Source: Clinical Obesity - November 17, 2022 Category: Eating Disorders & Weight Management Authors: Marios Argyrides,
Elly Anastasiades,
Zoe Charalambous,
Katerina Michael Tags: ORIGINAL RESEARCH Source Type: research
Obesity, lifestyle behaviours and psychological effects of the COVID ‐19 lockdown: A survey of patients attending a tertiary weight loss clinic
This study aimed to explore whether health and lifestyle behaviours changed during the 2020 COVID-19 lockdown among patients with obesity. A specifically designed online survey and the Depression Anxiety Stress Scale (DASS-21) were administered to patients scheduled to attend a tertiary weight management service between 6 June –12 August 2020. A total of 210 participants completed the survey; mean age (SD) was 52.1 (12.5) years, 69% female and 67% Caucasian. Only 1.4% had tested positive to COVID-19. There was a statistically significant increase in weight pre- and post-COVID-19 lockdown, with no sex differences. Most ( ...
Source: Clinical Obesity - November 13, 2022 Category: Eating Disorders & Weight Management Authors: Janet Franklin,
Kyra A. Sim,
Jessica M. Swinbourne,
Gabrielle Maston,
Elisia Manson,
Hannah Nelthorpe,
Tania Markovic,
Samantha Hocking Tags: ORIGINAL RESEARCH Source Type: research
