Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/29356
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Exploring the evidence base for Tier 3 weight management interventions for adults: a systematic review: Multidisciplinary adult weight management
Author(s): Brown, Tamara J
O'Malley, Claire
Blackshaw, Jamie
Coulton, Vicki
Tedstone, Alison
Summerbell, Carolyn
Ells, Louisa J
Contact Email: t.j.brown@stir.ac.uk
Keywords: Adult
multidisciplinary
Tier 3
treatment
Issue Date: Oct-2017
Citation: Brown TJ, O'Malley C, Blackshaw J, Coulton V, Tedstone A, Summerbell C & Ells LJ (2017) Exploring the evidence base for Tier 3 weight management interventions for adults: a systematic review: Multidisciplinary adult weight management. Clinical Obesity, 7 (5), pp. 260-272. https://doi.org/10.1111/cob.12204
Abstract: Specialist weight management services provide a treatment option for severe obesity. The objective of the study is to review the characteristics, impact and practice implications of specialist weight management services for adults in the UK. Systematic review: EMBASE, MEDLINE and PsycINFO were searched from January 2005 to March 2016 with supplementary searches. Adults with a body mass index of ≥40 kg m−2, or ≥35 kg m−2 with comorbidity or ≥30 kg m−2 with type 2 diabetes and any study of multicomponent interventions, in any UK or Ireland setting, delivered by a specialist multidisciplinary team are the inclusion criteria. Fourteen studies in a variety of settings were included: 1 randomized controlled trial, 3 controlled and 10 observational studies. Mean baseline body mass index and age ranged from 40 to 54 kg m−2 and from 40 to 58 years. The studies were heterogeneous making comparisons of service characteristics difficult. Multidisciplinary team composition and eligibility criteria varied; dropout rates were high (43–62%). Statistically significant reduction in mean body mass index over time ranged from −1.4 to −3.1 kg m−2 and mean weight changes ranged from −2.2 to −12.4 kg. Completers achieving at least 5% reduction of initial body weight ranged from 32 to 51%. There was evidence for improved outcomes in diabetics. Specialist weight management services can demonstrate clinically significant weight loss and have an important role in supporting adults to manage severe and often complex forms of obesity. This review highlights important variations in provision and strongly indicates the need for further research into effective approaches to support severely obese adults.
DOI Link: 10.1111/cob.12204
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.

Files in This Item:
File Description SizeFormat 
Brown_et_al-2017-Clinical_Obesity (1).pdfFulltext - Published Version245 kBAdobe PDFUnder Permanent Embargo    Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependent on the depositor still being contactable at their original email address.



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.