Weight Loss Information logo

Obesity Treatment Study - UK
Approach to Obesity Management
Weight Loss Information - Weight Reduction Advice

Obesity Treatment Study - UK

Obesity Treatment Study Background
The National Audit Office (2001) reported that - within the NHS - the majority of activity intended to treat obesity takes place in primary care. They also reported a lack of 'buy in' on behalf of GPs and recommended that weight management activities needed to be undertaken more consistently. In addition, primary care teams themselves identified the need for more information about effective interventions and resources to use with patients (National Audit Office, 2001). A recent systematic review identified the need to investigate educational methods that encourage health care workers to improve delivery of weight management to their patients (Harvey et al., 1999).

Obesity Treatment Study Subjects
This cluster randomised controlled trial assessed the effectiveness of a training program (the intervention) intended to improve the management of obesity, delivered by dietitians to general practice teams (unit of randomisation). 44 practices in the North East of England were recruited to the trial. Practice staff asked consecutive adult patients (Body Mass Index [BMI] ³ 30; aged 16-64) to participate, as they consulted over a 6-month recruitment phase and prior to randomisation.

Obesity Treatment Study Method
The training program offered a model approach to obesity treatment, incorporating best evidence, and judged brief enough to be implemented in primary care. The model advocated prescription of a moderate energy deficit diet and exercise. Practitioners were encouraged to see patients regularly (about every 2 weeks) until they had lost 5 percent of their original body weight and then less regularly (about every 1 to 2 months) for weight maintenance.

The primary outcome measure was difference in weight between patients from intervention and control arms at one-year post intervention. Secondary outcome measures included: difference in weight at 3 and 18 months, change in practitioner knowledge of obesity management, and change in practitioner behaviour in obesity management consultations.

Obesity Treatment Results
44 (100 percent) practices completed the trial and 840 subjects were randomised, with 564 patients (67 percent) providing follow-up at 1 year post-intervention. Adequate balance of baseline characteristics was attained for both patient (weight, BMI, age, sex) and practice (size of practice, presence of a dietetic service, socioeconomic status of practice site) characteristics. No difference in weight was observed between intervention and control patients at 12, 3 or 18 months. Some evidence of change to practitioner knowledge and behaviour was observed.

Obesity Treatment Study Conclusion
General practices participating in this trial were likely to be a motivated subset of primary care and similarly, patients opting to join the trial might be expected to be more interested in weight loss. The training program was well accepted and attended, however, it had no effect on the target patient level outcome measure - patient weight. The level of implementation of the weight management model being promoted was low. This study raises questions about the ability and motivation of UK primary care teams to manage obesity in routine clinical practice, within current resources for service delivery.

1. National Audit Office. (2001) Tackling Obesity in England. Report by the Comptroller and Auditor General. The Stationery Office, London. www.nao.gov.uk.
2. Harvey EL, Glenny AM, Kirk SFL, Summerbell CD. (1999) A systematic review of interventions to improve health professionals' management of obesity. International Journal of Obesity 23:1213-1222

Obesity Help

Short Articles About Obesity and Overweight

Obesity Levels - Obesity Causes - Obesity & Weight Loss - Obesity & Gallstones - Genes - Gender - Types of Obesity Treatment - Exercise Counseling - Diet Counseling - Risk Factor for Cancer - Risk Factor for Diabetes - Risk Factor for Heart Disease - Obesity: A Major Health Risk - Does Obesity Increase the Risk of Premature Death - Syndrome X & Obesity - Rise of Obesity and Diabetes - Does Overweight Shorten Life? - Obesity & Risk of Premature Death - Obesity, BMI and Premature Death - Fitness, Obesity and Lifespan - Weight Loss Health Benefits - Benefits of Weight Loss - Obesity and Surgical Operations - Obesity Health Dangers for Children - Obesity & Colon Cancer - Health vs. Weight Loss - Body Fat & Cancer - Obesity, Weight Loss & Immune Function - Weight Loss & Sleep Apnea - Glycemic Index & Obesity - Health, Weight & Obesity

Obesity & Weight Loss Links

Abdominal Obesity Men - Anti-Obesity Drugs UK - Binge-Eating Obese Children - Body Weight Perception - Body Weight Religion - Cardio-Fitness Weight - Cardiovascular Risk Weight Loss - Weight Change Causes - Child Obesity School Programs - Child Obesity Treatment Programs - Child Obesity Weight Loss Camps - Defining Childhood Obesity (BMI) - Childhood Obesity Studies - Childhood Obesity UK - Psychological Consequences Child Obesity - Consequences Childhood Obesity - Diabetes Prevention Weight Loss - ietary Fat & Obesity - Dieting Weight Loss - Diets & Weight Loss Study - Eating Inventory Weight Loss - Ephedra Caffeine Weight Loss - Exercise Energy Intake - Child Obesity Family - Fat Carbs Protein & Weight Loss - Fat Reduction Weight Loss - Glycemic Index Carbs Weight Control - Weight Loss Goal - Hormones Obesity Weight Loss - Hypnotherapy Weight Loss - Long Term Weight Loss Program - Low Calorie Diets Obesity - Weight Loss Low Sucrose Diets - Management of Obesity Dietitians - Obesity in Children Diet - Obesity Children - Obesity Costs - Obesity Diet Children - Obesity Genetic Environmental - Obesity, Health and Weight Loss - Obesity Management Program - Obesity Nurses - Obesity Program Weight Loss - Obesity Treatment UK Study - Obesity Weight Change - Obesity Weight Management Israel - Olibra Fat Satiety - Oxygen Exercise Weight Women - Predictors Weight Change Men - Recalled Weight Measured Weight - Respiratory Quotient Weight Loss - Smoking Weight Loss - Surgical Treatment Obesity - Teenage Obesity Breast Cancer - Waist Circumference Weight - Walking Weight Loss - Weight Change Middle Age - Weight Changes Obese Men - Weight Changes - Weight Control Ideal Weight - Weight Gain Americans - Weight Gain Obesity Diabetes - Weight Gain Study - Weight Gains and Losses - Children's Weight Loss Camps - Weight Loss Energy - Weight Loss Exercise Trial - Weight Loss Expectations - Weight Loss Body Fat - Weight Loss Health Program UK - Weight Loss Lifestyle Study - Weight Loss Maintenance - Weight Loss Motivation - Weight Loss Obese Men - Weight Loss Obesity Drugs UK - Weight Loss Program Samoa - Weight Loss Strategies Adults - Weight Loss Program Slovenia - Weight Loss Treatments - Weight Loss and Twins - Weight Loss Weight Control - Weight Maintenance Obesity - Weight Maintenance Women - Weight Management Diet - Weight Management Slimming Program - Weight Management Program UK - Weight Management Study UK - Weight Resistance Training - Postpartum Weight Retention - Weight WatchersWeight Loss - Weight Loss Women


Weight Loss Information - Rapid Weight Loss - Diet Program - How to Lose Weight - Best Weight Loss Goals
Weight Loss Advice - Healthy Balanced Diet - Body Fat Percentage - Diets & Weight Loss Programs
Information on Weight Loss Diets - How to Reduce Weight - Weight Management - Weight Loss Surgery Information
Weight Loss Surgery Benefits/Risks - Weight Loss Drugs Advice - Weight Loss Pills / Weight Loss Pills Information
Xenical Weight Loss Drugs - Meridia/Sibutramine Pills - Guide to Diet Pills - Calorie Needs - Weight Loss Supplements
How to Control Weight - Body Mass Index Calculator - Exercise & Fitness to Lose Weight - Weight Health Issues - Obesity
Treatment of Obesity - Advice About Weight Loss - Questions on Weight Loss & Diet - Weight Loss Advice for Women
Weight Loss Advice for Diabetics - Weight Loss Advice for Teenagers - Weight Loss Advice for Adolescents
Diet & Weight Information - Weight Loss Support - Obesity Drug Treatment - Obesity & Gallstones - How to Lower Cholesterol
Dietary Guidelines - Protein, Carbs & Diet - Carbohydrates & Weight Loss - Weight Gain at College
Weight Gain After Quit Smoking - Weight Control in Menopause - Weight Gain in Pregnancy - Weight Control in Pregnancy
Weight Loss Breast-Feeding - Healthy Weight Range - Healthy Weight Loss Diet - Waist Circumference - Weight Cycling
Weight Health Risks - Weight Risks Assessment - Weight Reduction Tips - Weight Loss Guidelines - Weight Loss Products
Weight Loss Tools - Weight Maintenance

Enquiries: Contact Us. See also Terms of Use
© 2003-2018 Weight Loss Information. All Rights Reserved.