Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients

Wallace, Dean; Myles, Puja; Holt, Rachel; Van-Tam, Jonathan Nguyen

Abstract

Background

There is a limited evidence on the effectiveness of lifestyle interventions in achieving and maintaining a significant level of weight loss in morbidly obese patients. This study evaluated the impact on weight loss and psychological well-being of a community-based weight management service for morbidly obese patients [body mass index (BMI) ≥35 with related co-morbidities or BMI >40] in Derbyshire county.

Methods

Five hundred and fifty-one participants entered the service since 2010, and 238 participants were still active within the service or had completed the 2-year intervention in April 2013. A one-group pre–post design was used to determine average weight loss (kg) and impact on mental health and well-being [using the validated clinical outcomes of routine evaluation-outcome measure (CORE-OM) questionnaire] among participants. Measurements were recorded at baseline, 12 weeks, 24 weeks, 1 year, 18 months and 2 years, and significance (P [less than] 0.05) was determined using the paired sample t-test.

Results

Statistically significant weight loss was recorded at each measurement point for those participants who remained engaged with the service (4.9 kg weight loss at 12 weeks to 18.2 kg at 2 years). There was a significant positive impact on psychological well-being demonstrated by CORE-OM score.

Conclusions

Findings show clinically and statistically significant weight loss among participants with improvements in physical and mental health.

Citation

Wallace, D., Myles, P., Holt, R., & Van-Tam, J. N. (2016). Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients. Journal of Public Health, 38(2), e138-e149. https://doi.org/10.1093/pubmed/fdv103

• Journal Article Type: Article
• Acceptance Date: Aug 1, 2015
• Online Publication Date: Aug 26, 2015
• Publication Date: Jun 1, 2016
• Deposit Date: Aug 20, 2018
• Publicly Available Date: Aug 21, 2018
• Journal: Journal of Public Health
• Print ISSN: 1741-3842
• Electronic ISSN: 1741-3850
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 38
• Issue: 2
• Pages: e138-e149
• DOI: https://doi.org/10.1093/pubmed/fdv103
• Keywords: Individual behaviour; Mental health; Obesity
• Public URL: https://nottingham-repository.worktribe.com/output/1039478
• Publisher URL: https://academic.oup.com/jpubhealth/article/38/2/e138/2241448
• Additional Information: This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Health following peer review. The version of record Dean Wallace, Puja Myles, Rachel Holt, Jonathan Nguyen Van-Tam; Evaluation of the ‘Live Life Better Service’, a community-based weight management service, for morbidly obese patients, Journal of Public Health, Volume 38, Issue 2, 1 June 2016, Pages e138–e149 is available online at: https://doi.org/10.1093/pubmed/fdv103.
• Contract Date: Aug 20, 2018