36-month evaluation of a weight management programme in Chinese overweight and obese adults

Yang, Xi; Chattopadhyay, Kaushik; Hubbard, Richard; Li, Jia-Lin; Li, Li; Lin, Yi

Abstract

Background: Few comprehensive lifestyle intervention programmes have been investigated on overweight and obese adults in China. This study was to evaluate the effect of a 36-month weight management programme on weight loss and its maintenance among overweight and obese patients in Ningbo, China.

Methods: Adults with BMI≥24 kg/m2 enrolled in this programme, including nutritional, physical activity, psychological and endocrinological counselling sessions, from July 2015 to January 2020. Adults participated in face-to-face counselling sessions and group-based education. Then, participants joined 21-day intensive programme using Bohe health APP and WeChat group to get personal advice of nutrition and lifestyle. In the end, participants were requested to join 33-month follow-ups including face-to-face counselling and personal advice on WeChat group. The main outcome was to evaluate the changes in weight at each followup from baseline weight.

Results: In total, 692 adults participated in this entire weight management programme. During follow-ups, 579, 475, 299, 219 and 135 adults participated at 3, 6, 12, 24 and 36 months, respectively. All participants had a significant initial weight loss at 3 months, then maintained the weight loss during 33-month follow-ups. At 36 months, 11.0%, 6.4% and 3.5% of all participants achieved 5%, 10%, and 15% weight loss from the baseline weight, respectively. Adjusted weight at 36 months was significantly reduced from the baseline weight in both sex (-7.2kg).

Conclusion: This weight management programme is suggested to benefit to reduce initial body weight and maintain long-term weight loss among overweight and obese adults.

Citation

Yang, X., Chattopadhyay, K., Hubbard, R., Li, J., Li, L., & Lin, Y. (2021). 36-month evaluation of a weight management programme in Chinese overweight and obese adults. Frontiers in Public Health, 9, Article 749302

• Journal Article Type: Article
• Acceptance Date: Sep 14, 2021
• Online Publication Date: Oct 21, 2021
• Publication Date: Oct 21, 2021
• Deposit Date: Sep 20, 2021
• Publicly Available Date: Oct 21, 2021
• Journal: Frontiers in Public Health
• Electronic ISSN: 2296-2565
• Peer Reviewed: Peer Reviewed
• Volume: 9
• Article Number: 749302
• Keywords: weight management, weight loss, weight maintenance, overweight, obesity, China
• Public URL: https://nottingham-repository.worktribe.com/output/6293430
• Publisher URL: https://www.frontiersin.org/articles/10.3389/fpubh.2021.749302/full