Mixed
A multidisciplinary Tier 3 weight management service delivered in primary care achieves clinically significant weight loss (mean 10.2 kg in completers) and improves comorbidities for adults with morbid obesity (BMI ≥40 or ≥30 with comorbidities).
If you have a BMI over 40, or over 30 with health issues like diabetes or high blood pressure, seek a specialized primary care weight management service. Look for a program that includes a doctor, dietitian, and psychologist working together. They will create a personalized plan with a modest calorie deficit (around 600 kcal/day) and monthly check-ins. This approach is designed to handle complex health issues safely and effectively within your local community.
The mean weight loss was 10.2 kg among the 117 participants who completed the 12-month programme... Fruit and vegetable intake, activity level and quality of life all improved.
Why this rating
Single-arm cohort study with no control group; uses baseline observation carried forward (BOCF) which may overestimate effects.
Source
Evaluation of a multidisciplinary <scp>T</scp>ier 3 weight management service for adults with morbid obesity, or obesity and comorbidities, based in primary care
Amy Jennings et al. · Clinical Obesity · 2014
DOI 10.1111/cob.12066
Related findings · Mixed
- Bariatric surgery (VSG and RYGB) is the most effective and sustainable treatment for obesity, producing marked and sustained weight loss that non-surgical interventions cannot match.Strong
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- For patients with Class III obesity (BMI >39.9 kg/m2), metabolic bariatric surgery (MBS) is significantly more effective than any currently approved medication, with BilioPancreatic Diversion (BPD) showing the highest estimated weight loss.Strong
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