Adherence
A standard 12-week low-intensity behavioral weight management program (WMP1) is the next most cost-effective intervention after RYGB surgery for adults with severe obesity.
For patients with severe obesity who cannot or choose not to have surgery, a standard 12-week behavioral weight management program is the most cost-effective non-surgical option. This program involves weekly group sessions focusing on diet and physical activity advice. It offers good value for money and can be delivered at scale.
However, where fixed healthcare budgets or patient preferences exclude surgery as an option, a standard 12 week behavioural WMP (WMP1) was the next most cost-effective intervention.
Why this rating
Based on RCT data and model extrapolation.
Source
Cost-effectiveness of bariatric surgery and non-surgical weight management programmes for adults with severe obesity: a decision analysis model
Dwayne Boyers et al. · International Journal of Obesity · 2021
DOI 10.1038/s41366-021-00849-8
More from this paper
- Roux-en-Y gastric bypass (RYGB) surgery is the most cost-effective intervention for adults with severe obesity (BMI ≥ 35 kg/m2) compared to non-surgical weight management programs, primarily due to superior long-term weight loss and reduced incidence of obesity-related diseases.Good
- Adding Very Low Calorie Diets (VLCD, ≤800 kcal/day) to a standard low-intensity weight management program (WMP1) is not cost-effective compared to WMP1 alone.Good
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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