Beyond weight loss: Impact of a weight management programme for mid-older Australians in private health insurance setting

McGill, B; Bauman, A; Phongsavan, P; Grunseit, A; Lees, D; Shepherd, L; O'Hara, BJ

Beyond weight loss: Impact of a weight management programme for mid-older Australians in private health insurance setting

McGill, B Bauman, A Phongsavan, P Grunseit, A

Lees, D Shepherd, L O'Hara, BJ

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Clinical Obesity, 2020, 10, (3), pp. 1-11
Issue Date:: 2020

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Field	Value	Language
dc.contributor.author	McGill, B
dc.contributor.author	Bauman, A
dc.contributor.author	Phongsavan, P
dc.contributor.author	Grunseit, A https://orcid.org/0000-0003-0783-4596
dc.contributor.author	Lees, D
dc.contributor.author	Shepherd, L
dc.contributor.author	O'Hara, BJ
dc.date.accessioned	2022-10-30T21:54:12Z
dc.date.available	2020-03-04
dc.date.available	2022-10-30T21:54:12Z
dc.date.issued	2020
dc.identifier.citation	Clinical Obesity, 2020, 10, (3), pp. 1-11
dc.identifier.issn	1758-8103
dc.identifier.issn	1758-8111
dc.identifier.uri	http://hdl.handle.net/10453/162985
dc.description.abstract	Weight-loss maintenance and lifestyle behaviour necessary to manage weight are undisputedly challenging. We evaluated a secondary prevention weight-loss maintenance programme for participants (n = 490) with weight-related chronic disease in the Australian private health insurance setting. This study investigated the impact of the maintenance programme on anthropometric and lifestyle risk behaviour changes after 6 and 12 months, and trends in weight-loss maintenance after 1 year. Using a pre- and post-test design, data were analysed with generalized linear mixed models for repeated measures to determine the effect of the programme on weight loss and lifestyle behaviour outcomes. After initially losing a clinically significant amount of weight (mean 9.1 kg), maintenance-programme participants maintained clinically significant weight loss (mean 7.6 kg) at 12 months. Rates of discontinuation in the programme were high (47% at 6 months and 73% at 12 months). Weight-loss maintenance was achieved by 76% of participants at 3 months and 62% at 6 months, stabilizing at 55% and 56% at 9 and 12 months, respectively. Greater initial weight loss was associated with weight-loss maintenance at 12 months. Participants <55 years demonstrated consistent weight-loss maintenance over this time but the odds for successful weight-loss maintenance for those ≥55 years continued to decrease over time. At maintenance-baseline, 68.3% of participants had sufficient physical activity for health; 61.4% and 19.8% met recommended fruit and vegetable consumption, respectively. All lifestyle risk behaviours were maintained at 12 months. A programme extending support strategies for maintaining weight-related behaviour shows promise to successfully support these changes over 12 months. There is a potentially important opportunity for targeted intervention at 6 to 9 months.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Clinical Obesity
dc.relation.isbasedon	10.1111/cob.12359
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.mesh	Australia
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Insurance, Health
dc.subject.mesh	Life Style
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Obesity
dc.subject.mesh	Weight Loss
dc.subject.mesh	Weight Reduction Programs
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Weight Loss
dc.subject.mesh	Life Style
dc.subject.mesh	Middle Aged
dc.subject.mesh	Insurance, Health
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Weight Reduction Programs
dc.title	Beyond weight loss: Impact of a weight management programme for mid-older Australians in private health insurance setting
dc.type	Journal Article
utslib.citation.volume	10
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-30T21:54:10Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	10
utslib.citation.issue	3

Abstract:

Weight-loss maintenance and lifestyle behaviour necessary to manage weight are undisputedly challenging. We evaluated a secondary prevention weight-loss maintenance programme for participants (n = 490) with weight-related chronic disease in the Australian private health insurance setting. This study investigated the impact of the maintenance programme on anthropometric and lifestyle risk behaviour changes after 6 and 12 months, and trends in weight-loss maintenance after 1 year. Using a pre- and post-test design, data were analysed with generalized linear mixed models for repeated measures to determine the effect of the programme on weight loss and lifestyle behaviour outcomes. After initially losing a clinically significant amount of weight (mean 9.1 kg), maintenance-programme participants maintained clinically significant weight loss (mean 7.6 kg) at 12 months. Rates of discontinuation in the programme were high (47% at 6 months and 73% at 12 months). Weight-loss maintenance was achieved by 76% of participants at 3 months and 62% at 6 months, stabilizing at 55% and 56% at 9 and 12 months, respectively. Greater initial weight loss was associated with weight-loss maintenance at 12 months. Participants <55 years demonstrated consistent weight-loss maintenance over this time but the odds for successful weight-loss maintenance for those ≥55 years continued to decrease over time. At maintenance-baseline, 68.3% of participants had sufficient physical activity for health; 61.4% and 19.8% met recommended fruit and vegetable consumption, respectively. All lifestyle risk behaviours were maintained at 12 months. A programme extending support strategies for maintaining weight-related behaviour shows promise to successfully support these changes over 12 months. There is a potentially important opportunity for targeted intervention at 6 to 9 months.

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http://hdl.handle.net/10453/162985