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Equivalent weight loss for weight management programs delivered by phone and clinic.

ABSTRACT: Face-to-face (FTF) weight management is costly and presents barriers for individuals seeking treatment; thus, alternate delivery systems are needed. The objective of this study was to compare weight management delivered by FTF clinic or group conference calls (phone).Randomized equivalency trial in 295 overweight/obese men/women (BMI = 35.1±4.9, Age = 43.8±10.2, Minority = 39.8%). Weight loss (0-6 months) was achieved by reducing energy intake between 1,200 and 1,500 kcal/day and progressing physical activity (PA) to 300 min/week. Weight maintenance (7-18 months) provided adequate energy to maintain weight and continued 300 min/week of PA. Behavioral weight management strategies were delivered weekly for 6 months and gradually reduced during 7-18 months. A cost analysis provided a comparison of expenses between groups.Weight change from baseline to 6 months was -13.4 ± 6.7% and -12.3 ± 7.0% for FTF clinic and phone, respectively. Weight change from 6-18 months was 6.4 ± 7.0% and 6.4 ± 5.2%, for FTF clinic and phone, respectively. The cost to FTF participants was $789.58 more per person.Phone delivery provided equivalent weight loss and maintenance and reduced program cost. Ubiquitous access to phones provides a vast reach for this approach.

SUBMITTER: Donnelly JE

PROVIDER: S-EPMC4442605 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature

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Equivalent weight loss for weight management programs delivered by phone and clinic.

Donnelly Joseph E JE Goetz Jeannine J Gibson Cheryl C Sullivan Debra K DK Lee Robert R Smith Bryan K BK Lambourne Kate K Mayo Matthew S MS Hunt Suzanne S Lee Jae Hoon JH Honas Jeffrey J JJ Washburn Richard A RA

Obesity (Silver Spring, Md.) 20130525 10

<h4>Objective</h4>Face-to-face (FTF) weight management is costly and presents barriers for individuals seeking treatment; thus, alternate delivery systems are needed. The objective of this study was to compare weight management delivered by FTF clinic or group conference calls (phone).<h4>Design and methods</h4>Randomized equivalency trial in 295 overweight/obese men/women (BMI = 35.1±4.9, Age = 43.8±10.2, Minority = 39.8%). Weight loss (0-6 months) was achieved by reducing energy intake between ...[more]

PMID: 23408579

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Project description:Commercial and proprietary weight-loss programs are popular obesity treatment options, but their efficacy is unclear.To compare weight loss, adherence, and harms of commercial or proprietary weight-loss programs versus control/education (no intervention, printed materials only, health education curriculum, or <3 sessions with a provider) or behavioral counseling among overweight and obese adults.MEDLINE and the Cochrane Database of Systematic Reviews from inception to November 2014; references identified by program staff.Randomized, controlled trials (RCTs) of at least 12 weeks' duration; prospective case series of at least 12 months' duration (harms only).Two reviewers extracted information on study design, population characteristics, interventions, and mean percentage of weight change and assessed risk of bias.We included 45 studies, 39 of which were RCTs. At 12 months, Weight Watchers participants achieved at least 2.6% greater weight loss than those assigned to control/education. Jenny Craig resulted in at least 4.9% greater weight loss at 12 months than control/education and counseling. Nutrisystem resulted in at least 3.8% greater weight loss at 3 months than control/education and counseling. Very-low-calorie programs (Health Management Resources, Medifast, and OPTIFAST) resulted in at least 4.0% greater short-term weight loss than counseling, but some attenuation of effect occurred beyond 6 months when reported. Atkins resulted in 0.1% to 2.9% greater weight loss at 12 months than counseling. Results for SlimFast were mixed. We found limited evidence to evaluate adherence or harms for all programs and weight outcomes for other commercial programs.Many trials were short (<12 months), had high attrition, and lacked blinding.Clinicians could consider referring overweight or obese patients to Weight Watchers or Jenny Craig. Other popular programs, such as Nutrisystem, show promising weight-loss results; however, additional studies evaluating long-term outcomes are needed.None. (CRD4201-4007155).

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Equivalent weight loss for weight management programs delivered by phone and clinic.

Publications

Equivalent weight loss for weight management programs delivered by phone and clinic.

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