Promoting weight maintenance with electronic health record tools in a primary care setting: Baseline results from the MAINTAIN-pc trial

Conroy, Molly B.; Bryce, Cindy L.; McTigue, Kathleen M.; Tudorascu, Dana L.; Gibbs, Bethany Barone; Comer, Diane; Hess, Rachel; Huber, Kimberly; Simkin‐Silverman, Laurey R.; Fischer, Gary S.

doi:10.1016/j.cct.2017.01.001

Cited by 10 publications

(14 citation statements)

References 26 publications

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“…Long follow-up duration (≥ 30 months) was reported across six studies. [ 67 260 264 265 ] Similar findings were reported by the two systematic reviews with a total follow-up duration ranging from 6 - 36 months for weight maintenance studies. [ 261 262 ] As per one of the reviews, there was a vast difference in the frequency of contact made with the participants during the follow-up phase ranging from no/minimal contact to biweekly contact.…”

Section: Discussionsupporting

confidence: 77%

“…[ 266 268 ] With advanced technologies, the use of mobile applications for self-monitoring and providing real-time feedback can facilitate weight loss outcomes. [ 264 ] Mostly, a combination of individualised and technological sessions are planned across weight-loss interventions. Healthcare providers should identify the most feasible, interactive and sustainable method to maintain contact with midlife women enrolled for lifestyle modification.…”

Section: Discussionmentioning

confidence: 99%

“…Across weight management trials, the duration of follow-up during the maintenance phase ranged from 3 to 48 months. [ 260 263 264 ] Most studies had a maintenance phase for 12 months. [ 257 266 267 280 281 ] Apart from the duration of follow-up, variation in the frequency and mode of contact with the patient was also observed.…”

Section: Discussionmentioning

confidence: 99%

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Evidence and consensus-based clinical practice guidelines for management of overweight and obesity in midlife women: An AIIMS-DST initiative

Vikram

Ranjan

Kumari

et al. 2022

J Family Med Prim Care

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Evidence and consensus-based clinical practice guidelines for management of overweight and obesity in midlife women: An AIIMS-DST initiative

Vikram

Ranjan

Kumari

et al. 2022

J Family Med Prim Care

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“…The duration of follow-up in weight maintenance trials ranged from 3 to 48 months. [ 87 88 89 ] It was also noted that most studies had monthly follow-up visits along with different forms of contact using various technological modalities such as biweekly transmission of information using individual sessions, newsletters, weekly website logins, and telephonic calls with trained staff. [ 90 ] To prevent weight regain, maintaining appropriate weight and overall well-being the follow-up should be continued throughout life.…”

Section: R Esultsmentioning

confidence: 99%

Executive summary of evidence and consensus-based clinical practice guidelines for management of obesity and overweight in midlife women: An AIIMS-DST initiative

et al. 2022

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Weight gain is an independent risk factor for decline in cardiometabolic and overall health-related quality of life in midlife women. The AIIMS-DST initiative aims to develop and validate stepwise recommendations specific for weight management in midlife women. The key clinical questions specific to weight management in midlife women were finalized with the help of a multidisciplinary team of experts in the guideline development group. Phase I including a systematic and/or narrative review, grading of evidence, and expert opinion was sought to develop clinical practice recommendations for each clinical question. Phase II focused on validation of clinical practice recommendations using the peer-review, Delphi method, and GRADE approach. The guidelines provide clinical practice points to address challenges encountered by midlife women in their attempts to manage obesity via lifestyle modification techniques. The initiation of discussion would help the health-care provider to identify the weight management needs of the women, educate women on different modalities of weight management, and empower them to incorporate corrective lifestyle behaviors. Before initiating the management, a comprehensive assessment of clinical and lifestyle-related parameters should be completed. A personalized behavioral lifestyle modification program addressing the midlife-specific barriers for optimal metabolic, musculoskeletal, and mental health should be planned. A consistent follow-up is required for maintenance of corrective eating and activity habits by addressing midlife-specific barriers for sustenance of healthy weight. These recommendations will be useful in opportunistic screening and management of obesity in midlife women across health-care settings.

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“…This analysis used longitudinal data (baseline, 6-months follow-up, and 24-months follow-up) from the MAINTAIN-pc trial that was conducted in Pittsburgh, PA (from 2013 to 2017). As previously described, 14,16 this trial randomized adult primary care patients with recent, intentional weight loss of ≥ 5% into one of two 24-month intervention arms. All participants received access to study-developed, electronic health record-based lifestyle tracking tools and basic healthy lifestyle education for the 24-month study period.…”

Section: Participants and Settingmentioning

confidence: 99%

Lifestyle Habits Associated with Weight Regain After Intentional Loss in Primary Care Patients Participating in a Randomized Trial

et al. 2020

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BACKGROUND: Though long-term weight loss maintenance is the treatment goal for obesity, weight regain is typical and few studies have evaluated lifestyle habits associated with weight regain. OBJECTIVE: To identify dietary and physical activity habits associated with 6-and 24-month weight regain among participants in a weight loss maintenance clinical trial. DESIGN: Secondary analysis of randomized clinical trial data. PARTICIPANTS: Adult primary care patients with recent, intentional weight loss of at least 5%. MAIN MEASURES: Lifestyle habits included consumption of low-fat foods, fish, desserts, sugary beverages, fruits, and vegetables and eating at restaurants from the Connor Diet Habit Survey; moderate-vigorous physical activity by self-report; steps recorded by a pedometer; and sedentary behavior by self-report. The outcome variable was weight change at 6 and 24 months. Linear regression models estimated adjusted associations between changes in weight and changes in dietary and physical activity habits. KEY RESULTS: Overall, participants (mean (SD): 53.4 (12.2) years old; 26% male; 88% white) maintained weight loss at 6 months (n = 178, mean (SD): − 0.02 (5.70)% change) but began to regain weight by 24 months (n = 157, mean (SD): 4.22 (9.15)% increase). When considered all together, more eating at restaurants, reduced fish consumption, and less physical activity were most consistently associated with weight regain in fully adjusted models at both 6 and 24 months of follow-up. In addition, more sedentary behavior was associated with weight regain at 6 months while reduced consumption of low-fat foods, and more desserts and sugary beverages were associated with weight regain at 24 months. CONCLUSIONS: Consuming less fish, fewer steps per day, and more frequent restaurant eating were most consistently associated with weight regain in primary care patients. Primary care providers may consider addressing specific lifestyle behaviors when counseling patients after successful weight loss. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01946191

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Promoting weight maintenance with electronic health record tools in a primary care setting: Baseline results from the MAINTAIN-pc trial

Cited by 10 publications

References 26 publications

Evidence and consensus-based clinical practice guidelines for management of overweight and obesity in midlife women: An AIIMS-DST initiative

Evidence and consensus-based clinical practice guidelines for management of overweight and obesity in midlife women: An AIIMS-DST initiative

Executive summary of evidence and consensus-based clinical practice guidelines for management of obesity and overweight in midlife women: An AIIMS-DST initiative

Lifestyle Habits Associated with Weight Regain After Intentional Loss in Primary Care Patients Participating in a Randomized Trial

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