2022
DOI: 10.3390/nu14050967
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Abstract: We aimed to assess weight loss and metabolic outcomes by severity of weight-related complications following an intensive non-surgical weight management program (WMP) in an Australian public hospital. A retrospective cohort study of all patients aged ≥18 years with body mass index (BMI) ≥ 40 enrolled in the WMP during March 2018–March 2019 with 12-month follow-up information were stratified using the Edmonton Obesity Staging System (EOSS). Of 178 patients enrolled in the WMP, 112 (62.9%) completed at least 12 m… Show more

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Cited by 5 publications
(4 citation statements)
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“…Our study addressed the widespread lack of research into the specific community‐based needs of individuals with severe obesity, and highlighted factors contributing to inadequacies within the current community‐based care model. While WMPs have been demonstrated to help patients attain a mean weight loss of around 6% at 12 months, weight regain is a major problem in this population 24–26 . Patients and clinicians in our study expressed concern for the lack of targeted support available once patients have left tertiary programs, identifying the loss of regular support from the clinic as a significant barrier to maintaining weight loss.…”
Section: Discussionmentioning
confidence: 89%
See 1 more Smart Citation
“…Our study addressed the widespread lack of research into the specific community‐based needs of individuals with severe obesity, and highlighted factors contributing to inadequacies within the current community‐based care model. While WMPs have been demonstrated to help patients attain a mean weight loss of around 6% at 12 months, weight regain is a major problem in this population 24–26 . Patients and clinicians in our study expressed concern for the lack of targeted support available once patients have left tertiary programs, identifying the loss of regular support from the clinic as a significant barrier to maintaining weight loss.…”
Section: Discussionmentioning
confidence: 89%
“…While WMPs have been demonstrated to help patients attain a mean weight loss of around 6% at 12 months, weight regain is a major problem in this population. [24][25][26] Patients and clinicians in our study expressed concern for the lack of targeted support available once patients have left tertiary programs, identifying the loss of regular support from the clinic as a significant barrier to maintaining weight loss. Weightstigma, co-morbid mental health conditions, and social isolation have been reported to hinder engagement with existing communitybased services and/or support groups.…”
mentioning
confidence: 99%
“…For example, in a non-surgical weight loss program for individuals with severe obesity, clinically significant weight loss was achieved with a team approach consisting of a physiotherapist, clinical nurse consultant, gastroenterologist, and psychiatrist. 65 In another metabolic rehabilitation program for individuals with severe obesity, the patient care team included a dietician, diabetes educator, psychologist, physiotherapists, exercise physiologist, and endocrinologist to address long term diabetes management. 66 Both studies yielded significant weight and BMI reductions.…”
Section: Implications For Weight Loss Interventions Targeting African...mentioning
confidence: 99%
“…It categorizes obesity into 5 stages (stage 0–4), stage 0 indicates no obesity-related risk factors or any health impairments; and stage 4 indicates severe disabilities from obesity-related chronic diseases. [46] The risk of chronic diseases such as T2DM, coronary heart disease, and stroke rises exponentially with BMI units, [47] the WHO recognizes that these reported dangers occur at lower BMI cutoff lines for overweight and obesity in certain Asian communities. [14] We suggest adding EOSS to the anthropometric classification in Indonesia since EOSS could be a useful method in stratifying the presence and severity of weight-related health concerns and has been deemed to be a better predictor of mortality than BMI.…”
Section: Diagnosis and Clinical Evaluationmentioning
confidence: 99%