Weight Management Programme for Overweight and Obese Adults in Ningbo, China: A Feasibility Pre- and Post-intervention Study

Xu, Miao; Chattopadhyay, Kaushik; Li, Jialin; Rai, Nanin; Chen, Yanshu; Hu, Fangfang; Chu, Jianping; Li, Li

doi:10.3389/fpubh.2019.00388

Cited by 7 publications

(8 citation statements)

References 18 publications

(20 reference statements)

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“…Personal solution and advice with psychological and social supports to our patients might be critical to contribute to maintenance of change in eating behaviour and positive lifestyle during 36-month period ( 28 ). Our previous feasibility study in line with our findings indicated to keep reducing BMI at 3 and 6-month follow-ups, respectively ( 15 ). While, a previous lifestyle intervention reported no significant difference between intensive counselling and short-term counselling interventions ( 28 ).…”

Section: Discussionsupporting

confidence: 86%

“…In the present study, a mean adjusted weight of 7.0 kg and 7.4 kg was reduced in both men and women, respectively, after 36 months. In our previous feasibility study, BMI was observed to reduce by 2.4 kg/m 2 after 6 months ( 15 ). Lifestyle intervention including nutritional counselling and physical activity was evidenced to be more effective on weight loss in overweight and obese people ( 23 – 25 ).…”

Section: Discussionmentioning

confidence: 91%

“…This weight management intervention programme was developed based on autonomous motivation and self-regulation focusing on long-term weight loss and weight control. Our previous 6-month feasibility study suggested that the lifestyle intervention strategy could benefit to weight treatment in overweight and obese patients ( 15 ). The objective of the present study was to evaluate the effectiveness of the 36-month comprehensive lifestyle intervention programme on weight loss and maintenance of weight loss in overweight and obese adults in Ningbo.…”

Section: Introductionmentioning

confidence: 99%

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36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

Yang

Chattopadhyay

Hubbard

et al. 2021

Front. Public Health

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Background: Few comprehensive lifestyle intervention programmes have been investigated on overweight and obese adults in China. This study was to evaluate the effect of a 36-month weight management programme on weight loss and its maintenance among overweight and obese patients in Ningbo, China.Methods: Adults with BMI ≥24kg/m2 enrolled in this programme, including nutritional, physical activity, psychological and endocrinological counselling sessions, from July 2015 to January 2020. Adults participated in face-to-face counselling sessions and group-based education. Then, participants joined 21-day intensive programme using Bohe health APP and WeChat group to get personal advice of nutrition and lifestyle. In the end, participants were requested to join 33-month follow-ups including face-to-face counselling and personal advice on WeChat group. The main outcome was to evaluate the changes in weight at each followup from baseline weight.Results: In total, 692 adults participated in this entire weight management programme. During follow-ups, 579, 475, 299, 219, and 135 adults participated at 3, 6, 12, 24, and 36 months, respectively. All participants had a significant initial weight loss at 3 months, then maintained the weight loss during 33-month follow-ups. At 36 months, 11.0%, 6.4%, and 3.5% of all participants achieved 5%, 10%, and 15% weight loss from the baseline weight, respectively. Adjusted weight at 36 months was significantly reduced from the baseline weight in both sex (−7.2 kg).Conclusion: This weight management programme is suggested to benefit to reduce initial body weight and maintain long-term weight loss among overweight and obese adults.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

Yang

Chattopadhyay

Hubbard

et al. 2021

Front. Public Health

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“…Subsequently, participants were asked to report their weight on a weekly basis during the second and third months, and on a monthly basis from the fourth month onward. The three-phase design emphasized different goals (eg, from heightening awareness to weight loss maintenance) in different phases [ 35 , 36 ]. Two volunteer peer moderators assisted in sending reminders and collecting weight data from fellow members.…”

Section: Methodsmentioning

confidence: 99%

Interplay of Support, Comparison, and Surveillance in Social Media Weight Management Interventions: Qualitative Study

Chang

Chattopadhyay

et al. 2021

JMIR Mhealth Uhealth

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Background: There has been a significant increase in the trend of using social media as a platform to deliver weight management interventions. This illustrates a need to develop a holistic understanding of doctor-patient communication and peer-to-peer communication in social media interventions and to determine their influences on weight management for people with overweight or obesity. Such studies will highlight how social media can be more effectively integrated into weight management programs to enhance individuals' short-term and long-term weight management behaviors. Objective: The aim of this study was to examine patients' experiences with doctor-patient communication and peer interactions in a social media-based (WeChat) weight management program, and to describe the interplay of three social influence factors-social support, social comparison, and surveillance-in their weight control practices. The program, designed and implemented by the research team located in a tertiary referral hospital in a southeastern province in China, included both diet and physical activity components that targeted people with overweight or obesity. Methods: We conducted in-depth interviews with 32 program participants of different ages (mean 35.6, SD 7.7 years), gender (18 women), duration of program membership (mean 1.4 years), and weight loss outcomes (54% weight loss to 9% weight gain). All interview data were audio-recorded, transcribed, and translated using the translation-backtranslation technique. Nvivo software was used to facilitate the coding process. Results: Results of thematic analysis indicated the distinct functions of professionally led support and peer support. Professional support was presented in the form of knowledge infusion, efficacy enhancement, and provision of timely feedback. Peer support fostered empathy and sense of belonging, and had a mutually reinforcing relationship with peer comparison and peer-based surveillance. Peer comparison enhanced motivation and positive competition. However, it also reinforced negative group norms, and resulted in downturns in reference standards and collective inactivity. Social media surveillance prompted participants' reactions to the gaze from medical professionals and peers that could be encouraging or inhibiting. Surveillance enhanced vigilance with weight control norms; however, its influence weakened when participants chose to fake weight data and turn off notifications. Findings from this study illustrated the interrelated and fluctuating influences of support, comparison, and surveillance. Conclusions: The interactive traits of social media eased the practices of social support and social comparison, and created new forms of surveillance. This study contributes to an in-depth understanding of social media influences on individuals' weight control behaviors. Practical implications of the study concern improved strategies for maintaining the positive dynamics of social media interactions and preventing negative resistance to surveillance technology.

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“…Subsequently, participants were asked to report their weight on a weekly basis during the second and third months, and on a monthly basis from the fourth month onward. The three-phase design emphasized different goals (eg, from heightening awareness to weight loss maintenance) in different phases [35,36]. Two volunteer peer moderators assisted in sending reminders and collecting weight data from fellow members.…”

Section: Research Contextmentioning

confidence: 99%

Interplay of Support, Comparison, and Surveillance in Social Media Weight Management Interventions: Qualitative Study (Preprint)

Chang¹,

Chattopadhyay²,

Li³

et al. 2020

Preprint

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BACKGROUND The trend of using social media as a platform to deliver weight management interventions is substantial. This illustrates a need to develop a holistic understanding of doctor-patient communication and patient-patient communication in social media and the impacts on overweight and obese adults’ weight management. Studies like this will shed light on how social media can be more effectively integrated into weight management programs to enhance individuals’ short-term and long-term weight management behaviors and to improve the end result of preferred weight outcomes. OBJECTIVE This qualitative study explored the interplay of three social influence factors: social support, social comparison, and surveillance derived from two sources: doctor-patient communication and peer interactions in a social media-based weight management program. The study aimed to address how social media support, comparison, and surveillance affect overweight and obese adults’ self-regulation of weight management. The program, designed and implemented by the research team based in a tertiary referral hospital in a southeastern province in China, included both diet and physical activity components. METHODS We conducted in-depth interviews with 32 program participants with variations in age (M = 35.59, SD = 7.67), gender, duration of program membership (M = 1.4 years), and weight loss outcomes (-9.4% to 54.2% weight loss). All interview data were audio-recorded, transcribed, and translated using the translation-back-translation technique. Nvivo software was used to facilitate the coding process. RESULTS Results of thematic analysis indicated the distinct functions of professionally-led support and peer support. Professional support was presented in the form of capacity building. Peer support fostered empathy and sense of belonging and had a mutually constitutive relationship with peer comparison and peer-based surveillance. Peer comparison enhanced motivation and positive competition. However, it could also reinforce negative group norms and resulted in downturns in reference standards. Social media surveillance prompted participants’ reactions to the gaze from medical professionals and peers that could be cooperative or resisting. Findings from this study illustrated the interrelated and fluctuant influences of support, comparison, and surveillance. CONCLUSIONS This study revealed that the interactive characteristics of social media eased the practices of social support and social comparison and created new forms of surveillance related to weight management. The theoretical contribution of the study was an in-depth understanding of social media influences on individuals’ weight management behaviors. Practical implications of the study concerned improved strategies for maintaining the positive dynamics of social media interactions and preventing negative resistance to surveillance technology. CLINICALTRIAL Clinical Trials ChiCTR1900025861.

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Weight Management Programme for Overweight and Obese Adults in Ningbo, China: A Feasibility Pre- and Post-intervention Study

Cited by 7 publications

References 18 publications

36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

Interplay of Support, Comparison, and Surveillance in Social Media Weight Management Interventions: Qualitative Study

Interplay of Support, Comparison, and Surveillance in Social Media Weight Management Interventions: Qualitative Study (Preprint)

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