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Latest & greatest articles for obesity
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on obesity or other clinical topics then use Trip today.
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Takeaways linked to increased cardiovascular risk factors and obesity in children Signal - Takeaways linked to increased cardiovascular risk factors and obesity in children Dissemination Centre Discover Portal NIHR DC Discover Takeaways linked to increased cardiovascular risk factors and obesity in children Published on 13 February 2018 Children who eat takeaways once or more each week have more body fat and higher low-density lipoprotein (LDL) “bad” cholesterol levels than those who never (...) or hardly ever eat them. Their diets were also higher in fat and lower in protein and calcium. This cross-sectional study looked in depth at eating habits and risk markers for coronary heart disease, obesity and diabetes in 2,529 children in England. Though this type of study can only show an association between takeaways and risk markers, it is one of the first of its type, and the results do give cause for concern. Increasing numbers of people are eating takeaways in the UK. Local authorities
A school-based obesity prevention programme was ineffective A school-based obesity prevention programme was ineffective Dissemination Centre Discover Portal NIHR DC Discover A school-based obesity prevention programme was ineffective Published on 10 April 2018 A school-based healthy lifestyle programme delivered to 6-7-year-old children and their parents made no difference to children’s weight, diet or activity levels. Around 1 in 4 remained overweight or obese. The NIHR-funded year-long (...) programme was delivered in 54 primary schools in one region of England. Teachers were trained to provide an additional 30 minutes of physical activity a day and deliver cookery workshops with parents each term. It also included activities with a local football club, Aston Villa. Children in schools that took part were no less likely to be overweight or obese after 15 or 30 months, and their diet and exercise levels did not improve. Less than one in six schools managed to deliver the activity sessions
Weight loss surgery is value for money in selected people with severe obesity Signal - Weight loss surgery is value for money in selected people with severe obesity Dissemination Centre Discover Portal NIHR DC Discover Weight loss surgery is value for money in selected people with severe obesity Published on 23 August 2016 Surgery is a cost-effective method of weight loss for severely and morbidly obese people. This study of general practice data compared health costs and outcomes for people (...) with severe or morbid obesity who underwent surgery and those who did not. Surgery was associated with a reduced chance of developing diabetes and an increased chance of remission in people with diabetes. It was more cost-effective – using NHS thresholds – for morbidly obese people who had diabetes, than for those without diabetes. Weight loss surgery either reduces the amount of food people can consume or the amount of energy they can absorb from food. A quarter of UK adults are obese, with 3.6% of women
Being overweight or obese is linked with heart disease even without other metabolic risk factors Signal - Being overweight or obese is linked with heart disease even without other metabolic risk factors Dissemination Centre Discover Portal NIHR DC Discover Being overweight or obese is linked with heart disease even without other metabolic risk factors Published on 7 November 2017 People with certain metabolic risk factors who are obese are two and a half times as likely to develop heart disease (...) as healthy people of normal weight. But those who are obese without these other risk factors still have a 28% increased risk of heart disease compared with healthy people of normal weight. This suggests excess weight should be seen as an independent risk factor, challenging the idea that people can be “fat but fit”. Metabolic risk factors for heart disease cluster together and in this large study the researchers defined “metabolically healthy” as not having; high blood pressure, raised blood sugar, high
Resistance training may prevent obese older people becoming frail when losing weight Signal - Resistance training may prevent obese older people becoming frail when losing weight Dissemination Centre Discover Portal NIHR DC Discover Resistance training may prevent obese older people becoming frail when losing weight Published on 29 August 2017 Combining resistance training with aerobic exercise increased physical function in older, obese adults who were following a weight loss programme (...) . Functional improvements, such as the speed to stand from a chair or to climb stairs, were greater with combination training (21%) than with either type of exercise performed alone (14%). This randomised controlled trial assigned 160 obese adults in the USA (aged over 65, mostly educated white females) to the different types of exercise for six months. Those exercising lost about 9% body weight on their diets. Resistance training was most effective for preventing loss of muscle and bone mass. This
Intensive lifestyle interventions can help obese young people lose weight Signal - Intensive lifestyle interventions can help obese young people lose weight Dissemination Centre Discover Portal NIHR DC Discover Intensive lifestyle interventions can help obese young people lose weight Published on 19 September 2017 Obese children and adolescents can lose up to seven pounds over six to 12 months when they engage in at least 52 hours of behaviour-based lifestyle interventions. Minimal benefit (...) was seen with shorter contact time, with less than 25 hours ineffective. The control group gained weight. Rising obesity in the young is a global concern, which may lead to high rates of obesity-related diseases in adulthood. This review identified trials covering various weight management strategies. Lifestyle-based-interventions with sufficient contact time – as recommended by UK guidelines – showed clear benefits with no evidence of harms. Investing in effective strategies to manage child obesity
A total diet replacement programme helped obese people lose weight and keep weight off Total diet replacement for weight loss in obesity Dissemination Centre Discover Portal NIHR DC Discover A total diet replacement programme helped obese people lose weight and keep weight off Published on 18 December 2018 doi: A programme of weekly behavioural support with total diet replacement led to over 7kg greater weight loss than usual care in primary care. This weight loss was maintained for a year (...) ) containing 810 kcal per day. After eight weeks of this low calorie diet, conventional meals were gradually reintroduced. This trial provides evidence that the rapid weight loss from these replacement diets can be maintained for a reasonable time and so could be considered as a treatment option for anyone who is obese and needs support to lose weight. Share your views on the research. Why was this study needed? In 2016, 26% of adults in England were obese. Obesity can lead to several medical conditions
Obesity in children Obesity in children - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Obesity in children Last reviewed: December 2018 Last updated: January 2019 Summary Behavioural and environmental factors are primarily responsible for the dramatic increase in obesity in the past two decades, although genes play an important role in regulation of body weight. Calculating body mass index (BMI) is the most widely (...) accepted method of screening for obesity in children. Abnormal BMI cut-offs in children are determined by age- and sex-specific percentiles. The dramatic increase in childhood obesity has led to a marked increase in the diagnosis of impaired glucose tolerance and type 2 diabetes mellitus in children. Preventing excessive weight gain in children is of paramount importance in confronting the obesity epidemic, as obesity is difficult to treat at all ages, and obese children tend to become obese adults
Ethical Considerations for the Care of Patients With Obesity Ethical Considerations for the Care of Patients With Obesity - ACOG Menu ▼ Ethical Considerations for the Care of Patients With Obesity Page Navigation ▼ Number 763 (Replaces Committee Opinion Number 600, June 2014) Committee on Ethics This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Ethics in collaboration with committee members Sigal Klipstein, MD, and Ginny L. Ryan, MD (...) and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product. Ethical Considerations for the Care of Patients With Obesity ABSTRACT: Obesity is a medical condition that may be associated with bias among health care professionals, and this bias may result in disrespectful or inadequate care of patients with obesity. Obstetrician–gynecologists regularly care for patients with obesity and play an integral role in advocating for best
Weight loss surgery for obesity can lead to substantial weight loss and improved health outcomes Signal - Weight loss surgery for obesity can lead to substantial weight loss and improved health outcomes Dissemination Centre Discover Portal NIHR DC Discover Weight loss surgery for obesity can lead to substantial weight loss and improved health outcomes Published on 9 February 2016 On average people lost 5 kg more in each of the first four months after weight loss surgery than those of a similar (...) weight who did not undergo surgery. The risks of developing type 2 diabetes and high blood pressure were reduced. Surgery was linked to reduced risk of heart disease and sleep-related breathing problems. Those entering the trial had an average BMI of 44.7 kg/m2. Rates of obesity are high in the UK, around a quarter of the adult population is obese, and rising every year. Obesity is linked with health conditions such as type 2 diabetes, which is expensive to manage and has a big impact on people’s
Care of Women with Obesity in Pregnancy Care of Women with Obesity in Pregnancy Green-top Guideline No. 72 November 2018 Please cite this paper as: Denison FC, Aedla NR, Keag O, Hor K, Reynolds RM, Milne A, Diamond A, on behalf of the Royal College of Obstetricians and Gynaecologists. Care of Women with Obesity in Pregnancy. Green-top Guideline No. 72. BJOG 2018; https://doi.org/10.1111/1471-0528.15386.000:1–45.DOI: 10.1111/1471-0528.15386 RCOG Green-top Guidelines Care of Women with Obesity (...) in Pregnancy FC Denison, NR Aedla, O Keag, K Hor, RM Reynolds, A Milne, A Diamond, on behalf of the Royal College of Obstetricians and Gynaecologists Correspondence: Royal College of Obstetricians and Gynaecologists, 27 Sussex Place, Regent’s Park, London NW1 4RG. Email: email@example.com This is the second edition of this guideline. The ?rst edition was published in 2010 as a joint guideline with the Centre of Maternal and Child Enquiries under the title ‘Management of Women with Obesity
Bariatric surgery, lifestyle interventions and orlistat for severe obesity: the REBALANCE mixed-methods systematic review and economic evaluation Bariatric surgery, lifestyle interventions and orlistat for severe obesity: the REBALANCE mixed-methods systematic review and economic evaluation Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from
Motivational Interviewing to Treat Adolescents With Obesity: A Meta-analysis 30348753 2018 11 03 1098-4275 142 5 2018 Nov Pediatrics Pediatrics Motivational Interviewing to Treat Adolescents With Obesity: A Meta-analysis. e20180733 10.1542/peds.2018-0733 Successful treatment approaches are needed for obesity in adolescents. Motivational interviewing (MI), a counseling approach designed to enhance behavior change, shows promise in promoting healthy lifestyle changes. Conduct a systematic review (...) of MI for treating overweight and obesity in adolescents and meta-analysis of its effects on anthropometric and cardiometabolic outcomes. We searched Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, PsychINFO, Web of Science, Cochrane Library, and Google Scholar from January 1997 to April 2018. Four authors reviewed titles, abstracts, and full-text articles. Two authors abstracted data and assessed risk of bias and quality of evidence. Seventeen studies met inclusion
Multicomponent Obesity Prevention Intervention in Low-Income Preschoolers: Primary and Subgroup Analyses of the NET-Works Randomized Clinical Trial, 2012-2017 30403521 2018 12 07 1541-0048 108 12 2018 Dec American journal of public health Am J Public Health Multicomponent Obesity Prevention Intervention in Low-Income Preschoolers: Primary and Subgroup Analyses of the NET-Works Randomized Clinical Trial, 2012-2017. 1695-1706 10.2105/AJPH.2018.304696 To evaluate a multicomponent obesity (...) (-0.12 kg/m 2 ; 95% confidence interval [CI] = -0.44, 0.19) or 36 months (-0.19 kg/m 2 ; 95% CI = -0.64, 0.26). Energy intake was significantly lower in the NET-Works group at 24 (-90 kcal/day; 95% CI = -164, -16) and 36 months (-101 kcal/day; 95% CI = -164, -37). Television viewing was significantly lower in the NET-Works group at 24 (rate ratio = 0.84; 95% CI = 0.75, 0.93) and 36 months (rate ratio = 0.88; 95% CI = 0.78, 0.99). Children with baseline overweight or obesity had lower BMI in the NET
Strategies to improve the implementation of workplace-based policies or practices targeting tobacco, alcohol, diet, physical activity and obesity. BACKGROUND: Given the substantial period of time adults spend in their workplaces each day, these provide an opportune setting for interventions addressing modifiable behavioural risk factors for chronic disease. Previous reviews of trials of workplace-based interventions suggest they can be effective in modifying a range of risk factors including (...) diet, physical activity, obesity, risky alcohol use and tobacco use. However, such interventions are often poorly implemented in workplaces, limiting their impact on employee health. Identifying strategies that are effective in improving the implementation of workplace-based interventions has the potential to improve their effects on health outcomes. OBJECTIVES: To assess the effects of strategies for improving the implementation of workplace-based policies or practices targeting diet, physical
Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions Final Recommendation Statement: Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions - US Preventive Services Task Force Search USPSTF Website Text size: Assembly version: 188.8.131.528 Last Build: 11/16/2018 6:27:19 PM You are here: Final Recommendation Statement : Final Recommendation Statement Final Recommendation Statement Weight Loss to Prevent (...) Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services. Recommendation Summary Population Recommendation Grade Adults The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher (calculated as weight
Effectiveness of an App and Provider Counseling for Obesity Treatment in Primary Care 30361140 2018 10 26 1873-2607 2018 Oct 17 American journal of preventive medicine Am J Prev Med Effectiveness of an App and Provider Counseling for Obesity Treatment in Primary Care. S0749-3797(18)32105-6 10.1016/j.amepre.2018.07.005 Obesity treatment is less successful for socioeconomically disadvantaged populations, particularly when delivered in primary care. Digital health strategies can extend the reach (...) of clinical obesity treatments to care settings serving patients at highest risk. Track was an effectiveness RCT of a 12-month digital weight-loss intervention, embedded within a community health center system. Participants were 351 adult patients (aged 21-65 years) with obesity and hypertension, diabetes, and hyperlipidemia. Patients were randomized to usual care (n=175) or an intervention (n=176) comprising app-based self-monitoring of behavior change goals with tailored feedback, a smart scale
Intraoperative use of methadone improves control of postoperative pain in morbidly obese patients: a randomized controlled study 30323647 2018 11 14 1178-7090 11 2018 Journal of pain research J Pain Res Intraoperative use of methadone improves control of postoperative pain in morbidly obese patients: a randomized controlled study. 2123-2129 10.2147/JPR.S172235 Surgical patients still commonly experience postoperative pain. With the increasing prevalence of obesity, there is a growing demand (...) <0.001), and 24-48 hours (MD 14.5 mg; 95% CI 3.9-25.1; P =0.01). Patients from group F had higher pain scores until 24 hours postoperatively, higher incidence of nausea and vomiting, lower satisfaction, and more evoked pain at surgical scar at the 3-month postoperative evaluation than group M. Intraoperative methadone can safely lower postoperative opioid consumption and improve postoperative pain scores compared with fentanyl in morbidly obese patients. Machado Felipe Chiodini FC Anesthesiology
Lifestyle Interventions Limit Gestational Weight Gain in Women with Overweight or Obesity: LIFE-Moms Prospective Meta-Analysis 30230252 2018 11 14 1930-739X 26 9 2018 Sep Obesity (Silver Spring, Md.) Obesity (Silver Spring) Lifestyle Interventions Limit Gestational Weight Gain in Women with Overweight or Obesity: LIFE-Moms Prospective Meta-Analysis. 1396-1404 10.1002/oby.22250 This study aimed to evaluate the effects of varied lifestyle intervention programs designed to ameliorate excess (...) gestational weight gain (GWG) in pregnant women with overweight or obesity compared with standard care, including effects on pregnancy outcomes. Seven clinical centers conducted separate randomized clinical trials to test different lifestyle intervention strategies to modify GWG in diverse populations. Eligibility criteria, specific outcome measures, and assessment procedures were standardized across trials. The results of the separate trials were combined using an individual-participant data meta