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Lookup NU author(s): Professor Falko Sniehotta
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2022 The Authors. Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd.Aims: We used data from a recent systematic review to investigate weight regain after behavioural weight management programmes (BWMPs, sometimes referred to as lifestyle modification programmes) and its impact on quality-of-life and cost-effectiveness. Materials and Methods: Trial registries, databases and forward-citation searching (latest search December 2019) were used to identify randomized trials of BWMPs in adults with overweight/obesity reporting outcomes at ≥12 months, and after programme end. Two independent reviewers screened records. One reviewer extracted data and a second checked them. The differences between intervention and control groups were synthesized using mixed-effect, meta-regression and time-to-event models. We examined associations between weight difference and difference in quality-of-life. Cost-effectiveness was estimated from a health sector perspective. Results: In total, 155 trials (n > 150 000) contributed to analyses. The longest follow-up was 23 years post-programme. At programme end, intervention groups achieved –2.8 kg (95%CI –3.2 to –2.4) greater weight loss than controls. Weight regain after programme end was 0.12-0.32 kg/year greater in intervention relative to control groups, with a between-group difference evident for at least 5 years. Quality-of-life increased in intervention groups relative to control at programme end and thereafter returned to control as the difference in weight between groups diminished. BWMPs with this initial weight loss and subsequent regain would be cost-effective if delivered for under £560 (£8.80-£3900) per person. Conclusions: Modest rates of weight regain, with persistent benefits for several years, should encourage health care practitioners and policymakers to offer obesity treatments that cost less than our suggested thresholds as a cost-effective intervention to improve long-term weight management. Registration: The review is registered on PROSPERO, CRD42018105744.
Author(s): Hartmann-Boyce J, Cobiac LJ, Theodoulou A, Oke JL, Butler AR, Scarborough P, Bastounis A, Dunnigan A, Byadya R, Hobbs FDR, Sniehotta FF, Amies-Cull B, Aveyard P, Jebb SA
Publication type: Article
Publication status: Published
Journal: Diabetes, Obesity and Metabolism
Year: 2023
Volume: 25
Issue: 2
Pages: 526-535
Print publication date: 01/02/2023
Online publication date: 14/10/2022
Acceptance date: 09/10/2022
Date deposited: 23/11/2022
ISSN (print): 1462-8902
ISSN (electronic): 1463-1326
Publisher: John Wiley and Sons Inc
URL: https://doi.org/10.1111/dom.14895
DOI: 10.1111/dom.14895
PubMed id: 36239137
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