Real-World Effectiveness of a Medically Supervised Weight Management Program in a Large Integrated Health Care Delivery System: Five-Year Outcomes
There are insufficient data on the long-term, nonsurgical, nonpharmacologic treatment of obesity. To determine changes in weight over 5 years in participants enrolled between April 1, 2007, and December 31, 2014, in a medically supervised weight management program at Kaiser Permanente Northern Calif...
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| Veröffentlicht in: | Permanente journal 2018, Vol.22 (1), p.17-082 |
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| creator | Krishnaswami, Ashok Ashok, Rohini Sidney, Stephen Okimura, Michael Kramer, Beth Hogan, Lindsey Sorel, Michael Pruitt, Sheri Smith, Wayne |
| description | There are insufficient data on the long-term, nonsurgical, nonpharmacologic treatment of obesity.
To determine changes in weight over 5 years in participants enrolled between April 1, 2007, and December 31, 2014, in a medically supervised weight management program at Kaiser Permanente Northern California Medical Centers. The program consisted of 3 phases: Complete meal replacement for 16 weeks; transition phase, 17 to 29 weeks; and lifestyle maintenance phase, 30 to 82 weeks.
Retrospective observational study of 10,693 participants (2777 available for analysis at 5 years); no comparator group.
Average change in weight from baseline to follow-up.
Average age was 51.1 (standard deviation = 12.4) years, and 72.8% were women. Average baseline weight in the entire cohort was 112.9 kg (standard error [SE] = 0.23). Weight (kg) significantly changed over time: 4 months, -17.3 (SE = 0.12); 1 year, -14.2 (SE = 0.12); 2 years, -8.6 (SE = 0.14); 3 years, -6.9 (SE = 0.17); 4 years, -6.5 (SE = 0.16), and 5 years, -6.4 (SE = 0.29); p < 0.0001). In those with 5-year follow-up, weight loss between 5.0 and 9.9% below baseline occurred in 16.3% (SE = 0.004, 95% CI = 15.3% - 17.2%) and weight loss of 10.0% or more of baseline occurred in 35.2% (SE = 0.01, 95% CI = 33.6% - 36.7%).
The average weight change of obese adults who participated in a medically supervised weight management program, with available 5-year data, was a statistically and clinically significant 5.8% weight loss from baseline. |
| doi_str_mv | 10.7812/TPP/17-082 |
| format | Article |
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To determine changes in weight over 5 years in participants enrolled between April 1, 2007, and December 31, 2014, in a medically supervised weight management program at Kaiser Permanente Northern California Medical Centers. The program consisted of 3 phases: Complete meal replacement for 16 weeks; transition phase, 17 to 29 weeks; and lifestyle maintenance phase, 30 to 82 weeks.
Retrospective observational study of 10,693 participants (2777 available for analysis at 5 years); no comparator group.
Average change in weight from baseline to follow-up.
Average age was 51.1 (standard deviation = 12.4) years, and 72.8% were women. Average baseline weight in the entire cohort was 112.9 kg (standard error [SE] = 0.23). Weight (kg) significantly changed over time: 4 months, -17.3 (SE = 0.12); 1 year, -14.2 (SE = 0.12); 2 years, -8.6 (SE = 0.14); 3 years, -6.9 (SE = 0.17); 4 years, -6.5 (SE = 0.16), and 5 years, -6.4 (SE = 0.29); p < 0.0001). In those with 5-year follow-up, weight loss between 5.0 and 9.9% below baseline occurred in 16.3% (SE = 0.004, 95% CI = 15.3% - 17.2%) and weight loss of 10.0% or more of baseline occurred in 35.2% (SE = 0.01, 95% CI = 33.6% - 36.7%).
The average weight change of obese adults who participated in a medically supervised weight management program, with available 5-year data, was a statistically and clinically significant 5.8% weight loss from baseline.</description><identifier>ISSN: 1552-5767</identifier><identifier>EISSN: 1552-5775</identifier><identifier>DOI: 10.7812/TPP/17-082</identifier><identifier>PMID: 29401050</identifier><language>eng</language><publisher>United States: The Permanente Journal</publisher><subject>Adult ; Aged ; Counseling - methods ; Delivery of Health Care, Integrated - methods ; Diet Therapy - methods ; Exercise Therapy - methods ; Female ; Humans ; Life Style ; Male ; Middle Aged ; Obesity - physiopathology ; Obesity - therapy ; Original Research & Contributions ; Retrospective Studies ; Weight Loss - physiology</subject><ispartof>Permanente journal, 2018, Vol.22 (1), p.17-082</ispartof><rights>2018 The Permanente Journal 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2932-8c1d7c800384ee22f5f5ee9e0897447a0aab67678efad24ac8edad4a46158d493</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798936/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798936/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29401050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krishnaswami, Ashok</creatorcontrib><creatorcontrib>Ashok, Rohini</creatorcontrib><creatorcontrib>Sidney, Stephen</creatorcontrib><creatorcontrib>Okimura, Michael</creatorcontrib><creatorcontrib>Kramer, Beth</creatorcontrib><creatorcontrib>Hogan, Lindsey</creatorcontrib><creatorcontrib>Sorel, Michael</creatorcontrib><creatorcontrib>Pruitt, Sheri</creatorcontrib><creatorcontrib>Smith, Wayne</creatorcontrib><title>Real-World Effectiveness of a Medically Supervised Weight Management Program in a Large Integrated Health Care Delivery System: Five-Year Outcomes</title><title>Permanente journal</title><addtitle>Perm J</addtitle><description>There are insufficient data on the long-term, nonsurgical, nonpharmacologic treatment of obesity.
To determine changes in weight over 5 years in participants enrolled between April 1, 2007, and December 31, 2014, in a medically supervised weight management program at Kaiser Permanente Northern California Medical Centers. The program consisted of 3 phases: Complete meal replacement for 16 weeks; transition phase, 17 to 29 weeks; and lifestyle maintenance phase, 30 to 82 weeks.
Retrospective observational study of 10,693 participants (2777 available for analysis at 5 years); no comparator group.
Average change in weight from baseline to follow-up.
Average age was 51.1 (standard deviation = 12.4) years, and 72.8% were women. Average baseline weight in the entire cohort was 112.9 kg (standard error [SE] = 0.23). Weight (kg) significantly changed over time: 4 months, -17.3 (SE = 0.12); 1 year, -14.2 (SE = 0.12); 2 years, -8.6 (SE = 0.14); 3 years, -6.9 (SE = 0.17); 4 years, -6.5 (SE = 0.16), and 5 years, -6.4 (SE = 0.29); p < 0.0001). In those with 5-year follow-up, weight loss between 5.0 and 9.9% below baseline occurred in 16.3% (SE = 0.004, 95% CI = 15.3% - 17.2%) and weight loss of 10.0% or more of baseline occurred in 35.2% (SE = 0.01, 95% CI = 33.6% - 36.7%).
The average weight change of obese adults who participated in a medically supervised weight management program, with available 5-year data, was a statistically and clinically significant 5.8% weight loss from baseline.</description><subject>Adult</subject><subject>Aged</subject><subject>Counseling - methods</subject><subject>Delivery of Health Care, Integrated - methods</subject><subject>Diet Therapy - methods</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Life Style</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - physiopathology</subject><subject>Obesity - therapy</subject><subject>Original Research & Contributions</subject><subject>Retrospective Studies</subject><subject>Weight Loss - physiology</subject><issn>1552-5767</issn><issn>1552-5775</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkd9qFDEYxQdRbG298QEklyKMTTLJJOOFUNbWFrZ00UrxKnxNvpkdmZmsSWZhX8MnbqR1aa_y75dzcnKK4h2jn5Rm_ORmtTphqqSavygOmZS8lErJl_t5rQ6KNzH-prTiUjWviwPeCMqopIfF3-8IQ3nrw-DIWduiTf0WJ4yR-JYAuULXWxiGHfkxbzBs-4iO3GLfrRO5ggk6HHFKZBV8F2Ak_ZTvLCF0SC6nhHkvZf4iW6Q1WUBA8hWHbBCy3i4mHD-T87wsfyEEcj0n60eMx8WrFoaIbx_Ho-Ln-dnN4qJcXn-7XJwuS8ubipfaMqeszqG0QOS8la1EbJDqRgmhgALc1Tm7xhYcF2A1OnACRM2kdqKpjoovD7qb-W5EZ3OQAIPZhH6EsDMeevP8ZOrXpvNbk_9QN1WdBT48CgT_Z8aYzNhHi8MAE_o5GtY0ktVUVFVGPz6gNvgYA7Z7G0bNvxJNLtEwZXKJGX7_9GF79H9r1T274JpZ</recordid><startdate>2018</startdate><enddate>2018</enddate><creator>Krishnaswami, Ashok</creator><creator>Ashok, Rohini</creator><creator>Sidney, Stephen</creator><creator>Okimura, Michael</creator><creator>Kramer, Beth</creator><creator>Hogan, Lindsey</creator><creator>Sorel, Michael</creator><creator>Pruitt, Sheri</creator><creator>Smith, Wayne</creator><general>The Permanente Journal</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2018</creationdate><title>Real-World Effectiveness of a Medically Supervised Weight Management Program in a Large Integrated Health Care Delivery System: Five-Year Outcomes</title><author>Krishnaswami, Ashok ; Ashok, Rohini ; Sidney, Stephen ; Okimura, Michael ; Kramer, Beth ; Hogan, Lindsey ; Sorel, Michael ; Pruitt, Sheri ; Smith, Wayne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2932-8c1d7c800384ee22f5f5ee9e0897447a0aab67678efad24ac8edad4a46158d493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Counseling - methods</topic><topic>Delivery of Health Care, Integrated - methods</topic><topic>Diet Therapy - methods</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Life Style</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity - physiopathology</topic><topic>Obesity - therapy</topic><topic>Original Research & Contributions</topic><topic>Retrospective Studies</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krishnaswami, Ashok</creatorcontrib><creatorcontrib>Ashok, Rohini</creatorcontrib><creatorcontrib>Sidney, Stephen</creatorcontrib><creatorcontrib>Okimura, Michael</creatorcontrib><creatorcontrib>Kramer, Beth</creatorcontrib><creatorcontrib>Hogan, Lindsey</creatorcontrib><creatorcontrib>Sorel, Michael</creatorcontrib><creatorcontrib>Pruitt, Sheri</creatorcontrib><creatorcontrib>Smith, Wayne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Permanente journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krishnaswami, Ashok</au><au>Ashok, Rohini</au><au>Sidney, Stephen</au><au>Okimura, Michael</au><au>Kramer, Beth</au><au>Hogan, Lindsey</au><au>Sorel, Michael</au><au>Pruitt, Sheri</au><au>Smith, Wayne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Real-World Effectiveness of a Medically Supervised Weight Management Program in a Large Integrated Health Care Delivery System: Five-Year Outcomes</atitle><jtitle>Permanente journal</jtitle><addtitle>Perm J</addtitle><date>2018</date><risdate>2018</risdate><volume>22</volume><issue>1</issue><spage>17</spage><epage>082</epage><pages>17-082</pages><issn>1552-5767</issn><eissn>1552-5775</eissn><abstract>There are insufficient data on the long-term, nonsurgical, nonpharmacologic treatment of obesity.
To determine changes in weight over 5 years in participants enrolled between April 1, 2007, and December 31, 2014, in a medically supervised weight management program at Kaiser Permanente Northern California Medical Centers. The program consisted of 3 phases: Complete meal replacement for 16 weeks; transition phase, 17 to 29 weeks; and lifestyle maintenance phase, 30 to 82 weeks.
Retrospective observational study of 10,693 participants (2777 available for analysis at 5 years); no comparator group.
Average change in weight from baseline to follow-up.
Average age was 51.1 (standard deviation = 12.4) years, and 72.8% were women. Average baseline weight in the entire cohort was 112.9 kg (standard error [SE] = 0.23). Weight (kg) significantly changed over time: 4 months, -17.3 (SE = 0.12); 1 year, -14.2 (SE = 0.12); 2 years, -8.6 (SE = 0.14); 3 years, -6.9 (SE = 0.17); 4 years, -6.5 (SE = 0.16), and 5 years, -6.4 (SE = 0.29); p < 0.0001). In those with 5-year follow-up, weight loss between 5.0 and 9.9% below baseline occurred in 16.3% (SE = 0.004, 95% CI = 15.3% - 17.2%) and weight loss of 10.0% or more of baseline occurred in 35.2% (SE = 0.01, 95% CI = 33.6% - 36.7%).
The average weight change of obese adults who participated in a medically supervised weight management program, with available 5-year data, was a statistically and clinically significant 5.8% weight loss from baseline.</abstract><cop>United States</cop><pub>The Permanente Journal</pub><pmid>29401050</pmid><doi>10.7812/TPP/17-082</doi><tpages>66</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PubMed Central（OA）; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aged Counseling - methods Delivery of Health Care, Integrated - methods Diet Therapy - methods Exercise Therapy - methods Female Humans Life Style Male Middle Aged Obesity - physiopathology Obesity - therapy Original Research & Contributions Retrospective Studies Weight Loss - physiology |
| title | Real-World Effectiveness of a Medically Supervised Weight Management Program in a Large Integrated Health Care Delivery System: Five-Year Outcomes |
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