Annette Langan1, Abeer Bader2, Sonja Goedkoop1, Susan Cummings1, Marianne Tsikitas1, Isadora Nogueira1, Karen J Campoverde Reyes3, Fatima Cody Stanford4. 1. MGH Weight Center, Massachusetts General Hospital, 50 Staniford St #430, Boston, MA, 02114, USA. 2. MGH Weight Center, Massachusetts General Hospital, 50 Staniford St #430, Boston, MA, 02114, USA. Electronic address: abader@mgh.harvard.edu. 3. Neuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, 101 Merrimac Street, Suite 615, Boston, MA, 02114, USA; Liver Research Center, Beth Israel Deaconess Medical Center, 110 Francis Street, Suite 4A, Boston, MA, 02215, USA. 4. MGH Weight Center, Massachusetts General Hospital, 50 Staniford St #430, Boston, MA, 02114, USA; Neuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, 101 Merrimac Street, Suite 615, Boston, MA, 02114, USA; Pediatric Endocrinology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street #6C, Boston, MA, 02114, USA.
Abstract
BACKGROUND & AIMS: The majority of Americans now have overweight or obesity. With limited resources to treat all patients, group programs are emerging as an efficient method for dissemination of evidence-based lifestyle information. The objective of this study was to evaluate change in body weight, biochemical parameters, and quality of life among individuals after completion of a 12-week comprehensive group weight management program at an obesity medicine clinic. METHODS: 204 patients were recruited for the study after enrolling in the Healthy Habits for Life program at the Massachusetts General Hospital Weight Center in Boston and Danvers, MA. Prior to the program, patients met individually with a dietitian and baseline data was collected. Primary outcome measures collected were weight and BMI change over the course of the program. Secondary measures collected included biochemical parameters and quality of life. Weekly group visits consisted of primary outcome collection and 1.5 h of instruction on various lifestyle- and nutrition-related topics. Secondary outcome measures were reassessed at an individual visit with the dietitian after the program concluded. RESULTS: 142 participants were adherent to the protocol (attended 9 out of 12 classes). On average, patients lost 6.4 kg (14.1 lbs.), representing a percent total body weight loss of over 5%. Average BMI decrease was significant at 5.35 ± 4.61%. Improvements were seen in physical function, self-esteem, and sexual life; total QOL scores also improved by a significant 5.79% on average. There were also significant improvements in total cholesterol, triglycerides, and HbA1c. CONCLUSIONS: The Healthy Habits for Life group program was an effective treatment for obesity and related health concerns, including overall quality of life. Group programs of this style may be a more efficient was to disseminate evidence-based lifestyle information and affect change for patients with overweight or obesity.
BACKGROUND & AIMS: The majority of Americans now have overweight or obesity. With limited resources to treat all patients, group programs are emerging as an efficient method for dissemination of evidence-based lifestyle information. The objective of this study was to evaluate change in body weight, biochemical parameters, and quality of life among individuals after completion of a 12-week comprehensive group weight management program at an obesity medicine clinic. METHODS: 204 patients were recruited for the study after enrolling in the Healthy Habits for Life program at the Massachusetts General Hospital Weight Center in Boston and Danvers, MA. Prior to the program, patients met individually with a dietitian and baseline data was collected. Primary outcome measures collected were weight and BMI change over the course of the program. Secondary measures collected included biochemical parameters and quality of life. Weekly group visits consisted of primary outcome collection and 1.5 h of instruction on various lifestyle- and nutrition-related topics. Secondary outcome measures were reassessed at an individual visit with the dietitian after the program concluded. RESULTS: 142 participants were adherent to the protocol (attended 9 out of 12 classes). On average, patients lost 6.4 kg (14.1 lbs.), representing a percent total body weight loss of over 5%. Average BMI decrease was significant at 5.35 ± 4.61%. Improvements were seen in physical function, self-esteem, and sexual life; total QOL scores also improved by a significant 5.79% on average. There were also significant improvements in total cholesterol, triglycerides, and HbA1c. CONCLUSIONS: The Healthy Habits for Life group program was an effective treatment for obesity and related health concerns, including overall quality of life. Group programs of this style may be a more efficient was to disseminate evidence-based lifestyle information and affect change for patients with overweight or obesity.
Authors: John W Apolzan; Elizabeth M Venditti; Sharon L Edelstein; William C Knowler; Dana Dabelea; Edward J Boyko; Xavier Pi-Sunyer; Rita R Kalyani; Paul W Franks; Preethi Srikanthan; Kishore M Gadde Journal: Ann Intern Med Date: 2019-04-23 Impact factor: 25.391
Authors: Edward W Gregg; Ji Lin; Barbara Bardenheier; Haiying Chen; W Jack Rejeski; Xiaohui Zhuo; Andrea L Hergenroeder; Stephen B Kritchevsky; Anne L Peters; Lynne E Wagenknecht; Edward H Ip; Mark A Espeland Journal: Diabetes Care Date: 2018-03-15 Impact factor: 19.112