dc.contributor.author | Langston, Keanne | |
dc.contributor.author | Ross, Lynda J | |
dc.contributor.author | Byrnes, Angela | |
dc.contributor.author | Hay, Robin | |
dc.date.accessioned | 2020-06-26T03:58:40Z | |
dc.date.available | 2020-06-26T03:58:40Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 1446-6368 | |
dc.identifier.doi | 10.1111/1747-0080.12605 | |
dc.identifier.uri | http://hdl.handle.net/10072/394959 | |
dc.description.abstract | Aim: Research is needed to support the long-term benefits of lifestyle interventions for management of high-risk patients with different BMI classifications. This prospective multicentre study assessed two-year outcomes of hospital-referred patients (BMI 25-61 kg/m2) attending a dietitian-led multidisciplinary Healthy Eating and Lifestyle Behaviour-Change Program in group or individual formats in hospital outpatient settings. Methods: Bodyweight, quality of life (Short Form-12) and intuitive eating (Intuitive Eating Scale) data were collected at pre-intervention, post-intervention and 2 years. Outcomes were reported in BMI classes. Results: At pre-intervention (n = 493), 11% had pre-obesity, 25% obesity class I, 30% obesity class II and 34% obesity class III. Characteristics of participants with available data at post-intervention (n = 290) and 2 years (n = 178) were comparable (P >.05). Significant mean weight loss was seen at post-intervention (−2.0 ± 0.4 kg, P <.001, n = 290) and 2 years (−4.3 ± 0.5 kg, P <.001, n = 178). All BMI classes had significant weight losses (P <.05). Participants with higher obesity (classes II and III) had greater improvements in mental quality of life (P <.05) and initial weight reductions (P <.05) than those with lower classes. However, those with obesity class I had the greatest long-term weight reductions and significant improvements in physical quality of life at 2 years (P <.05). All BMI classes reported similar improvements in intuitive eating. No effect was found for differences in intervention format, duration or setting (P >.05). Conclusions: The results support dietitian-led multidisciplinary lifestyle interventions for multidisciplinary management of high-risk patients of all BMI classes. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Wiley | |
dc.relation.ispartofjournal | Nutrition & Dietetics | |
dc.subject.fieldofresearch | Food sciences | |
dc.subject.fieldofresearch | Nutrition and dietetics | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearchcode | 3006 | |
dc.subject.fieldofresearchcode | 3210 | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.subject.keywords | Science & Technology | |
dc.subject.keywords | Life Sciences & Biomedicine | |
dc.subject.keywords | intuitive eating | |
dc.subject.keywords | lifestyle intervention | |
dc.title | Secondary-prevention behaviour-change strategy for high-risk patients: Benefits for all classes of body mass index | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Langston, K; Ross, LJ; Byrnes, A; Hay, R, Secondary-prevention behaviour-change strategy for high-risk patients: Benefits for all classes of body mass index, Nutrition & Dietetics, 2020 | |
dcterms.dateAccepted | 2019-11-29 | |
dc.date.updated | 2020-06-26T03:56:11Z | |
gro.description.notepublic | This publication has been entered in Griffith Research Online as an advanced online version. | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Langston, Keanne | |