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dc.contributor.authorLangston, Keanne
dc.contributor.authorRoss, Lynda J
dc.contributor.authorByrnes, Angela
dc.contributor.authorHay, Robin
dc.date.accessioned2020-06-26T03:58:40Z
dc.date.available2020-06-26T03:58:40Z
dc.date.issued2020
dc.identifier.issn1446-6368
dc.identifier.doi10.1111/1747-0080.12605
dc.identifier.urihttp://hdl.handle.net/10072/394959
dc.description.abstractAim: 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.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofjournalNutrition & Dietetics
dc.subject.fieldofresearchFood sciences
dc.subject.fieldofresearchNutrition and dietetics
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode3006
dc.subject.fieldofresearchcode3210
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsintuitive eating
dc.subject.keywordslifestyle intervention
dc.titleSecondary-prevention behaviour-change strategy for high-risk patients: Benefits for all classes of body mass index
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationLangston, 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.dateAccepted2019-11-29
dc.date.updated2020-06-26T03:56:11Z
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.hasfulltextNo Full Text
gro.griffith.authorLangston, Keanne


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