Weight loss interventions targeting knowledge and/or skills of overweight or obese patients in primary healthcare settings: a systematic review

Author: 
Nighat Faruqi, Chandni Joshi, Catherine Spooner, Jane Lloyd, Jane Taggart, Sarah Dennis, Deborah Askew, Mark Harris
Publication type: 
Conference presentation
Program: 
Stream 2 Disadvantaged populations
Year: 
2014

Primary Health Care Research Conference

PDF of the poster is available here

Aims & rationale

To assess the effectiveness of primary healthcare interventions targeting knowledge and/or skills of adults to promote their weight loss. The effects of overweight and obesity are recognised as a leading health issue and require appropriate interventions.

Methods

Studies were obtained from searches of electronic bibliographic databases and relevant websites, personal communication and hand searching. Intervention studies with a minimum 6 months follow-up, published in English between 1989 and June 2013 in an OECD member country were included. Studies where patients had a chronic disease were excluded.

Principal findings

Thirteen studies (randomised trials [7], pre-post single group trials [5] and case control study [1]) with 2,089 participants included. Seven studies had patients with a high risk of developing type-2 diabetes and one had patients with a metabolic syndrome. Four studies were of strong and nine of weak methodological quality. All interventions targeted diet and physical activity and were delivered by diabetes educators, dieticians, health promotion counsellors, doctors, nurses, physiotherapists, physical activity specialists, psychologists, medical assistants, and the Internet. The delivery format was group (5), group and individual (2), telephone and individual (2), group, telephone and individual (1), group, telephone and letters (1), individual (1), and Internet (1). All but one study showed significant weight loss (0.5-6.0kg) over time.

Implications

These findings will inform researchers in developing effective interventions for weight loss management in adults attending primary health care.

Citation

Faruqi N, Joshi C, Spooner C, Lloyd J, Taggart J, Dennis S, Askew D, Harris M. (2014). Weight loss interventions targeting knowledge and/or skills of overweight or obese patients in primary healthcare settings: a systematic review. In: 2014 Primary Health Care Research Conference: Program & Abstracts. Primary Health Care Research and Information Service, Australia. phcris.org.au/conference/abstract/7883