Obesity, Overweight
Conditions
Keywords
Obesity, Overweight, Randomised controlled trial, Primary Care, Weight, Cardiovascular Risk, Diabetes, Quality of life
Brief summary
The purpose of this study is to conduct a randomised controlled trial to assess the sustained effects on weight, selected risk factors and sense of well-being of offering individualized weight management advice in the primary care setting to patients who wish to lose weight; and to identify the key factors influencing the success of the intervention.
Detailed description
Primary care could make a substantial impact on the increasing prevalence of overweight and obesity and their associated adverse impact on health. The lack of a proven intervention may deter health professionals in primary care from providing support to their overweight patients as few obese people recall receiving weight control advice from a health professional. In this study we aim to conduct a large scale randomised controlled trial to assess the effectiveness of a longer-term structured lifestyle support programme provided by a research nurse and the provision of pedometers compared to usual care in overweight/ obese adults who wish to lose weight. We will assess the degree of weight loss over a period of 12 months as well as related factors such as changes in waist circumference, quality of life and cost-effectiveness of the interventions. The research is highly relevant to policy making at both national and local levels.
Interventions
OTHERStructured lifestyle support
The intervention group will meet with a research nurse on 14 occasions over the 1 year research study, for structured lifestyle support, including dietary, physical activity and behavioral advice. They will also receive a pedometer.
Sponsors
NHS Camden
London School of Hygiene and Tropical Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 18 years or over * BMI ≥ 25 kg/m2 * GP confirmation
Exclusion criteria
* pregnant or lactating women * patients with renal failure, pacemakers or cancer * participating in other research affecting weight * Ability to complete questionnaires * Ability to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in weight, waist circumference and percent body fat at 12 months. | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Weight, waist circumference, and percent body fat at 6 months. | 0 and 6 months |
| BMI, blood pressure, resting heart rate; obesity and weight related quality of life, Rosenberg measure of self-esteem changes at 12 months. | 0 and 12 months |
Countries
United Kingdom
Outcome results
None listed