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Evaluation of the first phase of a specialist weight management programme in the UK National Health Service: prospective cohort study

机译：对英国国家卫生局专家体重管理计划第一阶段的评估：前瞻性队列研究

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ObjectiveTo evaluate the first phase of a specialist weight management programme provided entirely within the UK National Health Service.DesignProspective cohort study using multiple logistic regression analysis to report odds of a‰￥5 kg weight loss in all referrals and completers, and odds of completion, with 95 % confidence intervals. Anxiety and depression a€?casenessa€? were measured by the Hospital Anxiety and Depression Scale.SettingGlasgow and Clyde Weight Management Service (GCWMS) is a specialist multidisciplinary service, with clinical psychology support, for patients with BMI a‰￥35 kg/m2 or BMI a‰￥30 kg/m2 with co-morbidities.SubjectsAll patients referred to GCWMS between 2004 and 2006.ResultsOf 2976 patients referred to GCWMS, 2156 (72?·4 %) opted into the service and 809 completed phase 1. Among 809 completers, 35?·5 % (n 287) lost a‰￥5 kg. Age a‰￥40 years, male sex (OR = 1?·39, 95 % CI 1?·05, 1?·82), BMI a‰￥ 50 kg/m2 (OR = 1?·70, 95 % CI 1?·14, 2?·54) and depression (OR = 1?·81, 95 % CI 1?·35, 2?·44) increased the likelihood of losing a‰￥5 kg. Diabetes mellitus (OR = 0?·55, 95 % CI 0?·38, 0?·81) and socio-economic deprivation were associated with poorer outcomes. Success in patients aged a‰￥40 years and with BMI a‰￥50 kg/m2 was associated with higher completion rates of the programme. Patients from the most deprived areas were less likely to lose a‰￥5 kg because of non-completion of the programme.ConclusionsFurther improvements in overall effectiveness might be achieved through targeting improvements in appropriateness of referrals, retention and effective interventions at specific populations of patients.
机译：目的评估完全由英国国家卫生局提供的专业体重管理计划的第一阶段。设计前瞻性队列研究使用多元逻辑回归分析报告所有转诊和完成者体重减轻￥ 5 kg的几率以及完成几率，置信区间为95％。焦虑和抑郁的情况？格拉斯哥和克莱德体重管理服务（GCWMS）是一项专业多学科服务，具有临床心理学支持，适用于BMI≥35 kg / m2或BMI≥30 kg / m2的患者研究对象2004年至2006年间，所有患者均接受了GCWMS治疗。结果2GC患者接受了GCWMS治疗，其中2156（72％？4％）参加了服务并完成了809期1期手术。809名完成者中，有35％·5％（1％）。 n 287）损失了￥ 5公斤。年龄≥40岁，男性（OR = 1？·39，95％CI 1？·05，1？·82），BMI≥¥50 kg / m2（OR = 1？·70，95％CI 1？14、2？54）和抑郁症（OR = 1？81、95％CI 1？35、2？44）增加了损失5公斤的可能性。糖尿病（OR = 0？·55，95％CI 0？·38，0？·81）和社会经济剥夺与不良预后相关。年龄≥40岁且BMI≥50 kg / m2的患者成功与该计划的较高完成率相关。来自最贫困地区的患者由于未完成该计划而损失的钱少了￥ 5公斤。结论通过针对特定患者群体的转诊，保留和有效干预措施的针对性，可以进一步提高总体有效性。

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