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首页> 外文期刊>Clinical obesity. >Evaluation of Aintree LOSS LOSS , a community‐based, multidisciplinary weight management service: outcomes and predictors of engagement
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Evaluation of Aintree LOSS LOSS , a community‐based, multidisciplinary weight management service: outcomes and predictors of engagement

机译：安特里损失损失的评估基于社区特色、多学科的重量管理服务:结果和预测订婚

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Summary Aintree LOSS is a community‐based, multidisciplinary weight management programme for patients with severe and complex obesity, focusing on a flexible and individualized service with follow‐up for up to 2 years. We evaluated all 2472 patients referred to the service between October 2009 and 2013. Demographic data were recorded at baseline, with the Index of Multiple Deprivation ( IMD ) used to measure socioeconomic deprivation. Weight was recorded at each visit. Mean body mass index at baseline was 45.6 (standard deviation 6.8), and 58.9% of patients lived in areas in the most deprived decile nationally. Of 2315 appropriate referrals, 1249 (55.1%) attended 2 visits; mean final weight loss was 3.50?±?8.55?kg, and 24.1% achieved ≥5% weight loss. Of the patients, 754 (33.3%) attended for over 6 months; mean final weight loss was 4.94?±?10?kg, and 34% achieved 5% weight loss. Multivariate logistic regression analysis showed increasing age, residence in a less deprived area and sleep apnoea to be independently associated with attendance for 6?months, and there was a linear relationship between 6‐month attendance and deprivation quintile. Year‐on‐year analyses showed improvement in engagement over time, coinciding with efforts to improve access to the service. This work shows a multidisciplinary, community‐based weight loss programme prioritizing a fully flexible and individualized approach functioning effectively in real‐world practice. Maintaining engagement remains a challenge in weight loss programmes, and our results suggest younger patients living in areas with greater deprivation should be a target for efforts to improve engagement.
机译：摘要安特里是一个基于社区应承担的损失,多学科的体重管理计划严重和复杂的肥胖患者,专注于一个灵活和个性化的服务与遵循量为2年。所有2472名患者之间的服务2009年10月和2013年。记录基线,多个指数剥夺(IMD)用来衡量社会经济剥夺。平均身体质量指数在基线是45.6(标准差6.8),58.9%的患者住在最贫穷的地区等分在全国范围内。(55.1%)出席了在2次;亏损3.50 ?±8.55 ?减肥。参加了超过6个月;亏损4.94 ?±10 ?的损失。显示年龄增加,居住在一个更少贫困地区和睡眠呼吸暂停独立与出席有关在6 ?间6月考勤和剥夺五分位数。改善随着时间的推移,一致,努力改善服务。这显示了一个多学科工作,基于社区应承担的减肥计划一个完全灵活和个性化的优先方法有效地运作在现实世界练习。挑战减肥项目,和我们的结果表明年轻的病人居住的地区以更大的不足应该是一个目标努力改善。

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