Evidence map›Paper›PMID 20429742›Full record

Trial reportScandinavian journal of primary health care2010

Very low calorie diet (VLCD) followed by a randomized trial of corset treatment for obesity in primary care.

Ingrid Wikstrand, Jarl Torgerson, Kristina Bengtsson Boström

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of primary health care, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Acceptability of a very-low-energy diet in Type 2 diabetes: patient experiences and behaviour regulation.Diabetic medicine : a journal of the British Diabetic Association · 2017
    Trial
  5. Observational
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ingrid WikstrandHealth Care Centre Centrum, Skövde, Sweden. ingrid.wikstrand@bredband.net
Jarl Torgerson
Kristina Bengtsson Boström

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe primary objective was to investigate the feasibility and cost-effectiveness of weight reduction using very low calorie diet (VLCD) in groups. The secondary objective was to investigate whether subsequent corset treatment could maintain the weight reduction long term.

designParticipants, consecutively included in groups of 8-14 subjects, underwent three months of VLCD with lifestyle advice at group meetings. Subjects attaining > or = 8 kg reduction were randomized to corset (A) or no corset (B) treatment for nine months. Weight was registered at all meetings and after 24 months. Costs were calculated using current salaries and anti-obesity drug prices as at 2008. SETTINGS: Primary care in Skaraborg, Sweden. Subjects. A total of 26 men and 65 women aged 30-60 years with BMI > or = 30-< 45 kg/m2.

main outcome measuresWeight changes and costs of treatment.

resultsVLCD (dropout n = 14) resulted in a mean weight reduction of 20.1+/-6.6 kg (20 men) and 15.7+/-4.7 kg (57 women). These 77 subjects were randomized to treatment A (n = 39) or B (n = 38). Compliance with corset was only 20% after three months. After one year (dropout n = 17) weight loss was 11.7+/-8.1 kg (A) and 9.3+/-6.9 kg (B), p = 0.23 and after two years (dropout n = 22) 6.1+/-7.0 kg and 4.4+/-7.3 kg respectively, p = 0.94. Serum glucose and lipids were altered favourably. The cost per participant of treatments A and B was SEK 4440 and SEK 1940 respectively.

conclusionsVLCD in groups was feasible and reduced weight even after one year. The cost of treatment was lower than drug treatment. Corset treatment suffered from poor compliance and could therefore not be evaluated.

Indexed as

Diet, ReducingAdultBracesCost-Benefit AnalysisFamily PracticeFemaleFollow-Up StudiesHumansMaleMiddle AgedObesityOutcome Assessment, Health CarePatient CompliancePrimary Health CareWeight Loss

Identifiers

PMID20429742
PMCPMC3442323

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.