Evidence map›Paper›PMID 25112559›Full record

SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2014

Behavioural weight management programmes for adults assessed by trials conducted in everyday contexts: systematic review and meta-analysis.

J Hartmann-Boyce, D J Johns, S A Jebb, C Summerbell, P Aveyard, Behavioural Weight Management Review Group

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 12 pooled it
21.3field-weighted citation impact, top 1% of its field
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

82 citing papers in PubMed, 12 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Impact of weight-loss interventions on psoriasis severity: A systematic review and meta-analysis.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Pooled it
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  6. The impact of adult behavioural weight management interventions on mental health: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  7. Third-wave cognitive behaviour therapies for weight management: A systematic review and network meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
    Pooled it
  8. Pooled it
  9. The importance of service-users' perspectives: A systematic review of qualitative evidence reveals overlooked critical features of weight management programmes.Health expectations : an international journal of public participation in health care and health policy · 2018
    Pooled it
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  11. A systematic review of motivational interviewing for weight loss among adults in primary care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2015
    Pooled it
  12. Pooled it
  13. The Acceptability and Experiences of Participating in a Preoperative Intentional Weight-Loss Programme From Diagnosis to Surgery for Colorectal Cancer.Health expectations : an international journal of public participation in health care and health policy · 2026
    Trial
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  15. Mechanisms of Action in a Behavioral Weight-Management Program: Latent Growth Curve Analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
    Trial
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22 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 1 country.

J Hartmann-BoyceNuffield Department of Primary Care Health Sciences, Radcliffe Observatory Quarter, University of Oxford, Oxford, UK.
D J Johns
S A Jebb
C Summerbell
P Aveyard
Behavioural Weight Management Review Group
University of Oxford · GBMRC Human Nutrition Research · GBUniversity Hospital of North Tees · GB

Funding

British Heart FoundationCancer Research UKDepartment of HealthMedical Research Council MC_U105960389Medical Research Council MR/J000515/1Medical Research Council MR/K023195/1Medical Research Council MR/K02325X/1Medical Research Council U105960389
6 · The paper itself

Abstract

This systematic review and meta-analysis of effectiveness trials comparing multicomponent behavioural weight management programmes with controls in overweight and obese adults set out to determine the effectiveness of these interventions implemented in routine practice. To be included, interventions must have been multicomponent, delivered by the therapists who would deliver the intervention in routine practice and in that same context, and must be widely available or feasible to implement with little additional infrastructure or staffing. Searches of electronic databases were conducted, and augmented by screening reference lists and contacting experts (November 2012). Data were extracted by two reviewers, with mean difference between intervention and control for 12-month change in weight, blood pressure, lipids and glucose calculated using baseline observation carried forward. Data were also extracted on adverse events, quality of life and mood measures. Although there were many published efficacy trials, only eight effectiveness trials met the inclusion criteria. Pooled results from five study arms providing access to commercial weight management programmes detected significant weight loss at 12 months (mean difference -2.22 kg, 95% confidence interval [CI] -2.90 to -1.54). Results from two arms of a study testing a commercial programme providing meal replacements also detected significant weight loss (mean difference -6.83 kg, 95% CI -8.39 to -5.26). In contrast, pooled results from five interventions delivered by primary care teams showed no evidence of an effect on weight (mean difference -0.45 kg, 95% CI -1.34 to 0.43). One study testing an interactive web-based intervention detected a significant effect in favour of the intervention at 12 months, but the study was judged to be at high risk of bias and the effect did not persist at 18 months. Few studies reported other outcomes, limiting comparisons between interventions. Few trials have examined the effectiveness of behavioural weight loss programmes delivered in everyday contexts. These trials suggest that commercial interventions delivered in the community are effective for achieving weight loss. There is no evidence that interventions delivered within primary care settings by generalist primary care teams trained in weight management achieve meaningful weight loss.

Indexed as

Behavior TherapyDirective CounselingWeight LossWeight Reduction ProgramsAdultDiet, ReducingExerciseHumansObesityPatient ComplianceProgram EvaluationQuality of LifeTreatment OutcomeAdultbehaviour therapyobesityweight loss

Identifiers

PMID25112559
PMCPMC4233997
OpenAlexW2154336270

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.