Evidence map›Paper›PMID 25298510›Full record

SynthesisFamily practice2014

Effectiveness of behavioural weight loss interventions delivered in a primary care setting: a systematic review and meta-analysis.

Helen P Booth, Toby A Prevost, Alison J Wright, Martin C Gulliford

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02880254 (A Study to Assess the Compliance and Impact on Weight of Kurbo, a Pediatric Centered Weight Loss App), which is not on this map. Cited by 67 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 3 pooled it
17.6field-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.

NCT02880254 nacompletednot on this mapstarted 2016, after this paper: background citation

A Study to Assess the Compliance and Impact on Weight of Kurbo, a Pediatric Centered Weight Loss App

TypeinterventionalSponsorBaystate Medical CenterRan2016 to 2018Enrolled27ConditionsObesityArmsKurbo, Personal Health Coach
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Pooled it
  2. 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
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7 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

4 authors at 1 institution in 1 country.

Helen P BoothDepartment of Primary Care and Public Health Sciences, King's College London, London, UK. helen.booth@kcl.ac.uk.
Toby A PrevostDepartment of Primary Care and Public Health Sciences, King's College London, London, UK.
Alison J WrightDepartment of Primary Care and Public Health Sciences, King's College London, London, UK.
Martin C GullifordDepartment of Primary Care and Public Health Sciences, King's College London, London, UK.
King's College London · GB

Funding

Medical Research Council G0900845
6 · The paper itself

Abstract

backgroundOverweight and obesity have negative health effects. Primary care clinicians are best placed to intervene in weight management. Previous reviews of weight loss interventions have included studies from specialist settings. The aim of this review was to estimate the effect of behavioural interventions delivered in primary care on body weight in overweight and obese adults.

methodsThe review included randomized controlled trials (RCTs) of behavioural interventions in obese or overweight adult participants in a primary care setting, with weight loss as the primary outcome, and a minimum of 12 months of follow-up. A systematic search strategy was implemented in Medline, Embase, Web of Science and the Cochrane Central Registry of Controlled Trials. Risk of bias was assessed using the Cochrane Risk of Bias tool and behavioural science components of interventions were evaluated. Data relating to weight loss in kilograms were extracted, and the results combined using meta-analysis.

resultsFifteen RCTs, with 4539 participants randomized, were selected for inclusion. The studies were heterogeneous with respect to inclusion criteria and type of intervention. Few studies reported interventions informed by behavioural science theory. Pooled results from meta-analysis indicated a mean weight loss of -1.36 kg (-2.10 to -0.63, P < 0.0001) at 12 months, and -1.23 kg (-2.28 to -0.18, P = 0.002) at 24 months.

conclusionBehavioural weight loss interventions in primary care yield very small reductions in body weight, which are unlikely to be clinically significant. More effective management strategies are needed for the treatment of overweight and obesity.

Indexed as

AdolescentAdultAgedBehavior TherapyDatabases, BibliographicFemaleHumansMaleMiddle AgedObesityOutcome Assessment, Health CarePrimary Health CareRandomized Controlled Trials as TopicWeight Reduction ProgramsYoung AdultGeneral practiceobesityoverweightprimary health care.

Identifiers

PMID25298510
PMCPMC4240316
OpenAlexW2149106760

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.