Observational studyBMC endocrine disorders2015
Effects of an eight-week supervised, structured lifestyle modification programme on anthropometric, metabolic and cardiovascular risk factors in severely obese adults.
Observational study in BMC endocrine disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Assessing Community-Based interventions effectiveness on hypertension prevention and control: A systematic review and Meta-Analysis.BMC public health · 2025Pooled it
- Trial
- Traditional Brazilian Diet and Olive Oil Reduce Cardiometabolic Risk Factors in Severely Obese Individuals: A Randomized Trial.Nutrients · 2020Trial
- Knowledge and perceptions of obesity care among general practice nurses in the Republic of Ireland.Primary health care research & development · 2026Article
- Developing implementation strategies for a community-based digital weight management program: A hybrid deductive-inductive thematic analysis grounded in implementation theory.International journal of nursing sciences · 2026Article
- A Nomogram for Prediction of Weight Loss Outcomes after Bariatric Surgery.Obesity surgery · 2025Article
- Structured lifestyle modification as an adjunct to obesity pharmacotherapy: there is much to learn.International journal of obesity (2005) · 2025Review
- Factors associated with weight loss and health gains in a structured lifestyle modification programme for adults with severe obesity: a prospective cohort study.Frontiers in endocrinology · 2023Article
- Design and evaluation of a new nurse-led case management intervention for bariatric surgery patients.MethodsX · 2023Article
- Design of a Planner-Based Intervention to Facilitate Diet Behaviour Change in Type 2 Diabetes.Sensors (Basel, Switzerland) · 2022Article
- Article
- Structured Lifestyle Modification Prior to Bariatric Surgery: How Much is Enough?Obesity surgery · 2021Review
- Identifying Barriers and Facilitators to Diet and Physical Activity Behaviour Change in Type 2 Diabetes Using a Design Probe Methodology.Journal of personalized medicine · 2021Article
- The leptin to adiponectin ratio (LAR) is reduced by sleeve gastrectomy in adults with severe obesity: a prospective cohort study.Scientific reports · 2020Article
- Effects of a Milk-Based Meal Replacement Program on Weight and Metabolic Characteristics in Adults with Severe Obesity.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020Article
- Long-Term Changes in Weight in Patients With Severe and Complicated Obesity After Completion of a Milk-Based Meal Replacement Programme.Frontiers in nutrition · 2020Article
- Health-Associated Nutrition and Exercise Behaviors in Relation to Metabolic Risk Factors Stratified by Body Mass Index.International journal of environmental research and public health · 2019Article
- Tier 3 specialist weight management service and pre-bariatric multicomponent weight management programmes for adults with obesity living in the UK: A systematic review.Endocrinology, diabetes & metabolism · 2019Article
- Outcomes from a community-based hypertension educational programme: the West of Ireland Hypertension study.Irish journal of medical science · 2018Article
- The role of laparoscopic sleeve gastrectomy as a treatment for morbid obesity; review of outcomes.Irish journal of medical science · 2017Article
Corrections and comments
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Authors and funding
14 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLifestyle modification is fundamental to obesity treatment, but few studies have described the effects of structured lifestyle programmes specifically in bariatric patients. We sought to describe changes in anthropometric and metabolic characteristics in a cohort of bariatric patients after participation in a nurse-led, structured lifestyle programme.
methodsWe conducted a retrospective, observational cohort study of adults with a body mass index (BMI) ≥ 40 kgm(-2) (or ≥ 35 kgm(-2) with significant co-morbidity) who were attending a regional bariatric service and who completed a single centre, 8-week, nurse-led multidisciplinary lifestyle modification programme. Weight, height, waist circumference, blood pressure, HbA1c, fasting glucose and lipid profiles as well as functional capacity (Incremental Shuttle Walk Test) and questionnaire-based anxiety and depression scores before and after the programme were compared in per-protocol analyses.
resultsOf 183 bariatric patients enrolled, 150 (81.9%) completed the programme. Mean age of completers was 47.9 ± 1.2 years. 34.7% were male. There were statistically significant reductions in weight (129.6 ± 25.9 v 126.9 ± 26.1 kg, p < 0.001), BMI (46.3 ± 8.3 v 44.9 ± 9.0 kgm(-2), p < 0.001), waist circumference (133.0 ± 17.1 v 129.3 ± 17.5 cm in women and 143.8 ± 19.0 v 135.1 ± 17.9 cm in men, both p < 0.001) as well as anxiety and depression scores, total- and LDL-cholesterol and triglyceride levels, with an increase in functional capacity (5.9 ± 1.7 v 6.8 ± 2.1 metabolic equivalents of thermogenesis (METS), p < 0.001) in completers at the end of the programme compared to the start. Blood pressure improved, with reductions in systolic and diastolic blood pressure from 135 ± 16.2 to 131.6 ± 17.1 (p = 0.009) and 84.7 ± 10.2 to 81.4 ± 10.9 mmHg (p < 0.001), respectively. The proportion of patients achieving target blood pressure increased from 50.3 to 59.3% (p = 0.04). The proportion of patients with diabetes achieving HbA1c <53 mmol/mol increased from 28.6 to 42.9%, p = 0.02.
conclusionsBariatric patients completing an 8 week, nurse-led structured lifestyle programme had improved adiposity, fitness, lipid profiles, psychosocial health, blood pressure and glycaemia. Further assessment of this programme in a pragmatic randomised controlled trial seems warranted.
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