Evidence map›Paper›PMID 33685923›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2021

Effect of weight loss on cardiometabolic risk: observational analysis of two randomised controlled trials of community weight-loss programmes.

Elizabeth Morris, Susan A Jebb, Jason Oke, Alecia Nickless, Amy Ahern, Emma Boyland, Ian D Caterson, Jason Halford, Hans Hauner, Paul Aveyard

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Elizabeth MorrisNuffield Department of Primary Care Health Sciences, Radcliffe Observatory Quarter, Woodstock Road; NIHR Oxford Biomedical Research Centre, Oxford, UK.
Susan A JebbNuffield Department of Primary Care Health Sciences, Radcliffe Observatory Quarter, Woodstock Road; NIHR Oxford Biomedical Research Centre, Oxford, UK.
Jason OkeNuffield Department of Primary Care Health Sciences, Radcliffe Observatory Quarter, Woodstock Road; NIHR Oxford Biomedical Research Centre, Oxford, UK.
Alecia NicklessNuffield Department of Primary Care Health Sciences, Radcliffe Observatory Quarter, Woodstock Road, Oxford; Exploristics Ltd., Belfast, UK.
Amy AhernMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.
Emma BoylandDepartment of Psychology, Institute of Population Health, University of Liverpool, Liverpool, UK.
Ian D CatersonSoLES, University of Sydney, Boden Collaboration, Charles Perkins Centre, University of Sydney, Australia.
Jason HalfordPsychology, University of Leeds, Leeds, UK; president of the European Association for the Study of Obesity.
Hans HaunerChair of nutritional medicine and director of the Else Kröner-Fresenius-Centre of Nutritional Medicine, Technical University of Munich, Munich, Germany.
Paul AveyardNuffield Department of Primary Care Health Sciences, Radcliffe Observatory Quarter, Woodstock Road; NIHR Oxford Biomedical Research Centre, Oxford, UK.

Funding

Medical Research Council MC_EX_MR/J000493/1Medical Research Council MC_UU_12015/4Medical Research Council MR/J000493/1
6 · The paper itself

Abstract

backgroundGuidelines recommend that clinicians identify individuals at high cardiometabolic risk and support weight loss in those with overweight or obesity. However, we lack individual level data quantifying the benefits of weight change for individuals to guide consultations in primary care.

aimTo examine how weight change affects cardiometabolic risk factors, and to facilitate shared decision making between patients and clinicians regarding weight loss. DESIGN AND

settingObservational analysis using data from two trials of referral of individuals with overweight or obesity in primary care to community weight-loss groups.

methodLinear mixed effects regression modelling examining the association between weight change and change in systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting glucose, glycated haemoglobin (HbA1c), and lipid profile across multiple timepoints (baseline to 24 months). Subgroup analyses examined changes in individuals with hypertension, diabetes, and hyperlipidaemia.

resultsIn total, 2041 participants had a mean (standard deviation) age of 50 (SD 13.5) years, mean baseline weight of 90.6 (14.8) kg and mean body mass index (BMI) of 32.7 (SD 4.1) kg/m

conclusionWeight loss achieved through referral to community weight-loss programmes, which are commonly accessible in primary care, can lead to clinically relevant reductions in BP and glucose regulation, especially in those at highest risk.

Indexed as

HypertensionWeight Reduction ProgramsBlood PressureBody Mass IndexHumansMiddle AgedObesityWeight Losscardiometabolic riskdiabeteshypertensionlifestyleobesityoverweightprimary careweight loss

Identifiers

PMID33685923
PMCPMC7959667

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.