Evidence map›Paper›PMID 35068081›Full record

ArticleClinical obesity2022

UK dietitians' attitudes and experiences of formula very low- and low-energy diets in clinical practice.

Adrian Brown, Naomi Brosnahan, Dorsa Khazaei, Jed Wingrove, Stuart W Flint, Rachel L Batterham

Open access · hybridAbstract read
In one paragraph

Article in Clinical obesity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

6 authors at 4 institutions in 1 country.

Adrian BrownCentre for Obesity Research, University College London, London, UK.ORCID https://orcid.org/0000-0003-1818-6192
Naomi BrosnahanSchool of Medicine, Dentistry & Nursing, University of Glasgow, Scotland, UK.
Dorsa KhazaeiCentre for Obesity Research, University College London, London, UK.
Jed WingroveCentre for Obesity Research, University College London, London, UK.
Stuart W FlintSchool of Psychology, University of Leeds, Leeds, UK.
Rachel L BatterhamCentre for Obesity Research, University College London, London, UK.
University College Hospital · GBIsle of Wight NHS Trust · GBUniversity College London · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite evidence that formula very low-energy diets (VLED) and low-energy diets (LED) are both effective and safe as treatments for obesity and type 2 diabetes, these diets remain underutilized in the United Kingdom. The aim of this study was to explore UK dietitians' attitudes and experiences of using formula VLED and LED. A cross-sectional survey was disseminated between September 2019 and April 2020 through websites, social media platforms and dietetic networks using snowball sampling. In total, 241 dietitians responded to the online survey with 152 participants included in the final analysis (female [94.1%], mean age 40.8 years [SD 9.5]; median 12 years [interquartile range 8, 22] within dietetic practice). One hundred and nine (71.7%) participants reported currently using VLED/LED in clinical practice and 43 (28.3%) did not. Those with lower motivation and confidence in implementing VLED/LED in clinical practice were less likely to use them. Cost and adherence were the two highest reported barriers to use. Dietitians perceived VLED/LED were effective, but concerns remained about long-term effectiveness, particularly for some patient groups. Dietitians also reported that further education, funding and service infrastructure, including access to clinic space and administrative support, were required to help embed VLED/LED into routine clinical practice. With clinical services now regularly offering VLED/LED programmes in the United Kingdom, dietitians are ideally placed to provide long-term support. However, understanding, reporting and addressing the potential barriers (funding/infrastructure and education) appear to be key requirements in increasing the delivery of VLED/LED programmes nationally.

Indexed as

Diabetes Mellitus, Type 2NutritionistsAdultCross-Sectional StudiesDietFemaleHealth Knowledge, Attitudes, PracticeHumansSurveys and Questionnairesattitudesdietitiansformula dietsobesitytype 2 diabetes remissionvery low/low-energy diets

Identifiers

PMID35068081
PMCPMC9286801
OpenAlexW4206899897

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.