Evidence map›Paper›PMID 39287006›Full record

Trial reportClinical obesity2025

Efficacy of providing energy expenditure information to guide weight loss interventions in people with obesity: A randomized controlled trial.

Jonathan Z M Lim, Andrew Williams, Jamie Burgess, James O'Connell, Michaela James, Andy Cross, David Hughes, Daniel J Cuthbertson, Uazman Alam, John P H Wilding

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Observational
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.

Jonathan Z M LimDepartment of Cardiovascular & Metabolic Medicine, Institute of Life Course and Medical Sciences, Clinical Sciences Centre, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.
Andrew WilliamsDepartment of Cardiovascular & Metabolic Medicine, Institute of Life Course and Medical Sciences, Clinical Sciences Centre, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.
Jamie BurgessDepartment of Cardiovascular & Metabolic Medicine, Institute of Life Course and Medical Sciences, Clinical Sciences Centre, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.
James O'ConnellAintree Weight Management Services, Nutrition and Dietetics Therapies, Aintree University Hospital, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Michaela JamesAintree Weight Management Services, Nutrition and Dietetics Therapies, Aintree University Hospital, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Andy CrossDepartment of Cardiovascular & Metabolic Medicine, Institute of Life Course and Medical Sciences, Clinical Sciences Centre, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.
David HughesDepartment of Health Data Science, Institute of Population Health, Faculty of Health & Life Sciences, University of Liverpool, Liverpool, UK.
Daniel J CuthbertsonDepartment of Cardiovascular & Metabolic Medicine, Institute of Life Course and Medical Sciences, Clinical Sciences Centre, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.
Uazman AlamDepartment of Cardiovascular & Metabolic Medicine, Institute of Life Course and Medical Sciences, Clinical Sciences Centre, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.
John P H WildingDepartment of Cardiovascular & Metabolic Medicine, Institute of Life Course and Medical Sciences, Clinical Sciences Centre, Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.

Funding

University of Liverpool
6 · The paper itself

Abstract

Resting energy expenditure (REE) and metabolic fuel utilization (carbohydrate or fat) proxied by respiratory quotient (RQ) from indirect calorimetry enables more precise measurement of energy needs and fat oxidation capacity. The study compared the effectiveness of providing energy expenditure information during diet and exercise weight intervention versus standard of care (SOC) on weight loss outcomes. Fifty-two participants with obesity were recruited from a specialist weight loss service, randomized 1:1 to intervention (INT) or SOC only. Participants in INT received four-weekly dietetic counselling, using biofeedback from energy expenditure data to recommend caloric restriction and physical activity goals, in addition to SOC. The primary outcome was the mean difference in weight loss between both groups after 24 weeks. Secondary outcomes include participant acceptability and tolerability using indirect calorimetry. Participants in the INT group demonstrated additional weight loss (-2.3 kg [95% CI: -3.1, -1.5]; p <.001), reduced waist circumference (-3.9 cm [95% CI: -5.48, -2.26]; p <.001), and decreased body fat percentage (-1.5% [95% CI:-2.31, -0.72], p <.001), compared to SOC, after adjusting for baseline body mass index, age, and sex. Forty-two percent (10/24) of participants in INT group achieved the minimum clinically significant threshold of 5% weight loss from baseline, compared to 8% (2/26) in the SOC group (p = .007). Participant acceptability and tolerability of indirect calorimetry were high, with mean scores of 4.5 ± 0.6 and 4.2 ± 0.7 (5-point Likert scale). The study establishes the safety and practical integration of biofeedback using indirect calorimetry promoting improved self-regulation and enhancing weight loss.

Indexed as

Energy MetabolismObesityAdultBody Mass IndexCaloric RestrictionCalorimetry, IndirectDiet, ReducingExerciseFemaleHumansMaleMiddle AgedTreatment OutcomeWeight LossWeight Reduction Programsdietenergy expenditureexercisefat oxidationindirect calorimetryobesity

Identifiers

PMID39287006
PMCPMC11706736

What OpenQuestion holds

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Registered trials

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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.