Impact of a Funded (Sponsored) Versus an Unfunded Clinical Weight Management Program on Obesity.

Hildemar dos Santos, Wenes Pereira Reis, Sylvia Cramer, Colwick Wilson, Susanne Montgomery

Abstract


Background: The purpose of this study was to investigate whether an intensive and sponsored weight management program was associated with clinically significant weight loss in obese and morbidly obese patients. Methods: We compared weight loss among patients that participated in a 26- week intervention program. The the intervention group was offered a financial support, while the comparison group without the financial support. Participants were men and women ages 21-75 years with a BMI ≥30 kg/m2, self-referred or referred by the primary physician. Assessments at baseline and end of follow-up (weeks 0 and 26) included demographics, anthropometric, lifestyle and co-morbidity measures. The main outcome was percentage change in weight compared to baseline. Results: There were 127 participants - 23 men and 104 women - in the intervention group (BMI=40.5±8.7) and 154 participants - 36 men and 118 women - (BMI= 39.4±7.1) in the comparison group. Both experienced a significant decrease in weight (7.6±9.7 kg, or 6.7% from baseline for the intervention group vs. 6.2±6.3 kg or 5.8 % for the comparison group) with no statistically significant difference between groups. In both groups, those who started with higher weight (p<0.0011), attended more sessions (p=0.0395) and used adjunctive weight loss medication (p=0.0084) lost more weight. Conclusion: Incentivizing and making a contract did not make any difference on weight outcomes in this study.

 


Keywords


Funded Weight Program; Obesity Management; Obese; Financial Support

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References


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