AUTHOR=Yang Xi , Chattopadhyay Kaushik , Hubbard Richard , Li Jia-Lin , Li Li , Lin Yi 

TITLE=36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

JOURNAL=Frontiers in Public Health

VOLUME=9

YEAR=2021

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.749302

DOI=10.3389/fpubh.2021.749302

ISSN=2296-2565

ABSTRACT=<p><bold>Background:</bold> Few comprehensive lifestyle intervention programmes have been investigated on overweight and obese adults in China. This study was to evaluate the effect of a 36-month weight management programme on weight loss and its maintenance among overweight and obese patients in Ningbo, China.</p><p><bold>Methods:</bold> Adults with BMI ≥24<italic>kg</italic>/<italic>m</italic><sup>2</sup> enrolled in this programme, including nutritional, physical activity, psychological and endocrinological counselling sessions, from July 2015 to January 2020. Adults participated in face-to-face counselling sessions and group-based education. Then, participants joined 21-day intensive programme using Bohe health APP and WeChat group to get personal advice of nutrition and lifestyle. In the end, participants were requested to join 33-month follow-ups including face-to-face counselling and personal advice on WeChat group. The main outcome was to evaluate the changes in weight at each followup from baseline weight.</p><p><bold>Results:</bold> In total, 692 adults participated in this entire weight management programme. During follow-ups, 579, 475, 299, 219, and 135 adults participated at 3, 6, 12, 24, and 36 months, respectively. All participants had a significant initial weight loss at 3 months, then maintained the weight loss during 33-month follow-ups. At 36 months, 11.0%, 6.4%, and 3.5% of all participants achieved 5%, 10%, and 15% weight loss from the baseline weight, respectively. Adjusted weight at 36 months was significantly reduced from the baseline weight in both sex (−7.2 kg).</p><p><bold>Conclusion:</bold> This weight management programme is suggested to benefit to reduce initial body weight and maintain long-term weight loss among overweight and obese adults.</p>