Top

Published in:

Open Access 01-12-2021 | Obesity | Protocol

Efficacy and safety of clinically managed weight loss programs: a systematic review and meta-analysis protocol

Authors: Katrina Cachero, Matthew Granger, Rebecca C. Mollard, Nicole Askin, George N. Okoli, Ahmed M. Abou-Setta, Dylan MacKay

Published in: Systematic Reviews | Issue 1/2021

Abstract

Background

Obesity has become a major driver in the burden of chronic diseases. The Canadian Clinical Practice Guidelines recommend a lifestyle intervention for the management and prevention of obesity. This includes behavior modification, dietary counseling, and physical activity. With the market overwhelmed with weight loss programs, the majority are focused on low-calorie diets and general recommendations for exercise. Most are not personalized and are not administered by healthcare professionals. An interdisciplinary team of highly trained healthcare professionals has the ability to provide medically sound and safe advice in all aspects of an individuals’ life, such as lifestyle, sleep, mental health, and behaviors. A clinically managed weight loss program is defined as a team including a dietitian, exercise professional, psychologist, and/or physician or nurse practitioner oversight. With limiting results in the literature regarding clinically managed weight loss programs, it is difficult to conclude whether it may be effective. Therefore, the objective of this systematic review is to assess clinically managed weight loss programs, with a physician or nurse practitioner oversight in comparison with non-clinically managed weight loss programs with no physician oversight or nurse practitioner oversight in adults who are living with overweight or obesity.

Methods

A literature search will be executed by a knowledge synthesis librarian on MEDLINE, Cochrane Central, Embase, PsycINFO, and CINAHL. The data collected will be extracted, stored, and managed in MS Excel 2016. The extraction of the data will include study details, study population details, health team details, intervention details, and outcome details.

Discussion

The prevalence of obesity has been increasing throughout the decades. The results from this systematic review may aid in recommending a more clinically safe weight loss program for those who struggle with overweight or obesity.

Systematic review registration

PROSPERO CRD42020170014

Available only for authorised users

Bancej C, Jayabalasingham B, Wall RW, Rao DP, Do MT, de Groh M, et al. Evidence brief - trends and projections of obesity among Canadians. Ottawa: Chronic Diseases and Injuries in Canada; 2015.CrossRef

Twells LK, Gregory DM, Reddigan J, Midodzi WK. Current and predicted prevalence of obesity in Canada: a trend analysis. cmajo. 2014;2(1):E18–26.CrossRef

Health and Economic Costs of Chronic Disease | CDC [Internet]. 2019 [cited 2019 Sep 28]. Available from: https://www.cdc.gov/chronicdisease/about/costs/index.htm

Obesity and overweight [Internet]. [cited 2019 Nov 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Lau DCW, Douketis JD, Morrison KM, Hramiak IM, Sharma AM, Ur E, et al. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary]. Can Med Assoc J. 2007 Apr 10;176(8):S1–13. https://doi.org/10.1503/cmaj.061409.CrossRef

Taylor R. Banting Memorial Lecture 2012 Reversing the twin cycles of type 2 diabetes. Diabet Med. 2013 Mar;30(3):267–75. https://doi.org/10.1111/dme.12039.CrossRefPubMedPubMedCentral

Gudzune KA, Doshi RS, Mehta AK, Chaudhry ZW, Jacobs DK, Vakil RM, et al. Efficacy of commercial weight loss programs: an updated systematic review. Ann Intern Med. 2015 Apr 7;162(7):501–12. https://doi.org/10.7326/M14-2238.CrossRefPubMedPubMedCentral

Tapsell LC, Neale EP. The effect of interdisciplinary interventions on risk factors for lifestyle disease: a literature review. Health Educ Behav. 2016 Jun;43(3):271–85. https://doi.org/10.1177/1090198115601092.CrossRefPubMed

Blackburn GL. Comparison of medically supervised and unsupervised approaches to weight loss and control. Ann Intern Med. 1993;119(7_Part_2):714.CrossRef

10.

Nilsen V, Bakke PS, Gallefoss F. Effects of lifestyle intervention in persons at risk for type 2 diabetes mellitus - results from a randomised, controlled trial. BMC Public Health; London. 2011;11:893.

11.

McGowan J, Sampson M, Salzwedel DM, Cogo E, Foerster V, Lefebvre C. PRESS Peer Review of Electronic Search Strategies: 2015 guideline statement. J Clin Epidemiol. 2016 Jul 1;75:40–6. https://doi.org/10.1016/j.jclinepi.2016.01.021.CrossRefPubMed

12.

Rayyan QCRI, the Systematic Reviews web app [Internet]. [cited 2019 Sep 28]. Available from: https://rayyan.qcri.org/welcome

13.

Use of Microsoft Copyrighted Content | Intellectual Property [Internet]. [cited 2019 Sep 28]. Available from: https://www.microsoft.com/en-us/legal/intellectualproperty/permissions/default.aspx

14.

Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ [Internet]. 2019 Aug 28 [cited 2020 Jan 13];366. Available from: https://www.bmj.com/content/366/bmj.l4898

15.

RevMan 5 [Internet]. [cited 2019 Sep 28]. Available from: https://community.cochrane.org/help/tools-and-software/revman-5

Title: Efficacy and safety of clinically managed weight loss programs: a systematic review and meta-analysis protocol
Authors: Katrina Cachero
Matthew Granger
Rebecca C. Mollard
Nicole Askin
George N. Okoli
Ahmed M. Abou-Setta
Dylan MacKay
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Obesity
Obesity
Overweight
Published in: Systematic Reviews / Issue 1/2021
Electronic ISSN: 2046-4053
DOI: https://doi.org/10.1186/s13643-021-01750-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Efficacy and safety of clinically managed weight loss programs: a systematic review and meta-analysis protocol

Abstract

Background

Methods

Discussion

Systematic review registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Discussion

Systematic review registration

Please log in to get access to this content

Other articles of this Issue 1/2021

Effect of home-based pulmonary rehabilitation on functional capacity in people with idiopathic pulmonary fibrosis—a systematic review protocol

Evidence on scaling in health and social care: protocol for a living umbrella review

Effect modification of the association between comorbidities and severe course of COVID-19 disease by age of study participants: a systematic review and meta-analysis

Non-invasive and minimally invasive glucose monitoring devices: a systematic review and meta-analysis on diagnostic accuracy of hypoglycaemia detection

Preventive interventions to reduce the burden of rheumatic heart disease in populations at risk: a systematic review protocol

Protocol for a systematic review of policies, programs or interventions designed to improve health and wellbeing of young people leaving the out-of-home care system