Glasgow and Clyde Weight Management Service

Glasgow, United Kingdom

Glasgow and Clyde Weight Management Service

Glasgow, United Kingdom
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McLean R.C.,University of Glasgow | Morrison D.S.,West of Scotland Cancer Surveillance Unit | Shearer R.,Glasgow and Clyde Weight Management Service | Boyle S.,Glasgow and Clyde Weight Management Service | Logue J.,University of Glasgow
Clinical obesity | Year: 2016

The objective of the study is to investigate the effect of baseline anxiety and depression, using different definitions for caseness, on attrition and weight outcomes following a multidisciplinary weight management programme. The study design is a prospective observational study. The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression with 'caseness' scoring ≥11 and severity ≥14. The participants were all patients who began a weight management programme between 1 October 2008 and 30 September 2009 (n = 1838). The setting was the Glasgow and Clyde Weight Management Service (GCWMS), a specialist multidisciplinary service, which aims to achieve a minimum of ≥5 kg weight loss. The results were as follows: patients with HADS score ≥14 were referred to the integrated psychology service for psychological assessment or intervention. Patients with caseness (HADS ≥11) for anxiety (33%) and depression (27%) were significantly younger, heavier, more socio-economically deprived and a higher proportion was female. There was a significant positive correlation between HADS anxiety and depression scores and increasing body mass index (r(2)  = 0.094, P < 0.001 and r(2)  = 0.175, P < 0.001, respectively). Attendance and completion was lower throughout follow-up amongst patients with anxiety or depression. More patients with HADS score ≥11 achieved ≥5 kg or ≥5% weight loss and by 12 months those with anxiety had a significantly higher mean weight loss (P = 0.032). Participants who scored for severe anxiety (HADS ≥14) achieved similar weight loss to those without, whilst participants who scored for severe depression achieved significantly greater weight loss than non-cases at 3, 6 and 12 months of follow-up (P < 0.01). Despite a less favourable case-mix of risk-factors for poor weight loss, patients who scored caseness for severe anxiety or depression and were offered additional psychological input achieved similar or better weight loss outcomes. © 2016 World Obesity.


Matthews L.,University of Glasgow | Hankey C.,University of Glasgow | Penpraze V.,University of Glasgow | Boyle S.,Glasgow and Clyde Weight Management Service | And 7 more authors.
Preventive Medicine | Year: 2011

Purpose: To assess the level of agreement between accelerometer and proxy-respondent questionnaire measurement of the physical activity levels of adults with intellectual disabilities. Methods: In Glasgow, UK, from May to September 2009, the main carer of participants with intellectual disabilities was asked to complete the International Physical Activity Questionnaire-Short Version, detailing the participants' regular physical activity levels. Participants were also invited to wear an ActiGraph GT1M accelerometer for seven consecutive days, during all waking hours. The level of agreement from the two measurements was compared using the Bland-Altman method. Results: There is limited agreement between physical activity and sedentary behavior measured with accelerometer and proxy-respondent questionnaire. The 95% limits of agreement for both moderate activity and sedentary activity were - 44.48 to 34.20. min per day and - 8.41 to 6.79. h per day, respectively. As physical activity increased above 10. min per day, the agreement between the accelerometer and International Physical Activity Questionnaire-Short Version data decreased further. Conclusion: It remains uncertain whether questionnaire methods have sufficient reliability for use in surveillance of physical activity levels of adults with intellectual disabilities. © 2011 Elsevier Inc.


Spanos D.,University of Glasgow | Hankey C.R.,University of Glasgow | Boyle S.,Glasgow and Clyde Weight Management Service | Koshy P.,University of Glasgow | And 7 more authors.
Journal of Intellectual Disability Research | Year: 2013

Background To date, no studies have explored the role of carers in supporting adults with intellectual disabilities (ID) and obesity during a weight loss intervention. The present study explored perceptions of carers supporting adults with ID, as they participated in a 6-month multi-component weight loss intervention (TAKE 5). Methods Semi-structured interviews were used to explore the experiences of 24 carers. The transcripts were analysed qualitatively using thematic analysis. Results Three themes emerged from the analysis: carers' perceptions of participants' health; barriers and facilitators to weight loss; and carers' perceptions of the weight loss intervention. Data analysis showed similarities between the experiences reported by the carers who supported participants who lost weight and participants who did not. Lack of sufficient support from people from the internal and external environment of individuals with ID and poor communication among carers, were identified as being barriers to change. The need for accessible resources tailored to aid weight loss among adults with ID was also highlighted. Conclusion This study identified specific facilitators and barriers experienced by carers during the process of supporting obese adults with ID to lose weight. Future research could utilise these findings to inform appropriate and effective weight management interventions for individuals with ID. © 2012 Blackwell Publishing Ltd.


Melville C.A.,University of Glasgow | Boyle S.,Glasgow and Clyde Weight Management Service | Miller S.,Mental Health Partnership | MacMillan S.,University of Glasgow | And 7 more authors.
British Journal of Nutrition | Year: 2011

Adults with intellectual disabilities experience high rates of obesity. Despite this higher risk, there is little evidence on the effectiveness of weight-loss interventions for adults with intellectual disabilities and obesity. The present study examined the effectiveness of the TAKE 5 multi-component weight-loss intervention. Adults with obesity were invited using specialist intellectual disability services to participate in the study. Obesity was defined as a BMI of 30kg/m2 or greater. TAKE 5 included a daily energy-deficit diet of 2510kJ (600kcal), achieved via a personalised dietary prescription. Participants' body weight, BMI, waist circumference and levels of physical activity and sedentary behaviour were measured before and after the intervention. A total of fifty-four individuals consented to participate, of which forty-seven (87%) completed the intervention in the study period. There was a significant decrease in body weight (mean difference 447 (95% CI 591, 303)kg; P<00001), BMI (182 (95% CI 236, 129)kg/m2; P<00001), waist circumference (629 (95% CI 785, 473)cm; P<00001) and daily sedentary behaviour of participants (4140 (95% CI 6245, 2035)min; P=000034). Of the participants who completed the intervention, seventeen (362%) lost 5% or more of their initial body weight. Findings from the study suggest that TAKE 5 is an effective weight-loss intervention for adults with intellectual disabilities and obesity. The effectiveness of TAKE 5 should be examined further in a controlled study. © 2011 The Authors.


Spanos D.,University of Glasgow | Hankey C.,University of Glasgow | Boyle S.,Glasgow and Clyde Weight Management Service | Melville C.,University of Glasgow
Journal of Human Nutrition and Dietetics | Year: 2014

Background: The prevalence of obesity in adults with intellectual disabilities (ID) is rising, although the evidence base for its treatment in this population group is minimal. Weight management interventions that are accessible to adults with ID will reduce the inequalities that they frequently experience in health services. This short report compared the effectiveness of weight management in those with and without ID who completed nine sessions of a multi-component weight management programme. Methods: TAKE 5 is a 16-week multi-component weight management intervention for adults with ID and obesity [body mass index (BMI) ≥30 kg m-2]. This intervention is an adaption of the weight management programme provided by the Glasgow & Clyde Weight Management Service (GCWMS) for adults without ID and obesity (National Health Service based). Fifty-two participants of the TAKE 5 programme were individually matched by baseline characteristics (sex, age and BMI) with two participants without ID of the GCWMS programme. Comparisons in terms of weight and BMI change and rate of weight loss were made for those who attended all nine sessions. Results: There were no significant differences between the groups in the amount of weight loss (median: -3.6 versus -3.8 kg, respectively, P = 0.4), change in BMI (median: -1.5 versus -1.4 kg m-2, P = 0.9), success of achieving 5% weight loss (41.3% versus 36.8%, P = 0.9) and rate of weight loss across the 16-week intervention. Conclusions: A multi-component weight loss intervention can be equally effective for adults with and without ID and obesity. © 2013 The British Dietetic Association Ltd.


Morrison D.S.,West of Scotland Cancer Surveillance Unit | Boyle S.,Glasgow and Clyde Weight Management Service | Morrison C.,Greater Glasgow and Clyde NHS Board | Allardice G.,Greater Glasgow and Clyde NHS Board | And 2 more authors.
Public Health Nutrition | Year: 2012

Objective To evaluate the first phase of a specialist weight management programme provided entirely within the UK National Health Service. Design Prospective cohort study using multiple logistic regression analysis to report odds of ≥5 kg weight loss in all referrals and completers, and odds of completion, with 95 % confidence intervals. Anxiety and depression 'caseness' were measured by the Hospital Anxiety and Depression Scale. Setting Glasgow and Clyde Weight Management Service (GCWMS) is a specialist multidisciplinary service, with clinical psychology support, for patients with BMI ≥35 kg/m 2 or BMI ≥30 kg/m 2 with co-morbidities. Subjects All patients referred to GCWMS between 2004 and 2006. Results Of 2976 patients referred to GCWMS, 2156 (72.4 %) opted into the service and 809 completed phase 1. Among 809 completers, 35.5 % (n 287) lost ≥5 kg. Age ≥40 years, male sex (OR = 1.39, 95 % CI 1.05, 1.82), BMI ≥ 50 kg/m 2 (OR = 1.70, 95 % CI 1.14, 2.54) and depression (OR = 1.81, 95 % CI 1.35, 2.44) increased the likelihood of losing ≥5 kg. Diabetes mellitus (OR = 0.55, 95 % CI 0.38, 0.81) and socio-economic deprivation were associated with poorer outcomes. Success in patients aged ≥40 years and with BMI ≥50 kg/m 2 was associated with higher completion rates of the programme. Patients from the most deprived areas were less likely to lose ≥5 kg because of non-completion of the programme. Conclusions Further improvements in overall effectiveness might be achieved through targeting improvements in appropriateness of referrals, retention and effective interventions at specific populations of patients. © The Authors 2011.


PubMed | Glasgow and Clyde Weight Management Service, University of Glasgow and West of Scotland Cancer Surveillance Unit
Type: Journal Article | Journal: Clinical obesity | Year: 2016

The objective of the study is to investigate the effect of baseline anxiety and depression, using different definitions for caseness, on attrition and weight outcomes following a multidisciplinary weight management programme. The study design is a prospective observational study. The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression with caseness scoring 11 and severity 14. The participants were all patients who began a weight management programme between 1 October 2008 and 30 September 2009 (n=1838). The setting was the Glasgow and Clyde Weight Management Service (GCWMS), a specialist multidisciplinary service, which aims to achieve a minimum of 5kg weight loss. The results were as follows: patients with HADS score 14 were referred to the integrated psychology service for psychological assessment or intervention. Patients with caseness (HADS 11) for anxiety (33%) and depression (27%) were significantly younger, heavier, more socio-economically deprived and a higher proportion was female. There was a significant positive correlation between HADS anxiety and depression scores and increasing body mass index (r(2) =0.094, P<0.001 and r(2) =0.175, P<0.001, respectively). Attendance and completion was lower throughout follow-up amongst patients with anxiety or depression. More patients with HADS score 11 achieved 5kg or 5% weight loss and by 12 months those with anxiety had a significantly higher mean weight loss (P=0.032). Participants who scored for severe anxiety (HADS 14) achieved similar weight loss to those without, whilst participants who scored for severe depression achieved significantly greater weight loss than non-cases at 3, 6 and 12 months of follow-up (P<0.01). Despite a less favourable case-mix of risk-factors for poor weight loss, patients who scored caseness for severe anxiety or depression and were offered additional psychological input achieved similar or better weight loss outcomes.

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