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Older age does not influence the success of weight loss through the implementation of lifestyle modification
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Leydon, Eimear, Hanson, Petra, Halder, Louise, Rout, Lucy, Cherry, Ishbel, Shuttlewood, Emma, Poole, Donna, Loveder, Mark, Abraham, Jenny, Kyrou, Ioannis, Randeva, Harpal S., Lam, F. T., Menon, Vinod and Barber, Thomas M. (2021) Older age does not influence the success of weight loss through the implementation of lifestyle modification. Clinical Endocrinology . doi:10.1111/cen.14354 (In Press)
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Official URL: https://doi.org/10.1111/cen.14354
Abstract
Objective
Age is sometimes a barrier for acceptance of patients into a hospital‐based obesity service. Our aim was to explore the effect of age on the ability to lose weight through lifestyle interventions, implemented within a hospital‐based obesity service.
Design
Cross‐sectional study in a cohort of randomly selected patients with morbid obesity (n=242), who attended our hospital‐based obesity service during 2005‐2016 and received only lifestyle weight loss interventions. Primary outcome measures were percentage weight loss (%WL) and percentage reduction in Body Mass Index (%rBMI) following implemented lifestyle interventions. Data were stratified according to patient age at referral: group 1 (age<60 years, n=167); group 2 (age≥60 years, n=75). Weight loss was compared between groups and correlations with age at referral were explored.
Results
The duration of hospital‐based weight loss interventions ranged between 1 and 143 months (mean: 38.9 months; SD: 32.3). Baseline BMI at referral differed significantly between groups 1 and 2 (49.7kgm‐2 [SD: 8.7] vs 46.9kgm‐2 [SD: 6.1], respectively; P<0.05). Following implemented lifestyle interventions, between groups 1 and 2 there were no differences in %WL (6.9% [SD: 16.7] vs 7.3% [SD: 11.60], respectively; P=NS) or %rBMI (8.1% [SD: 14.9] vs 7.8% [SD: 11.7], respectively; P=NS). Overall, there was no significant correlation between patient age at referral and %WL (r=‐0.13, P=NS).
Conclusions
Older age does not influence the success of weight loss through the implementation of lifestyle modification within a hospital‐based obesity service. Therefore, age per se should not influence clinical decisions regarding acceptance of patients to hospital‐based obesity services.
| Item Type: | Journal Article | ||||||
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| Subjects: | R Medicine > RC Internal medicine R Medicine > RM Therapeutics. Pharmacology |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science > Psychology Faculty of Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Obesity, Obesity -- Treatment, Overweight persons, Weight loss, Overweight persons -- Health and hygiene | ||||||
| Journal or Publication Title: | Clinical Endocrinology | ||||||
| Publisher: | Wiley-Blackwell Publishing Ltd | ||||||
| ISSN: | 0300-0664 | ||||||
| Official Date: | 22 October 2021 | ||||||
| Dates: |
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| Date of first compliant deposit: | 23 October 2020 | ||||||
| DOI: | 10.1111/cen.14354 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | In Press | ||||||
| Publisher Statement: | "This is the peer reviewed version of the following article:Leyden, E., Hanson, P., Halder, L., Rout, L., Cherry, I., Shuttlewood, E., Poole, D., Loveder, M., Abraham, J., Kyrou, I., Randeva, H.S., Lam, F., Menon, V. and Barber, T.M. (2020), Older age does not influence the success of weight loss through the implementation of lifestyle modification. Clinical Endocrinology, which has been published in final form at https://doi.org/10.1111/cen.14354. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions." | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
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