A pragmatic randomised controlled trial in primary care of the Camden Weight Loss (CAMWEL) programme.

BMJ Open
Kiran NanchahalAndrew Haines

Abstract

To evaluate effectiveness of a structured one-to-one behaviour change programme on weight loss in obese and overweight individuals. Randomised controlled trial. 23 general practices in Camden, London. 381 adults with body mass index ≥25 kg/m(2) randomly assigned to intervention (n=191) or control (n=190) group. A structured one-to-one programme, delivered over 14 visits during 12 months by trained advisors in three primary care centres compared with usual care in general practice. Changes in weight, per cent body fat, waist circumference, blood pressure and heart rate between baseline and 12 months. 217/381 (57.0%) participants were assessed at 12 months: missing values were imputed. The difference in mean weight change between the intervention and control groups was not statistically significant (0.70 kg (0.67 to 2.17, p=0.35)), although a higher proportion of the intervention group (32.7%) than the control group (20.4%) lost 5% or more of their baseline weight (OR: 1.80 (1.02 to 3.18, p=0.04)). The intervention group achieved a lower mean heart rate (mean difference 3.68 beats per minute (0.31 to 7.04, p=0.03)) than the control group. Participants in the intervention group reported higher satisfaction and more positive experi...Continue Reading

Associated Clinical Trials

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Citations

Mar 19, 2014·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·J Hartmann-BoyceUNKNOWN Behavioural Weight Management Review Group
Aug 13, 2014·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·J Hartmann-BoyceUNKNOWN Behavioural Weight Management Review Group
Mar 11, 2015·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·R D Barnes, V Ivezaj
Feb 5, 2014·Patient Education and Counseling·Jim McCambridgeKiran Nanchahal
Aug 20, 2014·Journal of General Internal Medicine·David M LevineMelanie Jay
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Jul 29, 2016·Health Promotion Practice·Elizabeth HoldsworthKiran Nanchahal
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Aug 24, 2018·Deutsches Ärzteblatt International·Dorothea KesztyüsTibor Kesztyüs

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