Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 1096-1123 |
| Number of pages | 28 |
| Journal | American Journal of Men's Health |
| Volume | 11 |
| Issue number | 4 |
| Early online date | 30 Jun 2015 |
| DOIs | |
| Publication status | Published - 1 Jul 2017 |
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Keywords
- obesity
- behavioral issues
- men's health interventions
- PHYSICAL-ACTIVITY INTERVENTIONS
- OBESE MEN
- HIGH-PROTEIN
- ERECTILE DYSFUNCTION
- FAT-METABOLISM
- OVERWEIGHT MEN
- EXERCISE
- METAANALYSIS
- OUTCOMES
- PROGRAM
Cite this
Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men : A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project). / Robertson, Clare; Avenell, Alison; Stewart, Fiona; Archibald, Daryll; Douglas, Flora; Hoddinott, Pat; Van Teijlingen, Edwin; Boyers, Dwayne.
In: American Journal of Men's Health, Vol. 11, No. 4, 01.07.2017, p. 1096-1123.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men
T2 - A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project)
AU - Robertson, Clare
AU - Avenell, Alison
AU - Stewart, Fiona
AU - Archibald, Daryll
AU - Douglas, Flora
AU - Hoddinott, Pat
AU - Van Teijlingen, Edwin
AU - Boyers, Dwayne
N1 - Acknowledgements We thank the Men’s Health Forums of Scotland, Ireland, England, and Wales, especially Tim Street, Paula Carroll, Colin Fowler, and David Wilkins. We also thank Kate Jolly for information about the Lighten Up trial. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This review is an update of one of a series of systematic reviews for the ROMEO project (Review Of MEn and Obesity), funded by the National Institute for Health Research, Health Technology Assessment Programme (NIHR HTA Project 09/127/01; Systematic reviews and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men http://www.nets.nihr.ac.uk/projects/hta/0912701).
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Men are underrepresented in obesity services, suggesting current weight loss service provision is suboptimal. This systematic review evaluated evidence-based strategies for treating obesity in men. Eight bibliographic databases and four clinical trials’ registers were searched to identify randomized controlled trials (RCTs) of weight loss interventions in men only, with mean/median body mass index of ≥30 kg/m2 (or ≥28 kg/m2 with cardiac risk factors), with a minimum mean/median duration of ≥52 weeks. Interventions included diet, physical activity, behavior change techniques, orlistat, or combinations of these; compared against each other, placebo, or a no intervention control group; in any setting. Twenty-one reports from 14 RCTs were identified. Reducing diets produced more favorable weight loss than physical activity alone (mean weight change after 1 year from a reducing diet compared with an exercise program −3.2 kg, 95% confidence interval −4.8 to −1.6 kg, reported p < .01). The most effective interventions combined reducing diets, exercise, and behavior change techniques (mean difference in weight at 1 year compared with no intervention was −4.9 kg, 95% confidence interval −5.9 to −4.0, reported p < .0001). Group interventions produced favorable weight loss results. The average reported participant retention rate was 78.2%, ranging from 44% to 100% retention, indicating that, once engaged, men remained committed to a weight loss intervention. Weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behavior change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed.
AB - Men are underrepresented in obesity services, suggesting current weight loss service provision is suboptimal. This systematic review evaluated evidence-based strategies for treating obesity in men. Eight bibliographic databases and four clinical trials’ registers were searched to identify randomized controlled trials (RCTs) of weight loss interventions in men only, with mean/median body mass index of ≥30 kg/m2 (or ≥28 kg/m2 with cardiac risk factors), with a minimum mean/median duration of ≥52 weeks. Interventions included diet, physical activity, behavior change techniques, orlistat, or combinations of these; compared against each other, placebo, or a no intervention control group; in any setting. Twenty-one reports from 14 RCTs were identified. Reducing diets produced more favorable weight loss than physical activity alone (mean weight change after 1 year from a reducing diet compared with an exercise program −3.2 kg, 95% confidence interval −4.8 to −1.6 kg, reported p < .01). The most effective interventions combined reducing diets, exercise, and behavior change techniques (mean difference in weight at 1 year compared with no intervention was −4.9 kg, 95% confidence interval −5.9 to −4.0, reported p < .0001). Group interventions produced favorable weight loss results. The average reported participant retention rate was 78.2%, ranging from 44% to 100% retention, indicating that, once engaged, men remained committed to a weight loss intervention. Weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behavior change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed.
KW - obesity
KW - behavioral issues
KW - men's health interventions
KW - PHYSICAL-ACTIVITY INTERVENTIONS
KW - OBESE MEN
KW - HIGH-PROTEIN
KW - ERECTILE DYSFUNCTION
KW - FAT-METABOLISM
KW - OVERWEIGHT MEN
KW - EXERCISE
KW - METAANALYSIS
KW - OUTCOMES
KW - PROGRAM
U2 - 10.1177/1557988315587550
DO - 10.1177/1557988315587550
M3 - Article
VL - 11
SP - 1096
EP - 1123
JO - American Journal of Men's Health
JF - American Journal of Men's Health
SN - 1557-9883
IS - 4
ER -