Obesity Science & Practice最新文献

{"title":"A Pilot Study of a Novel Dietary Intervention Targeting Ultra-Processed Food Intake.","authors":"Charlotte J Hagerman, Asher E Hong, Emma Jennings, Meghan L Butryn","doi":"10.1002/osp4.70029","DOIUrl":"10.1002/osp4.70029","url":null,"abstract":"<p><strong>Background: </strong>Ultra-processed foods (UPFs) are harmful to health but ubiquitous in the modern food environment, comprising almost 60% of the average American diet. This study assessed the feasibility, acceptability, and preliminary efficacy of a novel behavioral intervention designed to reduce UPF intake.</p><p><strong>Methods: </strong>Fourteen adults participated in an 8-week pilot intervention, which consisted of weekly group sessions, individual meal planning sessions, and financial support. Dietary intake was assessed using three Automated Self-Administered 24-h Dietary Recalls (ASA24) at both baseline and post-treatment.</p><p><strong>Results: </strong>The intervention was highly feasible and acceptable. Qualitative data demonstrated that participants were enthusiastic about the benefits of reducing UPF intake and found the intervention highly valuable. Participants reduced average daily calories from UPF by 48.9%, number of UPFs consumed by almost half, total daily calorie intake by 612 calories/day, sodium consumption by 37% and sugar consumption by 50%. There were no significant changes in fruit or vegetable intake. Participants lost an average of 3.5 kg (SD = 3.0 kg).</p><p><strong>Conclusion: </strong>This pilot data suggests that behavioral interventions to reduce UPF intake will be well-received and are capable of success despite the barriers of the United States food environment. Future research should prioritize behavioral interventions targeting UPF consumption alongside policy changes.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 6","pages":"e70029"},"PeriodicalIF":1.9,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Food-Related Inhibitory Control Through an mHealth Intervention-A Secondary Outcome Analysis of an RCT.","authors":"Natalie Schoemann, Caroline Seiferth, Magdalena Pape, Tanja Färber, Stephan Herpertz, Sabine Steins-Loeber, Jörg Wolstein","doi":"10.1002/osp4.70026","DOIUrl":"https://doi.org/10.1002/osp4.70026","url":null,"abstract":"<p><strong>Background: </strong>Experimental studies reveal that deficits in food-related inhibitory control, rather than general impulsiveness, are closely linked to overweight and obesity. To date, the real-world implications remain unknown, and it is unclear whether these results are supported in the clinical field.</p><p><strong>Objective: </strong>To examine the effectiveness of a mobile health (mHealth) intervention with cognitive and behavioral therapeutic elements in altering impulsiveness and food-related inhibitory control.</p><p><strong>Methods: </strong>Prespecified secondary outcome analysis of a randomized controlled trial. Participants with overweight/obesity (BMI: <i>M</i> = 33.35 kg/m², SD = 3.79 kg/m², <i>N</i> = 213) were randomly assigned to either a 12-week mHealth intervention (<i>n</i> = 116) or wait-list control group (<i>n</i> = 97). The Barratt-Impulsiveness-Scale (BIS-15) and the Food-Related Inhibitory Control Scale (FRIS) were administered at baseline (T0) following the intervention (T1), at 9 and 15 month post baseline (T2, T3). Multi-level analyses were calculated.</p><p><strong>Results: </strong>Compared to the control group, the intervention group reported higher food-related inhibitory control on several subscales of the FRIS: In Withholding in Social Situations at T1 (95% CI: 0.06-0.46) and T2 (95%CI: 0.09-0.50), Action Cancellation at T1 (95%CI: 0.05-0.45), Resisting despite Craving at T1 (95% CI: 0.07-0.49), Withstanding Rewarding Food at T2 (95%CI: 0.08-0.55) and Action Withholding at T3 (95% CI: 0.01-0.55). No differences were found for trait impulsiveness (T1: 95%CI: -1.91-0.47; T2: 95%CI: -1.65-0.84; T3: 95%CI: -0.88-1.67).</p><p><strong>Conclusions: </strong>Food-related inhibitory control, rather than global measures of impulsiveness, addresses the critical association between inhibitory control and health-conscious dietary choices and can be improved by mHealth intervention.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT04080193.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 6","pages":"e70026"},"PeriodicalIF":1.9,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Surviving to Thriving: Key Considerations for Weight Control Across Diverse Cancer Survivorship Populations.","authors":"Justin C Brown, Marlyn Allicock, Carmina G Valle, Tanya Agurs-Collins","doi":"10.1002/osp4.70027","DOIUrl":"https://doi.org/10.1002/osp4.70027","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a chronic, relapsing, progressive disease of excess adiposity that increases the risk of dying from at least 16 types of cancer. The prevalence of obesity has increased more rapidly in cancer survivors compared with the general population. Tailored weight management strategies are needed to improve prognosis and health outcomes in the growing population of cancer survivors. However, certain cancer survivor population subgroups require unique consideration when developing weight management strategies.</p><p><strong>Methods: </strong>In a symposium convened by The Obesity Society during ObesityWeek 2023 titled \"From Surviving to Thriving: Key Considerations for Weight Control Across Diverse Cancer Survivorship Populations,\" experts presented the current state of the science and highlighted existing research gaps.</p><p><strong>Results: </strong>Topics included key considerations for weight management in adolescent and young adult cancer survivors, older adult cancer survivors, and understudied cancer survivor subgroups at high risk for poor health outcomes and innovative interventions that can be tested to improve cancer survivorship.</p><p><strong>Conclusions: </strong>This report reviews the symposium and offers perspectives from the expert panel about unique opportunities for future research on tailored weight management strategies to equitably improve prognosis and health outcomes in the diverse and growing population of cancer survivors.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 6","pages":"e70027"},"PeriodicalIF":1.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Body Mass Index: Accurate Metabolic Disease-Risk Phenotyping With 3D Smartphone Application.","authors":"Cassidy McCarthy, Grant M Tinsley, Sophia Ramirez, Steven B Heymsfield","doi":"10.1002/osp4.70025","DOIUrl":"10.1002/osp4.70025","url":null,"abstract":"<p><strong>Objective: </strong>Smartphone applications (apps) with optical imaging capabilities are transforming the field of physical anthropometry; digital measurements of body size and shape in clinical settings are increasingly feasible. Currently available apps are usually designed around the capture of two-dimensional images that are then transformed with app software to three-dimensional (3D) avatars that can be used for digital anthropometry. The aim of the current study was to compare waist circumference (WC), hip circumference (HC), four other circumferences (right/left upper arm, thigh) and WC/HC evaluated with a novel high-precision 3D smartphone app to ground-truth measurements made with a flexible tape by a trained anthropometrist.</p><p><strong>Methods: </strong>Forty-four participants aged 20-78 years and body mass index 18.5-48.5 kg/m² completed digital and manual circumference evaluations and dual-energy X-ray absorptiometry for visceral adipose tissue mass (VAT).</p><p><strong>Results: </strong>3D-digital and ground-truth tape WC, HC, and WC/HC estimates were highly correlated (<i>R</i> ²s, 0.90-0.97, <i>p</i> < 0.001), mean 3D and tape group means at each site did not differ significantly, mean absolute (± SD) and root-mean square errors were low (e.g., WC, 3.4 ± 2.6 and 4.4 cm), and strong concordance correlations were present (0.90-0.99); bias with Bland-Altman analyses was small but significant (<i>p</i> < 0.001) for WC and WC/HC. Comparable results were observed for the four other circumferences. VAT was equally well-correlated with 3D and tape WC measurements (<i>R</i> ²s 0.70, 0.69, both <i>p</i> < 0.001); comparable tape-3D VAT-WC/HC associations were also observed in males (<i>R</i> ²s, 0.85, 0.73, both <i>p</i> < 0.001) and females (<i>R</i> ²s, 0.43, <i>p</i> < 0.01; 0.73, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Digital anthropometry, with accessible technology such as the evaluated novel 3D app, has reached a sufficiently developed stage to go beyond body mass index for phenotyping patient's metabolic disease risks.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 6","pages":"e70025"},"PeriodicalIF":1.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood Body Fat Patterns and Obesity Prevalence in Kazakhstan.","authors":"Shynar Abdrakhmanova, Altyn Aringazina, Zhanar Kalmakova, Laura Utemissova, Mirjam Heinen, Marta Buoncristiano, Julianne Williams, Kremlin Wickramasinghe, Mohammed T Hudda","doi":"10.1002/osp4.70024","DOIUrl":"10.1002/osp4.70024","url":null,"abstract":"<p><strong>Background: </strong>In Kazakhstan the pediatric population levels of obesity based on fat mass (FM) assessment are currently unknown. The present work aimed to assess average childhood FM levels and the prevalence of high levels of adiposity (based upon FM levels).</p><p><strong>Methods: </strong>Cross-sectional data from 2015 to 2020 nationally representative Childhood obesity surveillance initiative and 2022 regional surveys were used for this study of children aged 8 years (<i>n</i> = 4770) and 9 years (<i>n</i> = 3863). Childhood FM assessment was made using a validated prediction model using height, weight, age, sex and ethnicity. Average levels of FM, fat mass percent (FM%) and the prevalence of overfat and obesity were estimated.</p><p><strong>Results: </strong>Amongst 8-year-olds, the population average FM% was 32.3% (95% CI: 31.7%-32.8%) for boys and 35.2% (95% CI: 34.8-35.6) for girls (2015) and 32.7% (95% CI: 32.3-33.1) for boys and 35.1% (95% CI: 34.7-35.5) for girls in 2020. The Almaty region had the average FM% 32.7% (95% CI: 32.1-33.2) and 34.8% (95% CI: 34.3-35.4) for boys and girls respectively in 2022. The similar pattern was observed for 9 year old children.</p><p><strong>Conclusions: </strong>The present study reveals high FM% levels in primary school age children from Kazakhstan across study years. Understanding patterns of FM levels is important for preventing and addressing childhood obesity.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 6","pages":"e70024"},"PeriodicalIF":1.9,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel and Comprehensive Wellness Assessment for Lifestyle-Based Interventions.","authors":"Katie M Ellison, Kimberly A Smith, José R Fernández, Eric P Plaisance, Tsz Kiu Chui, James O Hill, Holly R Wyatt, R Drew Sayer","doi":"10.1002/osp4.70022","DOIUrl":"10.1002/osp4.70022","url":null,"abstract":"<p><strong>Objective: </strong>While weight status and clinical laboratory measures are important in assessing obesity-related disease severity and chronic disease risk, including a broader range of emotional, psychosocial, and behavioral factors would provide greater context of an individual's overall state of wellness and could be used to better guide treatment decisions. The purpose of this research was to develop a comprehensive Lifestyle Wellness assessment for use in lifestyle-based wellness interventions and programs.</p><p><strong>Methods: </strong>A cross-sectional exploratory factor analysis (EFA) was conducted using baseline data from <i>N</i> = 138 adults participating in behavioral weight loss trials. An unweighted least squares extraction method with oblique rotation was used. Twenty-one putative measures spanning constructs related to metabolic health, emotional health/wellbeing, body weight and composition, diet quality, and fitness were analyzed for retention.</p><p><strong>Results: </strong>Mean body mass index (BMI) was 38.0 ± 6.6 kg/m², mean age was 57.3 ± 11.1 years, and 77.5% of participants were female. The EFA produced a five-factor model with 13 items that explained 80.3% of the variance. The retained factors included: (1) Psychosocial State: mindfulness, resilience, quality of life, and happiness; (2) Blood Pressure State: systolic and diastolic blood pressure; (3) Lipid State: total cholesterol and LDL-cholesterol; (4) Fitness State: grip strength, jump height, and percent body fat; and (5) Body State: BMI and waist circumference.</p><p><strong>Conclusions: </strong>Lifestyle Wellness is a comprehensive assessment that enables innovative wellness-related research such as metabolically healthy obese phenotypes and weight-neutral interventions. Future research should include investigations in additional populations with greater age, sex/gender, and body size diversity.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 6","pages":"e70022"},"PeriodicalIF":1.9,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11553003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142623690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient, facility, and environmental factors associated with obesity treatment in US Veterans.","authors":"Vijayvardhan Kamalumpundi, Jessica K Smith, Kathleen M Robinson, Assim Saad Eddin, Aiah Alatoum, Ghena Kasasbeh, Marcelo L G Correia, Mary Vaughan Sarrazin","doi":"10.1002/osp4.70014","DOIUrl":"https://doi.org/10.1002/osp4.70014","url":null,"abstract":"<p><strong>Background: </strong>Identifying patient-, facility-, and environment-level factors that influence the initiation and retention of comprehensive lifestyle management interventions (CLMI) for urban and rural Veterans could improve obesity treatment and reach at Veterans Affairs (VA) facilities.</p><p><strong>Aims: </strong>This study identified factors at these various levels that predicted treatment engagement, retention, and weight management among urban and rural Veterans.</p><p><strong>Methods: </strong>A retrospective cohort study of 631,325 Veterans was designed using VA databases to identify Veterans with class II and III obesity during 2015-2017. Primary outcomes were initiation of CLMI, bariatric surgery, or obesity pharmacotherapy within 1 year of index date. Secondary outcomes included treatment retention and successful weight loss. Generalized linear mixed models were used to evaluate the relationships between factors and obesity-related outcomes, with rurality differences assessed through interaction terms.</p><p><strong>Results: </strong>Patient characteristics associated with increased odds of initiating CLMI included female sex (<i>p</i> < 0.001), black race (<i>p</i> < 0.001), sleep apnea (<i>p</i> < 0.001), mood disorder (<i>p</i> < 0.001), and use of medications associated with weight loss (<i>p</i> < 0.001) or weight gain (<i>p</i> < 0.001). Facility use of telehealth was associated with greater odds of CLMI initiation in urban Veterans (<i>p</i> < 0.001) but lower retention in both populations (<i>p</i> = 0.003). Routine consideration of pharmacotherapy was associated with higher CLMI initiation. Environmental characteristics associated with increased odds of CLMI initiation included percent of population foreign born (OR = 1.03 per 10% increase; <i>p</i> < 0.001), percent black (<i>p</i> < 0.001), and high walkability index (<i>p</i> < 0.001). The relationship between total population and CLMI initiation differed by rurality, as greater population was associated with lower odds of CLMI initiation in urban areas (OR: 0.99 per 1000 population; <i>p</i> < 0.001), but higher odds in rural areas (OR:1.01, <i>p</i> = 0.01). Veterans in the south were less likely to initiate CLMI and had lower retention (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Treatment and retention of CLMI among Veterans remain low, highlighting areas for improvement to expand its reach both urban and rural Veterans.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 5","pages":"e70014"},"PeriodicalIF":1.9,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing muscle preservation during weight loss in patients with cirrhosis: A pilot study comparing continuous energy restriction to alternate-day modified fasting for weight loss in patients with obesity and non-alcoholic cirrhosis of the liver.","authors":"Winston Dunn, Stephen D Herrmann, Robert N Montgomery, Mary Hastert, Jeffery J Honas, Jessica Rachman, Joseph E Donnelly, Felicia L Steger","doi":"10.1002/osp4.70016","DOIUrl":"10.1002/osp4.70016","url":null,"abstract":"<p><strong>Introduction: </strong>Obesity is associated with increased morbidity in patients with advanced liver disease, but it is particularly challenging for these patients to preserve skeletal muscle mass during weight loss and accelerating sarcopenia is a concern. Alternate-day modified fasting (ADMF) may be particularly effective for weight loss in patients with concomitant cirrhosis and obesity due to preservation of fat-free mass (FFM).</p><p><strong>Methods: </strong>A weight loss program featuring either ADMF or a continuous low-calorie diet (LCD) was evaluated in a 24-week randomized clinical trial in 20 adult patients with Child-Pugh Class A cirrhosis and obesity. Participants were randomized to either ADMF (<i>n</i> = 11) or LCD (<i>n</i> = 9). Both groups received a remotely delivered exercise program. Body composition, sarcopenia measures, and functional outcomes were assessed pre-post.</p><p><strong>Results: </strong>Thirteen participants completed the intervention (Age = 57 ± 10; BMI = 37.7 ± 5.8 kg/m²). The median body weight lost in ADMF was 13.7 ± 4.8 kg (13.9% of initial body weight), while LCD lost 9.9 ± 6.9 kg (10.7% of initial body weight). Total body fat percentage decreased in both groups (ADMF: -4.1 ± 4.0%; LCD = -2.8 ± 1.4%). Fat-free mass accounted for 34 ± 20% of total weight loss in ADMF and 38 ± 10% in LCD. Functional measures, such as timed chair stands, improved in both groups.</p><p><strong>Conclusion: </strong>This pilot study demonstrates the feasibility of the ADMF and LCD interventions to produce significant weight loss while improving body composition in patients with cirrhosis and obesity. Further research is needed to validate these findings in larger cohorts and to assess changes in muscle quality and visceral fat.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT05367596.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 5","pages":"e70016"},"PeriodicalIF":1.9,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11500757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic obesity phenotypes and thyroid cancer risk: A systematic exploration of the evidence.","authors":"Mehdi Hedayati, Majid Valizadeh, Behnaz Abiri","doi":"10.1002/osp4.70019","DOIUrl":"https://doi.org/10.1002/osp4.70019","url":null,"abstract":"<p><strong>Background: </strong>Obesity is recognized as a risk factor for various cancers, including thyroid cancer. However, the association between different metabolic obesity phenotypes and thyroid cancer risk remains unclear. This systematic review aimed to comprehensively evaluate the existing literature to elucidate the association between metabolic obesity phenotypes and thyroid cancer risk.</p><p><strong>Methods: </strong>This systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Scopus, EMBASE, Web of Science, and Google Scholar were searched for relevant studies until April 2024. Studies examining the link between metabolic obesity phenotypes and thyroid cancer risk were included.</p><p><strong>Results: </strong>Five cohort studies involving 831,510 participants met the inclusion criteria. Metabolically unhealthy obesity was consistently associated with an increased risk of thyroid cancer in both men and women. Central adiposity emerged as a significant predictor of thyroid cancer risk. Mechanistically, chronic inflammation, dysregulated adipokine secretion, hormonal imbalances, and altered signaling pathways may contribute to thyroid carcinogenesis. There is an ongoing debate regarding the risk associated with metabolically healthy obesity, with some suggesting potential protective effects due to favorable metabolic profiles.</p><p><strong>Conclusion: </strong>This systematic review highlights the complex relationship between metabolic obesity phenotypes and thyroid cancer risk. The findings highlighted the importance of considering metabolic status alongside obesity in thyroid cancer risk assessment and intervention strategies.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 5","pages":"e70019"},"PeriodicalIF":1.9,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11494448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142505058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Four-year follow-up of weight loss maintenance using electronic medical record data: The PROPEL trial.","authors":"Peter T Katzmarzyk, Emily F Mire, Ronald Horswell, San T Chu, Dachuan Zhang, Corby K Martin, Robert L Newton, John W Apolzan, Eboni G Price-Haywood, Dan Fort, Thomas W Carton, Kara D Denstel","doi":"10.1002/osp4.70017","DOIUrl":"10.1002/osp4.70017","url":null,"abstract":"<p><strong>Rationale: </strong>Short-term weight loss is possible in a variety of settings. However, long-term, free-living weight loss maintenance following structured weight loss interventions remains elusive.</p><p><strong>Objective: </strong>The purpose was to study body weight trajectories over 2 years of intensive lifestyle intervention (ILI) and up to 4 years of follow-up versus usual care (UC).</p><p><strong>Methods: </strong>Data were obtained from electronic medical records (EMRs) from participating clinics. Baseline (Day 0) was established as the EMR data point closest but prior to the baseline date of the trial. The sample included 111 ILI and 196 UC patients. The primary statistical analysis focused on differentiating weight loss trajectories between ILI and UC.</p><p><strong>Results: </strong>The ILI group experienced significantly greater weight loss compared with the UC group from Day 100 to Day 700, beyond which there were no significant differences. Intensive lifestyle intervention patients who maintained ≥5% and ≥10% weight loss at 24 months demonstrated significantly greater weight loss (<i>p</i> < 0.001) across the active intervention and follow-up.</p><p><strong>Conclusions: </strong>Following 24 months of active intervention, patients with ILI regained weight toward their baseline to the point where ILI versus UC differences were no longer statistically or clinically significant. However, patients in the ILI who experienced ≥5% or ≥10% weight loss at the cessation of the active intervention maintained greater weight loss at the end of the follow-up phase.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov: NCT02561221.</p>","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"10 5","pages":"e70017"},"PeriodicalIF":1.9,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}