Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
The £ for lb. Challenge: A lose – win – win scenario.
Results from a novel workplace-based, peer-led weight
management pro...
Obesity - public health priority
Excess weight increases risk
- Early death
- Disability
- Diabetes
- Heart disease
- Stro...
Intervention
• Peer (not professional) led – Work champions
• Workplace based
• Incentivised - £1 pledge to charity for ev...
Programme
Who? - Adults, BMI >25 kg/m2, not pregnant
How?
• Healthy eating, physical activity + behaviour
change advice
• ...
Organisations
• 35 organisations
• Across NI
• Private, public, third
sector
• Wide variety of
industries -
Manufacturing,...
Analysis
Department of Health recommendations - Developing a specification for
lifestyle weight management services: Best ...
Results – participation + engagement
-
Results – baseline characteristics
Female : Male 55% : 45%
Mean age = 44yrs
Mean weight = 88kg
Mean BMI = 30.6kg/m2
BMI (k...
Results - effectiveness
65% attended last session
• Mean weight loss = 2.4kg (2.7%)
• Mean BMI loss = 0.8 kg/m2 ()
• 24% l...
Results - Weight change over programme duration
 Highest in first week
 Greater in first half
 Slower in second half
-4...
Results - Weekly attendance
 Declined uniformly until week 9 – 37%
 Increased to finish at 65%
0
200
400
600
800
1000
12...
Results – factors associated with weight loss
Gender
Men lost significantly more weight than women
(Average 3.3kg v 1.6kg,...
Results – factors associated with weight loss
Deprivation
 Those from more deprived areas lost more weight
 2.7% vs 1.8%...
Results – factors associated with ≥ 5% weight loss
• Age and deprivation NOT significantly associated with ≥ 5%
weight los...
Lose – win – win
• LOSE – Av 2.4kg loss,
24% > 5% weight loss
• WIN – physical + mental
health benefits
• WIN – productivi...
The End
Upcoming SlideShare
Loading in …5
×

Damien Bennett - The £ for lb challenge – a lose – win – win scenario. Results from a novel workplace-based, peer-led weight management programme

191 views

Published on

Damien Bennett - The £ for lb challenge – a lose – win – win scenario. Results from a novel workplace-based, peer-led weight management programme

Published in: Healthcare
  • Be the first to comment

  • Be the first to like this

Damien Bennett - The £ for lb challenge – a lose – win – win scenario. Results from a novel workplace-based, peer-led weight management programme

  1. 1. The £ for lb. Challenge: A lose – win – win scenario. Results from a novel workplace-based, peer-led weight management programme in 2016 Dr Damien Bennett, Dr Declan Bradley, Angela McComb, Amy Kiernan, Dr Tracey Owen IPH Conference
  2. 2. Obesity - public health priority Excess weight increases risk - Early death - Disability - Diabetes - Heart disease - Stroke - Osteoarthritis - Cancer - Depression and social isolation Workplace – health promoting setting Programmes targeting diet + physical activity - change behaviours + improve outcomes (e.g. BMI, blood pressure etc.) Organization benefits - ↓absenteeism - ↑ productivity - corporate image
  3. 3. Intervention • Peer (not professional) led – Work champions • Workplace based • Incentivised - £1 pledge to charity for every lb. weight loss Foundation – NHS Choices 12-week guide, Losing weight: Getting Started Training of Champions – Two workshops (start and mid-point) - BHSCT dietitian + physical activity professional
  4. 4. Programme Who? - Adults, BMI >25 kg/m2, not pregnant How? • Healthy eating, physical activity + behaviour change advice • Recommended daily 600 kcal deficit diet - most participants • Practical strategies - ↓calorie intake and ↑ physical activity • Weekly weigh ins
  5. 5. Organisations • 35 organisations • Across NI • Private, public, third sector • Wide variety of industries - Manufacturing, IT, Construction, Tourism, Academic, Public sector, Voluntary sector
  6. 6. Analysis Department of Health recommendations - Developing a specification for lifestyle weight management services: Best practice guidance for tier 2 services Categories Enrolled at baseline Engaged - attended more than one session Completed - attended any of last three sessions Variables Weight, BMI, Waist circumference, % bodyweight Tests Categorical – chi squared Continuous – t-tests, Multivariate and logistical regression analysis
  7. 7. Results – participation + engagement -
  8. 8. Results – baseline characteristics Female : Male 55% : 45% Mean age = 44yrs Mean weight = 88kg Mean BMI = 30.6kg/m2 BMI (kg/m2) N (%) 25-29.9 797 (54) 30-34.9 461 (31) 35-39.9 164 (11) 40+ 60 (4)
  9. 9. Results - effectiveness 65% attended last session • Mean weight loss = 2.4kg (2.7%) • Mean BMI loss = 0.8 kg/m2 () • 24% lost ≥ 5% baseline weight 75% completed (i.e. attended at lease one of last 3 sessions) • Mean weight loss = 3.4kg (3.9%) • Mean BMI loss = 1.2 kg/m2 (3.9%) • 33% lost ≥ 5% baseline weight Recommended targets (DoH “Developing a specification for lifestyle weight management service) • Average weight loss = 3% • 30% achieve ≥ 5% weight loss
  10. 10. Results - Weight change over programme duration  Highest in first week  Greater in first half  Slower in second half -4 -3.5 -3 -2.5 -2 -1.5 -1 -0.5 0 0 1 2 3 4 5 6 7 8 9 10 11 12 Weightloss(kg) Week
  11. 11. Results - Weekly attendance  Declined uniformly until week 9 – 37%  Increased to finish at 65% 0 200 400 600 800 1000 1200 1400 1600 0 1 2 3 4 5 6 7 8 9 10 11 12 Attendance Week 65% 37%
  12. 12. Results – factors associated with weight loss Gender Men lost significantly more weight than women (Average 3.3kg v 1.6kg, 3.4% v 1.9% bodyweight) Gender Participants Mean Weight Change (kg) Mean Bodyweight Change (%) Female 707 -1.6 -1.9 Male 579 -3.3 -3.4 Gender unknown 227 -2.5 -2.8
  13. 13. Results – factors associated with weight loss Deprivation  Those from more deprived areas lost more weight  2.7% vs 1.8% between most and least deprived areas 0 0.5 1 1.5 2 2.5 3 3.5 1 2 3 4 5 6 7 8 9 10 Weightchnange(kg) Deprivation decile Mean Weight Change (kg) Most deprived Least deprived 0 0.5 1 1.5 2 2.5 3 3.5 4 1 2 3 4 5 6 7 8 9 10 %Bodyweightchange Deprivation decile Mean Bodyweight Change (%) Most deprived Least deprived
  14. 14. Results – factors associated with ≥ 5% weight loss • Age and deprivation NOT significantly associated with ≥ 5% weight loss Gender Participants Lost 5% Bodyweight Female 707 113 (16%) Male 579 191 (33%) Gender unknown 227 52 (23%) Gender • 33% of males vs 16% of females lost ≥ 5% weight (p < 0.0001) • Males over 3 times as likely to lose ≥ 5% weight (Logistical regression)
  15. 15. Lose – win – win • LOSE – Av 2.4kg loss, 24% > 5% weight loss • WIN – physical + mental health benefits • WIN – productivity boost • WIN – positive corporate image • WIN - £17,000 - NI charities BOUNS  Male participants: - over twice as likely to complete - three times more likely to lose ≥ 5% weight  Participants from more deprived areas lost greater % weight
  16. 16. The End

×