Abstracts / Posters
Final outcomes from an evidence-based weight management programme in UK primary care: The Counterweight Programme
The International Association for the Study of Obesity. Obesity Reviews. 2006 7 (Suppl 2). p78-79
The Counterweight Project Team
Background: Few evaluated models of best practice exist for weight management in routine primary care.
Method: Specialist dietitians facilitated implementation of an evidence-based weight management programme in 65 general practices in 7 areas of the UK. The dietitians provided training and support in practice for general practice staff and facilitated implementation of a structured weight management pathway. Changes in weight, lipids and blood pressure were assessed at 12 and 24 months for all patients and ‘high attenders’ (minimum 6 visits/12 months). Counterweight was established into routine practice with no additional funding so data collection was recommended not compulsory.
Results: Fifty six practices completed training, implemented the programme and enrolled 1906 eligible patients who were at various stages of the implementation programme at census date. Twenty five percent had a BMI ≥ 40kg/m2, 76% had at least one co-morbidity and 49% were ‘high attenders’. Weight change (for patients reaching time points and attending follow up) was -2.98kg (n=684, p<0.001) at 12 months and -2.37kg (n=391, p<0.001) at 24 months. In ‘high attenders’ weight change was -4.34kg (n=422, p<0.001) and -3.28kg (n=255; p<0.001) at 12 and 24 months, respectively. At 12 months secondary endpoints changes were: total cholesterol -0.29mmol/l (n=303, p<0.001), LDL cholesterol -0.35mmol/l (n=172, p<0.001), systolic blood pressure -2.03 mmHg (n=580, p=0.01) and diastolic blood pressure -1.15 mmHg (n=580, p=0.01).
Conclusion: The Counterweight Programme is an effective evidence-based model of best practice for managing obesity and associated cardiometabolic risk.