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Obesity-related health status changes and weight-loss treatment utilization.

Publication ,  Journal Article
McVay, MA; Yancy, WS; Vijan, S; Van Scoyoc, L; Neelon, B; Voils, CI; Maciejewski, ML
Published in: Am J Prev Med
May 2014

BACKGROUND: Behavioral weight-loss treatment can improve health, yet it is underutilized. Factors leading to initiation of weight-loss treatment are not well characterized. In particular, it is unknown whether changes in obesity-related health status contribute to weight-loss treatment initiation. PURPOSE: To determine if recent weight change or diagnosis of an obesity-related comorbidity was associated with utilization of a behavioral weight-loss program in an integrated healthcare setting. METHODS: In a retrospective cohort study of 45,272 Veterans Affairs (VA) patients with BMI >30, logistic regression was used to examine whether recent weight change or obesity-related comorbidities newly diagnosed in the past 6 months were associated with initiation of a VA behavioral weight management program (called MOVE!) in 2010 or sustained MOVE! use (eight or more sessions). Weight change in prior year was categorized as >3% weight loss; weight stable (<3% change); or weight gain of 3%-4.9%, 5%-9.9%, or ≥10%. Data were analyzed in 2013. RESULTS: Patients were 91% male, 68% white, and had a mean age of 58 years. Patients were more likely to initiate treatment if they had ≥3% weight gain (3%-4.9%: OR=1.64, 95% CI=1.52, 1.77; 5%-9.9%: OR=1.99, 95% CI=1.84, 2.16; ≥10%: OR=2.68, 95% CI=2.32, 3.10) or were newly diagnosed with any obesity-related comorbidity (ORs: 2.14-3.59). Weight change and new comorbidity diagnoses were not associated, however, with sustained MOVE! use. CONCLUSIONS: Adverse obesity-related health events were associated with initiation of behavioral weight-loss treatment offered in an integrated healthcare setting.

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Published In

Am J Prev Med

DOI

EISSN

1873-2607

Publication Date

May 2014

Volume

46

Issue

5

Start / End Page

465 / 472

Location

Netherlands

Related Subject Headings

  • Weight Reduction Programs
  • Weight Loss
  • United States Department of Veterans Affairs
  • United States
  • Socioeconomic Factors
  • Retrospective Studies
  • Public Health
  • Obesity
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
McVay, M. A., Yancy, W. S., Vijan, S., Van Scoyoc, L., Neelon, B., Voils, C. I., & Maciejewski, M. L. (2014). Obesity-related health status changes and weight-loss treatment utilization. Am J Prev Med, 46(5), 465–472. https://doi.org/10.1016/j.amepre.2013.11.018
McVay, Megan A., William S. Yancy, Sandeep Vijan, Lynn Van Scoyoc, Brian Neelon, Corrine I. Voils, and Matthew L. Maciejewski. “Obesity-related health status changes and weight-loss treatment utilization.Am J Prev Med 46, no. 5 (May 2014): 465–72. https://doi.org/10.1016/j.amepre.2013.11.018.
McVay MA, Yancy WS, Vijan S, Van Scoyoc L, Neelon B, Voils CI, et al. Obesity-related health status changes and weight-loss treatment utilization. Am J Prev Med. 2014 May;46(5):465–72.
McVay, Megan A., et al. “Obesity-related health status changes and weight-loss treatment utilization.Am J Prev Med, vol. 46, no. 5, May 2014, pp. 465–72. Pubmed, doi:10.1016/j.amepre.2013.11.018.
McVay MA, Yancy WS, Vijan S, Van Scoyoc L, Neelon B, Voils CI, Maciejewski ML. Obesity-related health status changes and weight-loss treatment utilization. Am J Prev Med. 2014 May;46(5):465–472.
Journal cover image

Published In

Am J Prev Med

DOI

EISSN

1873-2607

Publication Date

May 2014

Volume

46

Issue

5

Start / End Page

465 / 472

Location

Netherlands

Related Subject Headings

  • Weight Reduction Programs
  • Weight Loss
  • United States Department of Veterans Affairs
  • United States
  • Socioeconomic Factors
  • Retrospective Studies
  • Public Health
  • Obesity
  • Middle Aged
  • Male