Inpatient obesity intervention with postdischarge telephone follow-up: A randomized trial.
BACKGROUND
Obesity-related comorbidities frequently contribute to acute illness. Obesity interventions during hospitalization are not often utilized but may be effective.


OBJECTIVE
To examine whether inpatient weight loss intervention with postdischarge follow-up results in weight loss at 6 months when compared to control.


METHODS
Prospective, randomized controlled trial.


METHODS
Academic medical center in Chicago, Illinois.


METHODS
Obese adult inpatients.


METHODS
Intervention subjects viewed a weight education video, underwent personalized counseling, and set specific weight loss, dietary, and fitness goals prior to discharge. All participants were followed by phone over the subsequent 6 months. The trial was unblinded to participants, physicians, and investigators.


METHODS
Primary outcome was weight change between groups at 6 months. Weight change from baseline and waist-to-hip ratios (WHR) were also assessed.


RESULTS
For 176 participants in the intention-to-treat analysis, mean baseline weight for the intervention group was 107.7 kg (standard deviation [SD]=16.7) and 105.1 kg (SD=17.4) for controls. Mean weight loss at 6 months was 1.08 kg (SD=4.33) for intervention subjects and 1.35 kg (SD=3.65) among controls. There was no significant difference in weight loss between groups at 6 months (P=0.26). As-treated analysis yielded similar results. There were no differences in WHRs between the intervention and control at 6 months (0.04 vs 0.04, P=0.59).


CONCLUSIONS
We found no difference in weight loss between the intervention and control groups at 6 months.
Division of Hospital Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Kelley N
KN
Wachsberg
Amanda
A
Creden
Moira
M
Workman
Abbey
A
Lichten
Alka
A
Basil
Jungwha
J
Lee
Jie
J
Peng
Mark V
MV
Williams
Robert F
RF
Kushner
D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D000368:Aged; D003376:Counseling / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000628:therapy*; D010351:Patient Discharge / Q000706:statistics & numerical data*; D011446:Prospective Studies; D013689:Telephone; D015431:Weight Loss; D055815:Young Adult