title: Evaluation of the 'Live Life Better Service', a community-based weight management service, for morbidly obese patients.
abstract: There is a limited evidence on the effectiveness of lifestyle interventions in achieving and maintaining a significant level of weight loss in morbidly obese patients. This study evaluated the impact on weight loss and psychological well-being of a community-based weight management service for morbidly obese patients [body mass index (BMI) ≥35 with related co-morbidities or BMI >40] in Derbyshire county.
  
  
  
  Five hundred and fifty-one participants entered the service since 2010, and 238 participants were still active within the service or had completed the 2-year intervention in April 2013. A one-group pre-post design was used to determine average weight loss (kg) and impact on mental health and well-being [using the validated clinical outcomes of routine evaluation-outcome measure (CORE-OM) questionnaire] among participants. Measurements were recorded at baseline, 12 weeks, 24 weeks, 1 year, 18 months and 2 years, and significance (P ≤ 0.05) was determined using the paired sample t-test.
  
  
  
  Statistically significant weight loss was recorded at each measurement point for those participants who remained engaged with the service (4.9 kg weight loss at 12 weeks to 18.2 kg at 2 years). There was a significant positive impact on psychological well-being demonstrated by CORE-OM score.
  
  
  
  Findings show clinically and statistically significant weight loss among participants with improvements in physical and mental health.
authors: Calderdale Metropolitan Borough Council, Halifax, Yorkshire HX1 1UN, UK.
authors: Dean
authors: D
authors: Wallace
authors: Department of Health Protection and Epidemiology, Clinical Sciences Building, Nottingham City Hospital, University of Nottingham, Nottingham NG5 1PB, UK.
authors: Puja
authors: P
authors: Myles
authors: Live Life Better, Derbyshire Community Health Services, Walton Hospital, Chesterfield, Derbyshire S40 3HW, UK.
authors: Rachel
authors: R
authors: Holt
authors: Department of Health Protection and Epidemiology, Room A40D, Clinical Sciences Building, Nottingham City Hospital, University of Nottingham, Nottingham NG5 1PB, UK.
authors: Jonathan
authors: J
authors: Nguyen Van-Tam
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003153:Community Health Services / Q000379:methods; D004739:England; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000628:therapy*; D015397:Program Evaluation; D015431:Weight Loss; D061217:Weight Reduction Programs / Q000379:methods; D055815:Young Adult
keywords: individual behaviour; mental health; obesity