Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project)
Men are underrepresented in obesity services, suggesting current weight loss service provision is suboptimal. This systematic review evaluated evidence-based strategies for treating obesity in men. Eight bibliographic databases and four clinical trials’ registers were searched to identify randomized...
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doaj-47afaec6d15e48e6a238d2cfb1a15a672020-11-25T02:37:06ZengSAGE PublishingAmerican Journal of Men's Health1557-98831557-98912017-07-011110.1177/1557988315587550Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project)Clare Robertson MSc0Alison Avenell MD, MB, BS1Fiona Stewart MSc2Daryll Archibald PhD3Flora Douglas PhD4Pat Hoddinott BSc, MBBS, MPhil, PhD5Edwin van Teijlingen PhD6Dwayne Boyers M Econ Sc7University of Aberdeen, Aberdeen, UKUniversity of Aberdeen, Aberdeen, UKUniversity of Aberdeen, Aberdeen, UKUniversity of Edinburgh, Edinburgh, UKUniversity of Aberdeen, Aberdeen, UKUniversity of Stirling, Stirling, UKBournemouth University, Bournemouth, UKUniversity of Aberdeen, Aberdeen, UKMen are underrepresented in obesity services, suggesting current weight loss service provision is suboptimal. This systematic review evaluated evidence-based strategies for treating obesity in men. Eight bibliographic databases and four clinical trials’ registers were searched to identify randomized controlled trials (RCTs) of weight loss interventions in men only, with mean/median body mass index of ≥30 kg/m 2 (or ≥28 kg/m 2 with cardiac risk factors), with a minimum mean/median duration of ≥52 weeks. Interventions included diet, physical activity, behavior change techniques, orlistat, or combinations of these; compared against each other, placebo, or a no intervention control group; in any setting. Twenty-one reports from 14 RCTs were identified. Reducing diets produced more favorable weight loss than physical activity alone (mean weight change after 1 year from a reducing diet compared with an exercise program −3.2 kg, 95% confidence interval −4.8 to −1.6 kg, reported p < .01). The most effective interventions combined reducing diets, exercise, and behavior change techniques (mean difference in weight at 1 year compared with no intervention was −4.9 kg, 95% confidence interval −5.9 to −4.0, reported p < .0001). Group interventions produced favorable weight loss results. The average reported participant retention rate was 78.2%, ranging from 44% to 100% retention, indicating that, once engaged, men remained committed to a weight loss intervention. Weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behavior change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed.https://doi.org/10.1177/1557988315587550 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Clare Robertson MSc Alison Avenell MD, MB, BS Fiona Stewart MSc Daryll Archibald PhD Flora Douglas PhD Pat Hoddinott BSc, MBBS, MPhil, PhD Edwin van Teijlingen PhD Dwayne Boyers M Econ Sc |
spellingShingle |
Clare Robertson MSc Alison Avenell MD, MB, BS Fiona Stewart MSc Daryll Archibald PhD Flora Douglas PhD Pat Hoddinott BSc, MBBS, MPhil, PhD Edwin van Teijlingen PhD Dwayne Boyers M Econ Sc Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project) American Journal of Men's Health |
author_facet |
Clare Robertson MSc Alison Avenell MD, MB, BS Fiona Stewart MSc Daryll Archibald PhD Flora Douglas PhD Pat Hoddinott BSc, MBBS, MPhil, PhD Edwin van Teijlingen PhD Dwayne Boyers M Econ Sc |
author_sort |
Clare Robertson MSc |
title |
Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project) |
title_short |
Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project) |
title_full |
Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project) |
title_fullStr |
Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project) |
title_full_unstemmed |
Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project) |
title_sort |
clinical effectiveness of weight loss and weight maintenance interventions for men: a systematic review of men-only randomized controlled trials (the romeo project) |
publisher |
SAGE Publishing |
series |
American Journal of Men's Health |
issn |
1557-9883 1557-9891 |
publishDate |
2017-07-01 |
description |
Men are underrepresented in obesity services, suggesting current weight loss service provision is suboptimal. This systematic review evaluated evidence-based strategies for treating obesity in men. Eight bibliographic databases and four clinical trials’ registers were searched to identify randomized controlled trials (RCTs) of weight loss interventions in men only, with mean/median body mass index of ≥30 kg/m 2 (or ≥28 kg/m 2 with cardiac risk factors), with a minimum mean/median duration of ≥52 weeks. Interventions included diet, physical activity, behavior change techniques, orlistat, or combinations of these; compared against each other, placebo, or a no intervention control group; in any setting. Twenty-one reports from 14 RCTs were identified. Reducing diets produced more favorable weight loss than physical activity alone (mean weight change after 1 year from a reducing diet compared with an exercise program −3.2 kg, 95% confidence interval −4.8 to −1.6 kg, reported p < .01). The most effective interventions combined reducing diets, exercise, and behavior change techniques (mean difference in weight at 1 year compared with no intervention was −4.9 kg, 95% confidence interval −5.9 to −4.0, reported p < .0001). Group interventions produced favorable weight loss results. The average reported participant retention rate was 78.2%, ranging from 44% to 100% retention, indicating that, once engaged, men remained committed to a weight loss intervention. Weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behavior change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed. |
url |
https://doi.org/10.1177/1557988315587550 |
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