Poster that was presented at 2014 Primary Health Care Research Conference, Canberra, Australia, 23-25 July

Barnett, Stephen

Bonney, Andrew

MacKinnon, Douglas

Mayne, Darren J

English

Research Online

University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers: part A Faculty of Science, Medicine and Health 1-1-2014 Weighing in General Practice: does it have an impact on weight management? Douglas MacKinnon University of Wollongong, doug_mackinnon@uow.edu.au Andrew Bonney University of Wollongong, abonney@uow.edu.au Darren J. Mayne University of Wollongong, dmayne@uow.edu.au Stephen Barnett University of Wollongong, sbarnett@uow.edu.au Follow this and additional works at: https://ro.uow.edu.au/smhpapers  Part of the Medicine and Health Sciences Commons, and the Social and Behavioral Sciences Commons Recommended Citation MacKinnon, Douglas; Bonney, Andrew; Mayne, Darren J.; and Barnett, Stephen, "Weighing in General Practice: does it have an impact on weight management?" (2014). Faculty of Science, Medicine and Health - Papers: part A. 2016. https://ro.uow.edu.au/smhpapers/2016 Research Online is the open access institutional repository for the University of Wollongong. For further information contact the UOW Library: research-pubs@uow.edu.au Weighing in General Practice: does it have an impact on weight management? Abstract Poster that was presented at 2014 Primary Health Care Research Conference, Canberra, Australia, 23-25 July. Disciplines Medicine and Health Sciences | Social and Behavioral Sciences Publication Details MacKinnon, D., Bonney, A., Mayne, D. & Barnett, S. (2014). Weighing in General Practice: does it have an impact on weight management?. 2014 Primary Health Care Research Conference: Program & Abstracts (pp. 1-1). Australia: Primary Health Care Research and Information Service. This conference paper is available at Research Online: https://ro.uow.edu.au/smhpapers/2016 PHCRIS BestPosterOther Conference abstract(s) by the same author(s)2014 PHC Research Conference: Poster abstractWeighing in General Practice: Does it have an impact on weightmanagement?Author(s)Duncan MacKinnon, Andrew Bonney, Darren Mayne, Stephen BarnettOrganisationUniversity of Wollongong, Illawarra and Southern Practice Research NetworkAims & rationale/ObjectivesObesity has become the fastest growing health risk of the 21st century. Nevertheless, population wideimplementation mandates significant financial costs for health services. The aim of this pilot was to assess if theweighing of patients with discussion at each incidental GP presentation, had an impact on weight maintenance. Thelogic of this study follows that of the successful SNAP intervention.MethodsFive GP practices weighed patients each time they presented over a 12-month period. Weights were recorded andanalysed using t-tests and analysis of variance. Data for weight change in Australia (n=29,799) was used forcomparison.Principal findingsData on 198 patients were available for per protocol analysis. Median study time for patients was 337.5 days, with 68(34.3%) enrolled for one year. Overall, there was a non-significant weight loss among patients of 0.8kg (95% CI-1.85-0.30kg). Sub-group analyses indicated no significant differences in the amount of weight lost by practice, sex,age, or chronic disease status but a significant difference for BMI category at enrolment. There was significant loss inobese patients of 2.5kg (95% CI -4.69-0.32) overall, and 3.3kg (95% CI 0.505-6.174) and 2.8kg (95% CI5.131-0.387) more weight than underweight/normal weight and overweight patients, respectively.ImplicationsWeight gain in Australian adults is 0.416 kg annually. A non-significant weight loss of 0.8kg overall and a significant2.5kg weight loss in the obese show positive trends which are encouraging and warrant further investigation.Although incremental, this small intervention could have nationwide benefits with minimal costs for national healthservices.Presentation typePosterSession themeChronic conditions and multimorbidity - what might work?Presentation  PDF 789.1 KbCitationMacKinnon D, Bonney A, Mayne D, Barnett S. (2014). Weighing in General Practice: Does it have an impact on weight management?. In: 2014Primary Health Care Research Conference: Program & Abstracts. Primary Health Care Research and Information Service, Australia.phcris.org.au/conference/abstract/7882Paper presentation: Mayne D, Bonney A, Jones B, Bott L, Andersen S, Caputi P, Iverson DA novel population health data source to inform local planning: the SIMLR Study2014 PHC Research Conference, Swinburne University of Technology, University of Wollongong, Illawarra Shoalhaven Local Health District, SonicHealthcare, Southern IML Pathology.Poster presentation: Stanford L, Bonney A, Ivers RChaperones for Pap smears: do Australian GPs offer or use them?2013 PHC Research Conference, University of Wollongong, Illawarra and Southern Practice Research Network.PHC Research Conference: Abstract and Presentation http://www.phcris.org.au/conference/browse.php?id=7882&spindex=...1 of 3 30/07/2014 1:53 PM                                                                                        Further information: Dr Duncan MacKinnon Illawarra & Southern Practices Research Network (ISPRN) Graduate School of Medicine, Building 28 University of Wollongong NSW 2522 T: +61 2 4221 5958 |E: dmackinnon01@gmail.com Author affiliations: 1. ISPRN, University of Wollongong Acknowledgements: This project was funded by a grant from the Department of Health & Ageing  Reference: 1.       AIHW (Australian Institute of Health and Welfare) 2010. Australia's health 2010. Australia's health series no. 12. Cat. no. AUS 122. Canberra: AIHW. 2. Haro, S. Fit and Fat Man Image, accessed 2/6/2014, URL: http://sandraharo.deviantart.com/art/Fit-and-fat-man-285986237 Background and Rationale • Obesity has become the fastest growing health risk of the 21st century.  • The aim of this pilot was to assess if the weighing of patients with discussion at each incidental GP presentation, had an impact on weight maintenance.   Methods • Patients aged 20 to 70 years (n=420) were recruited from six GP practices and weighed each time they presented over a 12-month period.  • Weights were recorded and analysed using t-tests and analysis of variance.  • Data for weight change in Australia (n=29,799) was used for comparison. Findings • Per protocol analysis was conducted on the data of 198 participants. • Median study time for patients was 337.5 days, with 68 (34.3%) enrolled for one year.  • Overall, there was a non-significant weight loss among patients of -0.8kg (95% CI -1.85 to 0.30kg). • There was a significant weight loss in obese patients of  -2.5kg (95% CI -4.69 to -0.32) overall • Obese patients lost 3.3kg (95% CI 0.505 to 6.174) more weight than underweight/normal weight patients and 2.8kg (95% CI 5.131 to 0.387) more weight than overweight patients. • There was a significant difference for BMI category at enrolment.  Potential uses of this research   Weight gain in Australian adults is 0.416 kg annually.    A non-significant weight loss of 0.8kg overall and a significant 2.5kg weight loss in the obese show positive trends which are encouraging and warrant further investigation.    Although incremental, this small intervention could have nationwide benefits with minimal costs for national health services.   NB: A qualitative study is underway to address the feasibility of the study in general practice. Views from the whole practice as well as patients are being investigated. 

Weighing in General Practice: does it have an impact on weight management?

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Weighing in General Practice: does it have an impact on weight management?

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