NPA-GP: Anthropometric Outcomes (2021)

NPA-GP: Anthropometric Outcomes (2021)

• Intervention
  In adults who are healthy or have cardiometabolic risk factors, what is the effect of nutrition and physical activity interventions provided by nutrition and/or exercise practitioners, compared to controls, on waist circumference?

  • Conclusion

    In adults who are healthy or have cardiometabolic risk factors, nutrition and physical activity interventions from qualified practitioners reduce waist circumference compared to controls across a wide range of interventions and populations.

  • Grade: High (A)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults who are healthy or have cardiometabolic risk factors, what is the effect of nutrition and physical activity interventions provided by nutrition and/or exercise practitioners, compared to controls, on waist circumference?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Bennett G, Foley P, Levine E, Whiteley J, Askew S, Steinberg D, Batch B, Greaney M, Miranda H, Wroth T, Holder M, Emmons K, Puleo E. Behavioral treatment for weight gain prevention among black women in primary care practice: a randomized clinical trial. JAMA Internal Medicine 2013; 173:1770-7
      • Colleran H, Wideman L, Lovelady C. Effects of energy restriction and exercise on bone mineral density during lactation. Medicine and science in sports and exercise 2012; 44:1570-1579
      • Fjeldsoe B, Goode A, Phongsavan P, Bauman A, Maher G, Winkler E, Eakin E. Evaluating the maintenance of lifestyle changes in a randomized controlled trial of the 'Get Healthy, Stay Healthy' program. JMIR mHealth and uHealth 2016; 4:e42
      • Foster-Schubert K, Alfano C, Duggan C, Xiao L, Campbell K, Kong A, Bain C, Wang C, Blackburn G, McTiernan A. Effect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese postmenopausal women. Obesity 2012; 20:1628-38
      • Huseinovic E, Bertz F, Brekke H, Winkvist A. Two-year follow-up of a postpartum weight loss intervention: results from a randomized controlled trial. Maternal & Child Nutrition 2018; 14:e12539
      • Kuller L, Pettee Gabriel K, Kinzel L, Underwood D, Conroy M, Chang Y, Mackey R, Edmundowicz D, Tyrrell K, Buhari A, Kriska A. The Women on the Move Through Activity and Nutrition (WOMAN) study: final 48-month results. Obesity 2012; 20:636-43
      • Maddison R, Hargreaves E, Wyke S, Gray C, Hunt K, Heke J, Kara S, Ni Mhurchu C, Jull A, Jiang Y, Sundborn G, Marsh S. Rugby fans in training New Zealand (RUFIT-NZ): a pilot randomized controlled trial of a healthy lifestyle program for overweight men delivered through professional rugby clubs in New Zealand. BMC Public Health 2019; 19:166
      • Maruyama C, Kimura M, Okumura H, Hayashi K, Arao T. Effect of a worksite-based intervention program on metabolic parameters in middle-aged male white-collar workers: a randomized controlled trial. Preventive Medicine 2010; 51:11-17
      • Pablos A, Drehmer E, Ceca D, Garcia-Esteve A, Lopez-Hernandez L, Fargueta M, Romero FJ, Pablos C. Effects of a lifestyle intervention program for treating obesity in lower socioeconomic status adults: a randomized controlled trial. Gazzetta Medica Italiana 2017; 176:467-477
      • Rollo ME, Baldwin JN, Hutchesson M, Aguiar E, Wynne K, Young A, Callister R, Haslam R, Collins C. The feasibility and preliminary efficacy of an eHealth lifestyle program in women with recent gestational diabetes miellitus: a pilot study. International Journal of Environmental Research and Public Health 2020; :
      • Rosas L, Nan Lv,, Xiao L, Lewis M, Venditti E, Zavella P, Azar K, Ma J. Effect of a culturally adapted behavioral intervention for Latino adults on weight loss over 2 years: a randomized clinical trial. JAMA Network Ppen 2020; 3:e2027744
      • Roumen C, Feskens E, Corpeleijn E, Mensink M, Saris W, Blaak E. Predictors of lifestyle intervention outcome and dropout: the SLIM study. European Journal of Clinical Nutrition 2011; 65:1141-7
      • Rubinstein A, Miranda J, Beratarrechea A, Diez-Canseco F, Kanter R, Gutierrez L, Bernabé-Ortiz A, Irazola V, Fernandez A, Letona P, Martínez H, Ramirez-Zea M. Effectiveness of an mHealth intervention to improve the cardiometabolic profile of people with prehypertension in low-resource urban settings in Latin America: a randomised controlled trial. Lancet Diabetes & Endocrinology 2016; 4:52-63
      • Siddiqui F, Kurbasic A, Lindblad U, Nilsson P, Bennet L. Effects of a culturally adapted lifestyle intervention on cardio-metabolic outcomes: a randomized controlled trial in Iraqi immigrants to Sweden at high risk for Type 2 diabetes. Metabolism: Clinical and Experimental 2017; 66:1-13
      • Toji C, Okamoto N, Kobayashi T, Furukawa Y, Tanaka S, Ueji K, Fukui M, Date C. Effectiveness of diet versus exercise intervention on weight reduction in local Japanese residents. Environmental Health and Preventive Medicine 2012; 17:332-40
      • Viester L, Verhagen E, Bongers P, van der Beek A. Effectiveness of a worksite intervention for male construction workers on dietary and physical activity behaviors, body mass index, and health outcomes: results of a randomized controlled trial. American Journal of Health Promotion 2018; 32:795-805
      • Weinhold K, Miller C, Marrero D, Nagaraja H, Focht B, Gascon G. A randomized controlled trial translating the diabetes prevention program to a university worksite, Ohio, 2012-2014. Preventing Chronic Disease 2015; 12:E210
      • Williams L, Hollis J, Collins C, Morgan P. Maintaining the outcomes of a successful weight gain prevention intervention in mid-age women: two year results from the 40-something randomized control trial. Nutrients 2019; :1100
  • Search Plan and Results: NPA-GP: Nutrition and Physical Activity 2021
     
  In adults with overweight or obesity, what is the effect of nutrition and physical activity interventions provided by nutrition and/or exercise practitioners, compared to controls, on percent weight loss?

  • Conclusion

    In adults with overweight or obesity but no other diagnosed disease, nutrition and physical activity interventions from qualified practitioners improved the likelihood of achieving 5% weight loss compared to controls. However, there was no significant reduction in percent weight loss as a continuous variable compared to controls. Weight loss was more likely when caloric reduction was prescribed. 

  • Grade: Moderate (B)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with overweight or obesity, what is the effect of nutrition and physical activity interventions provided by nutrition and/or exercise practitioners, compared to controls, on percent weight loss?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Colleran H, Lovelady C. Use of MyPyramid Menu Planner for moms in a weight-loss intervention during lactation. Journal of the Academy of Nutrition and Dietetics 2012; 112:553-8
      • Huseinovic E, Bertz F, Leu Agelii M, Hellebö Johansson E, Winkvist A, Brekke H. Effectiveness of a weight loss intervention in postpartum women: results from a randomized controlled trial in primary health care. American Journal of Clinical Nutrition 2016; 104:362-370
      • Johnson K, Alencar M, Coakley K, Swift D, Cole N, Mermier C, Kravitz L, Amorim F, Gibson A. Telemedicine-based health coaching Is effective for inducing weight loss and improving metabolic markers. Telemedicine Journal and e-Health 2019; 25:85-92
      • Kuller L, Pettee Gabriel K, Kinzel L, Underwood D, Conroy M, Chang Y, Mackey R, Edmundowicz D, Tyrrell K, Buhari A, Kriska A. The Women on the Move Through Activity and Nutrition (WOMAN) study: final 48-month results. Obesity 2012; 20:636-43
      • Lindström J, Peltonen M, Eriksson J, Ilanne-Parikka P, Aunola S, Keinänen-Kiukaanniemi S, Uusitupa M, Tuomilehto J. Improved lifestyle and decreased diabetes risk over 13 years: long-term follow-up of the randomised Finnish Diabetes Prevention Study (DPS). Diabetologia 2013; 56:284-293
      • Ma J, Rosas L, Lv N, Xiao L, Snowden M, Venditti E, Lewis M, Goldhaber-Fiebert J, Lavori P. Effect of integrated behavioral weight loss treatment and problem-solving therapy on body mass index and depressive symptoms among patients with obesity and depression: the RAINBOW randomized clinical trial. Journal of the American Medical Association 2019; 321:869-879
      • Mason C, Foster-Schubert K, Imayama I, Kong A, Xiao L, Bain C, Campbell K, Wang C, Duggan C, Ulrich C, Alfano C, Blackburn G, McTiernan A. Dietary weight loss and exercise effects on insulin resistance in postmenopausal women. American Journal of Preventive Medicine 2011; 41:366-75
      • Miller C, Weinhold K, Marrero D, Nagaraja H, Focht B. A translational worksite diabetes prevention trial improves psychosocial status, dietary intake, and step counts among employees with prediabetes: a randomized controlled trial. Preventive Medicine Reports 2015; 2:118-126
      • Rollo ME, Baldwin JN, Hutchesson M, Aguiar E, Wynne K, Young A, Callister R, Haslam R, Collins C. The feasibility and preliminary efficacy of an eHealth lifestyle program in women with recent gestational diabetes miellitus: a pilot study. International Journal of Environmental Research and Public Health 2020; :
      • Siddiqui F, Kurbasic A, Lindblad U, Nilsson P, Bennet L. Effects of a culturally adapted lifestyle intervention on cardio-metabolic outcomes: a randomized controlled trial in Iraqi immigrants to Sweden at high risk for Type 2 diabetes. Metabolism: Clinical and Experimental 2017; 66:1-13
      • Thomas J, Bond D, Raynor H, Papandonatos G, Wing R. Comparison of smartphone-based behavioral obesity treatment with gold standard group treatment and control: a randomized trial. Obesity 2019; 27:572-580
      • Weinhold K, Miller C, Marrero D, Nagaraja H, Focht B, Gascon G. A randomized controlled trial translating the diabetes prevention program to a university worksite, Ohio, 2012-2014. Preventing Chronic Disease 2015; 12:E210
  • Search Plan and Results: NPA-GP: Nutrition and Physical Activity 2021