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AWM: Interventions in Primary Care or Outpatient Settings (2020-21)

Intervention
In adults with overweight or obesity, what are adverse events of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN?
- Conclusion
  In adults with overweight or obesity, weight management interventions provided by a dietitian likely do not result in serious adverse events. Minor diet-related events such as dry skin or gastrointestinal symptoms were noted infrequently.
- Grade: Very Low (D)
  - 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 are adverse events of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN?
  - Detail
  - Quality Rating Summary
    For a summary of the Quality Rating results, click here.
  - Worksheets
    
    Liljensøe A, Laursen J, Bliddal H, Søballe K, Mechlenburg I. Weight loss intervention before total knee replacement: a 12-month randomized controlled trial. Scandinavian Journal of Surgery 2021; 110:3-12
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In adults with overweight or obesity, what is the cost-effectiveness of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN?
- Conclusion
  In adults with overweight or obesity, weight management interventions provided by a dietitian in a primary care/outpatient setting may be cost-effective.
- Grade: Very Low (D)
  - 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 cost-effectiveness of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN?
  - Detail
  - Quality Rating Summary
    For a summary of the Quality Rating results, click here.
  - Worksheets
    
    Hagberg L, Winkvist A, Brekke H,Bertz F,Hellebö Johansson E,Huseinovic E. Cost-effectiveness and quality of life of a diet intervention postpartum: 2-year results from a randomized controlled trial. BMC Public Health 2019; 19:38
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In adults with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on blood pressure?
- Conclusion
  In adults with overweight or obesity, weight management interventions provided by a dietitian in a primary care/outpatient setting likely result in little to no difference in blood pressure.
- 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 weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on blood pressure?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In adults with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on BMI?
- Conclusion
  In adults with overweight or obesity, weight management interventions provided by a dietitian in a primary care/outpatient setting may reduce BMI.
- Grade: Low (C)
  - 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 weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on BMI?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In adults with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on fasting blood glucose?
- Conclusion
  In adults with overweight or obesity but without type 2 diabetes mellitus (T2DM), weight management interventions provided by a dietitian in a primary care/outpatient setting likely results in little to no difference in fasting blood glucose. However, interventions may improve fasting blood glucose for individuals with overweight or obesity and T2DM in a primary care/outpatient setting.
- 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 weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on fasting blood glucose?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In adults with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on percent weight loss?
- Conclusion
  In adults with overweight or obesity, weight management interventions provided by a dietitian in a primary care/outpatient setting likely increase percent weight loss and the likelihood of achieving 5% weight loss.
- 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 weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on percent weight loss?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In adults with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on quality of life?
- Conclusion
  In adults with overweight or obesity, weight management interventions provided by a dietitian in a primary care/outpatient setting may result in little to no difference in quality of life.
- Grade: Low (C)
  - 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 weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on quality of life?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)
In adults with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on waist circumference?
- Conclusion
  In adults with overweight or obesity, weight management interventions provided by a dietitian in a primary care/outpatient setting reduce waist circumference.
- 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 with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent in the primary care or outpatient setting, compared to usual care or no intervention from an RDN, on waist circumference?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)