AWM: Interventions in Community Settings (2020-21)

Intervention
In adults with overweight or obesity, what is the effect of weight management interventions provided by an RDN or international equivalent in the community 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 the community setting are likely to reduce BMI.
- 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 community 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 community 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 the community setting may slightly increase percent weight loss.
- 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 community 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 community 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 the community setting may reduce waist circumference.
- 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 community setting, compared to usual care or no intervention from an RDN, on waist circumference?
- 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 community 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 the community 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 community 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 community setting, compared to usual care or no intervention from an RDN, on fasting blood glucose?
- Conclusion
  In adults with overweight or obesity, weight management interventions provided by a dietitian in the community 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 community 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 community 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 the community setting may improve physical quality of life, but have little to no effect on mental quality of life, although the evidence is limited.
- 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 effect of weight management interventions provided by an RDN or international equivalent in the community setting, compared to usual care or no intervention from an RDN, on quality of life?
  - Detail
  - Quality Rating Summary
    For a summary of the Quality Rating results, click here.
  - Worksheets
    
    Tapsell L, Lonergan M, Batterham M, Neale E, Martin A, Thorne R, Deane F, Peoples G. Effect of interdisciplinary care on weight loss: a randomised controlled trial. BMJ Open 2017; 7:e014533
- 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 community setting, compared to usual care or no intervention from an RDN?
- Conclusion
  There were no weight management intervention studies targeting adults with overweight or obesity in the community setting that reported the outcome of cost-effectiveness.
- Grade: Ungraded
  - 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.
In adults with overweight or obesity, what are the adverse events of weight management interventions provided by an RDN or international equivalent in the community setting, compared to usual care or no intervention from an RDN?
- Conclusion
  In adults with overweight or obesity and physical disabilities, very limited evidence suggests that adult weight management interventions provided by a dietitian in the community setting do not result in diet- or physical activity- related adverse events.
- 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 the adverse events of weight management interventions provided by an RDN or international equivalent in the community setting, compared to usual care or no intervention from an RDN?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)