Adult Weight Management

AWM: Adults with Obesity BMI >/=30 (2020-21)

Intervention
In adults with obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on BMI?
- Conclusion
  In adults with obesity, weight management interventions provided by a dietitian may reduce BMI. Interventions that included in-person contacts and group contacts were the most efficacious compared to controls in sub-group analyses.
- 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on percent weight loss?
- Conclusion
  In adults with obesity, weight management interventions provided by a dietitian increased percent weight loss and increased the likelihood of achieving 5% weight loss. Interventions that included a multi-disciplinary team and at least 5 contacts with a dietitian were the most efficacious compared to controls in sub-group analyses.
- 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on waist circumference?
- Conclusion
  In adults with obesity, weight management interventions provided by a dietitian reduced waist circumference. Interventions that included both in-person and remote contacts, individual contacts, and at least 5 contacts with a dietitian were the most efficacious compared to controls in sub-group analyses.
- 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on fasting blood glucose?
- Conclusion
  In adults with obesity but without Type 2 Diabetes Mellitus (T2DM), weight management interventions provided by a dietitian likely result in little to no difference in fasting blood glucose (MODERATE). However, in adults with obesity and T2DM, weight management interventions provided by a dietitian may reduce fasting blood glucose (LOW).
- 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on blood pressure?
- Conclusion
  In adults with obesity, weight management interventions provided by a dietitian may 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on quality of life?
- Conclusion
  In adults with obesity, weight management interventions provided by a dietitian likely increase quality of life.
- 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on cost-effectiveness?
- Conclusion
  There were no weight management intervention studies targeting adults with overweight/obesity and cardiovascular disease 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on adverse events?
- Conclusion
  In adults with 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 obesity, what is the effect of weight management interventions provided by an RDN or international equivalent, compared to usual care or no intervention from an RDN, on adverse events?
- Search Plan and Results: AWM: Interventions from a Dietitian (2021)