AWM: Adults with Cardiovascular Disease (2020-21)

AWM: Adults with Cardiovascular Disease (2020-21)

• Intervention
  In adults with overweight or obesity and CVD, 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 overweight or obesity and cardiovascular disease, weight management intervention provided by a dietitian resulted 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 and CVD, 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?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Bennett G, Steinberg D, Askew S, Levine E, Foley P, Batch B, Svetkey L, Bosworth H, Puleo E, Brewer A, DeVries A, Miranda H. Effectiveness of an app and provider counseling for obesity treatment in primary care. American Journal of Preventive Medicine 2018; 55:777-786
      • Bove K, Nilsson M, Pedersen L, Mikkelsen N, Suhrs H, Astrup A, Prescott E. Comprehensive treatment of microvascular angina in overweight women - a randomized controlled pilot trial. PloS One 2020; 15:e0240722
  • Search Plan and Results: AWM: Interventions from a Dietitian (2021)
     
  In adults with overweight or obesity and CVD, 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 overweight or obesity and cardiovascular disease, weight management interventions provided by a dietitian are likely to 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 and CVD, 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?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Bennett G, Herring S, Puleo E, Stein E, Emmons K, Gillman M. Web-based weight loss in primary care: a randomized controlled trial. Obesity 2010; 18:308-313
      • Bennett G, Steinberg D, Askew S, Levine E, Foley P, Batch B, Svetkey L, Bosworth H, Puleo E, Brewer A, DeVries A, Miranda H. Effectiveness of an app and provider counseling for obesity treatment in primary care. American Journal of Preventive Medicine 2018; 55:777-786
  • Search Plan and Results: AWM: Interventions from a Dietitian (2021)
     
  In adults with overweight or obesity and CVD, 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 overweight or obesity and cardiovascular disease but without Type 2 Diabetes Mellitus, weight management intervention provided by a dietitian may result in little to no difference in fasting blood glucose.

  • 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 and CVD, 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?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Bennett G, Steinberg D, Askew S, Levine E, Foley P, Batch B, Svetkey L, Bosworth H, Puleo E, Brewer A, DeVries A, Miranda H. Effectiveness of an app and provider counseling for obesity treatment in primary care. American Journal of Preventive Medicine 2018; 55:777-786
  • Search Plan and Results: AWM: Interventions from a Dietitian (2021)
     
  In adults with overweight or obesity and CVD, 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 overweight or obesity and cardiovascular disease, weight management interventions provided by a dietitian increased percent weight loss and increased 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 and CVD, 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?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Bennett G, Herring S, Puleo E, Stein E, Emmons K, Gillman M. Web-based weight loss in primary care: a randomized controlled trial. Obesity 2010; 18:308-313
      • Bennett G, Steinberg D, Askew S, Levine E, Foley P, Batch B, Svetkey L, Bosworth H, Puleo E, Brewer A, DeVries A, Miranda H. Effectiveness of an app and provider counseling for obesity treatment in primary care. American Journal of Preventive Medicine 2018; 55:777-786
  • Search Plan and Results: AWM: Interventions from a Dietitian (2021)
     
  In adults with overweight or obesity and CVD, 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, cost-effectiveness and adverse events?

  • Conclusion

    There were no weight management intervention studies targeting individuals with overweight or obesity and cardiovascular disease that reported the outcomes of quality of life, cost-effectiveness, or adverse events.

  • 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 and CVD, 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 overweight or obesity and cardiovascular disease, weight management interventions provided by a dietitian reduce waist circumference.

  • 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 and CVD, 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?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Bennett G, Steinberg D, Askew S, Levine E, Foley P, Batch B, Svetkey L, Bosworth H, Puleo E, Brewer A, DeVries A, Miranda H. Effectiveness of an app and provider counseling for obesity treatment in primary care. American Journal of Preventive Medicine 2018; 55:777-786
      • Bove K, Nilsson M, Pedersen L, Mikkelsen N, Suhrs H, Astrup A, Prescott E. Comprehensive treatment of microvascular angina in overweight women - a randomized controlled pilot trial. PloS One 2020; 15:e0240722
  • Search Plan and Results: AWM: Interventions from a Dietitian (2021)