Endocrine Abstracts (2018) 53 CD1.4 | DOI: 10.1530/endoabs.53.CD1.4

The impact of a specialist weight management service on symptoms of depression: a retrospective service evaluation project

Esme Ingram1, Anjali Zalin1, Charlotte Quarrie2, MIchelle Wilson2, Rhian Davies2, Ruth Kent2, Kevin Shotliff1, Veronica Greener1 & Lucy Turnbull2

1Beta Cell Unit, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK; 2Kensington and Chelsea Specialist Weight Management Service, Central London Community Healthcare, London, UK.

Background: Obesity is associated with complex multisystem pathology and significant psychosocial burden. Yet, despite its increasing prevalence, the commissioning of Specialist Weight Management Services remains limited.

Methods: Retrospective service evaluation of a proportion of patients (n=179) engaging with the Central London Community Healthcare Specialist Weight Management Service for at least 6-months from 2012 onwards. Outcome measures, including weight, Body Mass Index (BMI), blood pressure, HbA1C, Epworth Sleepiness Scale (ESS) and measures of quality of life (EQ-5D-3L) and anxiety and depression (GAD7, PHQ9) were collected at baseline and then at follow-up.

Results: Engagement in this Specialist Weight Management Service was associated with significant improvements in PHQ-9 score (mean reduction 2.9, P=0.001) and physical activity (mean increase of 12.5 repetitions, P=0.001) between baseline and follow-up. There was also a significant reduction in mean weight (2.9 kg, P=0.000) between baseline and follow-up.

Conclusions: These findings provide further evidence to support the efficacy and commissioning of multi-disciplinary Specialist Weight Management Services, not only in outcomes of weight loss but also in psychological wellbeing and physical activity.

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