OU2018 Oral Communications Case Discussions: complex clinical cases 1.0 (4 abstracts)
The impact of a specialist weight management service on symptoms of depression: a retrospective service evaluation project
Esme Ingram 1 , Anjali Zalin 1 , Charlotte Quarrie 2 , MIchelle Wilson 2 , Rhian Davies 2 , Ruth Kent 2 , Kevin Shotliff 1 , Veronica Greener 1 & Lucy Turnbull 2
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.
Volume 53
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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