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http://www.medscape.com/viewarticle/749323?src=mp & spon=22

From Heartwire <http://theheart.org/>

Weight Watchers Doubles Weight Loss Compared With GPs

Nainggolan

September 7, 2011 (Cambridge, United Kingdom) - People who attended a commercial

weight-loss program, Weight Watchers, lost twice as much weight over a year as

those who were given standard care by their primary-care provider, a new

randomized, controlled trial shows [1]. Dr A Jebb (MRC Human Nutrition

Research, Cambridge, UK) and colleagues report their findings in a study

published online September 7, 2011 in the Lancet.

The study, conducted in the UK, Australia, and Germany, is the first to

illustrate that a commercial provider--for which people normally pay

themselves--is more effective for weight loss than primary-care management, say

Drs Kate Jolly and Aveyard (University of Birmingham, UK) in an

accompanying comment [2].

Jebb et al assigned 377 overweight or obese participants to the Weight Watchers

program, of whom 230 (61%) completed the 12-month assessment. In this study, the

participants attended Weight Watchers free of charge. The remaining 395

overweight or obese people were assigned to standard of care in their given

country, of whom 214 (54%) completed 12 months. Of those who completed the 12

months, those attending Weight Watchers lost a mean of 6.7 kg compared with 3.3

kg in those who got standard care.

The greater weight loss in those assigned to Weight Watchers was accompanied by

larger reductions in waist circumference and fat mass than in participants

assigned to standard care, note Jebb et al.

" Data from our study suggest that referral of selected participants by a

primary-healthcare professional to a commercial weight-loss program . . . can

offer a clinically useful intervention for weight management in overweight and

obese people that can be delivered large scale, " they state. But they point out

that further research is needed to examine long-term weight maintenance.

In their comment, Jolly and Aveyard note that although full cost-effectiveness

analyses are awaited, commercial weight-loss programs such as Weight Watchers

are generally cheap, at about £50 to £60 for 12 weeks, so they suggest that

healthcare systems should fund patients to attend such schemes.

" This commercial program is available in at least 30 countries, so the results

are likely to be widely generalizable, " they observe. But they note that men are

probably less likely to attend such programs, which tend to be female-dominated.

Weight Watchers International funded the trial, through a grant to the UK

Medical Research Council. Disclosures for the coauthors are listed in the paper.

References <javascript:newshowcontent('active','references');>

1. Jebb SA, Ahern AL, Olson AD et al. Primary care referral to a commercial

provider for weight loss treatment versus standard care: a randomized controlled

trial. Lancet 2011; DOI:10.1016/S0140-6736(11)61344-5. Available at:

http://www.thelancet.com.

2. Jolly K and Aveyard P. Provision of commercial weight management

programmes. Lancet 2011; DOI:10.1016/S0140-6736(11)61186-0. Available at:

http://www.thelancet.com.

S. Kalman PhD, RD, FACN

Director, BD - Nutrition & Applied Clinical Trials

Miami Research Associates

6141 Sunset Drive

Suite 301

Miami, FL. 33143

Direct -

Office ext. 5109

Fax

Email: dkalman@...

Web: www.miamiresearch.com

Help Cure Crohn's & Colitis: Team Challenge

<http://www.active.com/donate/vegas11southfl/SFLDKalman>

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