English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Aims: This study compared clinical outcomes and service efficiency for individual and group-based Very Low Energy Diets at Canberra Obesity Management Service in 2017 and 2018, respectively. Methods: A retrospective review compared VLED commencement and completion rates, baseline demographics, anthropometric and metabolic changes, and medication use. Results: A higher proportion of patients (but less males) completed VLED as part of the 2018 group-based model. Mean start weight and BMI were similar for both years. The 2018 group had greater baseline metabolic abnormalities. Co-morbid hypertension and dyslipidaemia were more common in the 2017 patients. Co-morbid T2DM, oral hypoglycaemic agents and/or insulin use was greater in the 2018 group. Greater mean reduction in weight, BMI and percentage body weight was observed in the 2017 patients. Changes in metabolic parameters were similar for both years. Compared to 2017, a higher proportion of the 2018 group reduced or ceased anti-hypertensive agents. Upon VLED completion, an equal number of patients from each year ceased insulin therapy. Discussion: This study demonstrated that using the 2018 group-based service model was non-inferior to traditional VLED methods in improving metabolic profiles and reducing medication requirements. The greater anthropometric changes observed in 2017 were not statistically significant and likely due to a higher proportion of males undergoing VLED in 2017. Areas of future research include stratifying results according to gender, longer-term monitoring to determine the sustainability of clinical improvements, and comparing outcomes with other obesity services.

Very Low Energy Diets at the Canberra Obesity Management Service: A Comparison of Patient Participation and Clinical Outcomes Following a Change in Inter-Disciplinary Service Model