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Inpatient obesity intervention with postdischarge telephone follow‐up: A randomized trial
Author(s) -
Wachsberg Kelley N.,
Creden Amanda,
Workman Moira,
Lichten Abbey,
Basil Alka,
Lee Jungwha,
Peng Jie,
Williams Mark V.,
Kushner Robert F.
Publication year - 2014
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.2215
Subject(s) - medicine , weight loss , randomized controlled trial , physical therapy , obesity , psychological intervention , intervention (counseling) , weight change , clinical trial , psychiatry
BACKGROUND Obesity‐related comorbidities frequently contribute to acute illness. Obesity interventions during hospitalization are not often utilized but may be effective. OBJECTIVE To examine whether inpatient weight loss intervention with postdischarge follow‐up results in weight loss at 6 months when compared to control. DESIGN Prospective, randomized controlled trial. SETTING Academic medical center in Chicago, Illinois. PATIENTS Obese adult inpatients. INTERVENTION Intervention subjects viewed a weight education video, underwent personalized counseling, and set specific weight loss, dietary, and fitness goals prior to discharge. All participants were followed by phone over the subsequent 6 months. The trial was unblinded to participants, physicians, and investigators. MEASUREMENTS Primary outcome was weight change between groups at 6 months. Weight change from baseline and waist‐to‐hip ratios (WHR) were also assessed. RESULTS For 176 participants in the intention‐to‐treat analysis, mean baseline weight for the intervention group was 107.7 kg (standard deviation [SD] = 16.7) and 105.1 kg (SD = 17.4) for controls. Mean weight loss at 6 months was 1.08 kg (SD = 4.33) for intervention subjects and 1.35 kg (SD = 3.65) among controls. There was no significant difference in weight loss between groups at 6 months ( P = 0.26). As‐treated analysis yielded similar results. There were no differences in WHRs between the intervention and control at 6 months (0.04 vs 0.04, P = 0.59). CONCLUSIONS We found no difference in weight loss between the intervention and control groups at 6 months. Journal of Hospital Medicine 2014;9:515–520. © 2014 Society of Hospital Medicine