{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T02:23:46Z","timestamp":1787538226608,"version":"build-2736575974"},"reference-count":33,"publisher":"CSIRO Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to compare demographic, clinical, and early engagement characteristics between participants retained and not retained at 9 months in specialist obesity services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study analysed 235 records of patients (mean body mass index 49.2 kg\/m\u00b2) from eight Australian specialist obesity services. Participants were classified as retained (n = 153) and not retained (n = 82) at 9 months. Demographic variables and baseline comorbidities were examined to identify potential predictors of retention. Appointment adherence and weight reduction outcomes during the first 6 months were also analysed according to retention status. Descriptive statistics and appropriate comparative tests were used to test the differences between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Baseline demographic characteristics were similar between participants retained and not retained at 9 months. Type 2 diabetes was more prevalent among participants retained compared with those not retained (55.6% vs 39.0%; P = 0.02). Eating disorders (7.8% vs 22.0%; P = 0.002), gallstones (1.9% vs 8.6%; P = 0.04), and prior stroke (0.6% vs 8.6%; P = 0.003) were more common in participants who were not retained. Retention at 9 months was associated with significantly higher appointment adherence throughout the study period, with the greatest difference in cumulative 9-month adherence (0.88 vs 0.77, P &amp;lt; 0.001). At 6 months, retained participants achieved significantly greater weight reduction (\u22129.02 kg \u00b1 10.29 kg vs \u22125.78 kg \u00b1 10.55 kg; P = 0.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this cohort, 9-month retention was strongly associated with early appointment adherence and greater 6-month weight reduction. Non-retained patients clustered with eating disorders and prior stroke indicate patients requiring additional support. Early adherence and weight reduction appear key to sustained engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/ah26030","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T01:50:51Z","timestamp":1787536251000},"source":"Crossref","is-referenced-by-count":0,"title":["Appointment adherence, weight reduction, and retention at 9 months in Australian clinical obesity services: a retrospective cohort study"],"prefix":"10.1071","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1781-776X","authenticated-orcid":true,"given":"Srividya","family":"Adapa","sequence":"first","affiliation":[{"name":"School of Health Sciences A , , , , .","place":["Campbelltown, NSW, Australia"]},{"name":"Western Sydney University A , , , , .","place":["Campbelltown, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Fahey","sequence":"additional","affiliation":[{"name":"School of Health Sciences A , , , , .","place":["Campbelltown, NSW, Australia"]},{"name":"Western Sydney University A , , , , .","place":["Campbelltown, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Piya","sequence":"additional","affiliation":[{"name":"School of Medicine B , , , , .","place":["Campbelltown, NSW, Australia"]},{"name":"Western Sydney University B , , , , .","place":["Campbelltown, NSW, Australia"]},{"name":"Campbelltown and Camden Hospitals C , , , .","place":["Campbelltown, NSW, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Atlantis","sequence":"additional","affiliation":[{"name":"School of Health Sciences A , , , , .","place":["Campbelltown, NSW, Australia"]},{"name":"Western Sydney University A , , , , .","place":["Campbelltown, NSW, Australia"]},{"name":"Translational Health Research Institute D , , , , .","place":["Campbelltown, NSW, Australia"]},{"name":"Western Sydney University D , , , , 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