{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T01:41:22Z","timestamp":1784943682112,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,9,4]],"date-time":"2017-09-04T00:00:00Z","timestamp":1504483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NHS Foundation Trust"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Aintree <jats:styled-content style=\"fixed-case\">LOSS<\/jats:styled-content> is a community\u2010based, multidisciplinary weight management programme for patients with severe and complex obesity, focusing on a flexible and individualized service with follow\u2010up for up to 2 years. We evaluated all 2472 patients referred to the service between October 2009 and 2013. Demographic data were recorded at baseline, with the Index of Multiple Deprivation (<jats:styled-content style=\"fixed-case\">IMD<\/jats:styled-content>) used to measure socioeconomic deprivation. Weight was recorded at each visit. Mean body mass index at baseline was 45.6 (standard deviation 6.8), and 58.9% of patients lived in areas in the most deprived decile nationally. Of 2315 appropriate referrals, 1249 (55.1%) attended &gt;2 visits; mean final weight loss was 3.50\u2009\u00b1\u20098.55\u2009kg, and 24.1% achieved \u22655% weight loss. Of the patients, 754 (33.3%) attended for over 6 months; mean final weight loss was 4.94\u2009\u00b1\u200910\u2009kg, and 34% achieved 5% weight loss. Multivariate logistic regression analysis showed increasing age, residence in a less deprived area and sleep apnoea to be independently associated with attendance for &gt;6\u2009months, and there was a linear relationship between 6\u2010month attendance and deprivation quintile. Year\u2010on\u2010year analyses showed improvement in engagement over time, coinciding with efforts to improve access to the service. This work shows a multidisciplinary, community\u2010based weight loss programme prioritizing a fully flexible and individualized approach functioning effectively in real\u2010world practice. Maintaining engagement remains a challenge in weight loss programmes, and our results suggest younger patients living in areas with greater deprivation should be a target for efforts to improve engagement.<\/jats:p>","DOI":"10.1111\/cob.12216","type":"journal-article","created":{"date-parts":[[2017,9,5]],"date-time":"2017-09-05T01:22:50Z","timestamp":1504574570000},"page":"368-376","source":"Crossref","is-referenced-by-count":18,"title":["Evaluation of Aintree <scp>LOSS<\/scp>, a community\u2010based, multidisciplinary weight management service: outcomes and predictors of engagement"],"prefix":"10.1111","volume":"7","author":[{"given":"T.","family":"Steele","sequence":"first","affiliation":[{"name":"Obesity and Endocrinology Research, Institute of Ageing and Chronic Disease University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. P.","family":"Narayanan","sequence":"additional","affiliation":[{"name":"Obesity and Endocrinology Research, Institute of Ageing and Chronic Disease University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"James","sequence":"additional","affiliation":[{"name":"Aintree Weight Management Services Aintree University Hospital  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"James","sequence":"additional","affiliation":[{"name":"Aintree Weight Management Services Aintree University Hospital  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Mazey","sequence":"additional","affiliation":[{"name":"Brownlow Group Practice  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. P. H.","family":"Wilding","sequence":"additional","affiliation":[{"name":"Obesity and Endocrinology Research, Institute of Ageing and Chronic Disease University of Liverpool  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,4]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1","volume-title":"Adult Obesity and Overweight. 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