{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T03:00:47Z","timestamp":1785121247520,"version":"3.55.0"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    This service evaluation of a primary care\u2010based specialist weight management service reports data from 1094 patients over 5\u2009years (2014\u20132019), including weight data at 1\u2010year post\u2010discharge. The results show clinically and statistically significant improvements in weight, diet, physical activity, quality of life, blood pressure and blood glucose control (in people living with type 2 diabetes). Change in weight was statistically significant for all timepoints in all subgroups. At 1\u2010year completers (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009560) had lost a mean of 8.3\u2009kg (SD 0.3) and 133 patients (23.8%) had lost \u2265\u200910% of their starting weight. Using baseline observation carried forward analysis on the whole cohort (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091094) the mean weight loss at the end of the 1\u2010year programme was 4.5\u2009kg (SD 0.2) and 144 (13.2%) had lost \u2265\u200910% of their starting weight. A year after discharge completers demonstrated a mean weight loss of 8.3% (SD 10.3\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009303) and 35.6% (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009108) of completers had maintained \u2265\u200910% change in body weight. Analysis showed a mean weight loss of 2.5% (SD 6.8\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20091094) in the whole cohort using baseline observation carried forward, demonstrating maintenance of weight loss and suggesting that specialist weight management services in primary care may be effective in the longer\u2010term.\n                  <\/jats:p>","DOI":"10.1111\/cob.70096","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T09:33:54Z","timestamp":1782984834000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Service Evaluation of a Specialist Multi\u2010Disciplinary Weight Management Service Based in Primary Care Including Long\u2010Term Follow\u2010Up Data"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7184-269X","authenticated-orcid":false,"given":"Helen M.","family":"Parretti","sequence":"first","affiliation":[{"name":"Norwich Medical School University of East Anglia, Norwich Research Park  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carly A.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Norwich Medical School University of East Anglia, Norwich Research Park  Norwich UK"},{"name":"Fakenham Medical Practice, Meditrinia House  Norfolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4165-0734","authenticated-orcid":false,"given":"Sally","family":"Erskine","sequence":"additional","affiliation":[{"name":"Norwich Medical School University of East Anglia, Norwich Research Park  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Steel","sequence":"additional","affiliation":[{"name":"Norwich Medical School University of East Anglia, Norwich Research Park  Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Jennings","sequence":"additional","affiliation":[{"name":"Norwich Medical School University of East Anglia, Norwich Research Park  Norwich UK"},{"name":"School of Biological Sciences Queens University Belfast  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Obesity The Prevalence of Obesity 2024 https:\/\/www.worldobesity.org\/about\/about\u2010obesity\/prevalence\u2010of\u2010obesity."},{"key":"e_1_2_11_3_1","unstructured":"NHS EnglandandA.Moody Health Survey for England 2019: Overweight and Obesity in Adults and Children 2020 https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/health\u2010survey\u2010for\u2010england\/2019\/main\u2010findings."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13679\u2010017\u20100262\u2010"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j4849"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(09)60318\u20104"},{"key":"e_1_2_11_8_1","volume-title":"Department of Health and Social Care, and Department for Science, Innovation and Technology","author":"Office for Life Sciences","year":"2024"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366\u2010021\u201000788\u20104"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1212914"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.20662"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(23)00385-6"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.122.009348"},{"key":"e_1_2_11_14_1","unstructured":"Group N.C.B.C.R. 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