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Long-Term Effect of Weight Regain Following Behavioral Weight Management Programs on Cardiometabolic Disease Incidence and Risk: Systematic Review and Meta-Analysis

Overview of attention for article published in Circulation: Cardiovascular Quality & Outcomes, March 2023
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#8 of 1,770)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (94th percentile)

Mentioned by

news
101 news outlets
blogs
2 blogs
twitter
34 X users
wikipedia
1 Wikipedia page
reddit
2 Redditors
video
1 YouTube creator

Citations

dimensions_citation
11 Dimensions

Readers on

mendeley
50 Mendeley
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Title
Long-Term Effect of Weight Regain Following Behavioral Weight Management Programs on Cardiometabolic Disease Incidence and Risk: Systematic Review and Meta-Analysis
Published in
Circulation: Cardiovascular Quality & Outcomes, March 2023
DOI 10.1161/circoutcomes.122.009348
Pubmed ID
Authors

Jamie Hartmann-Boyce, Annika Theodoulou, Jason L. Oke, Ailsa R. Butler, Anastasios Bastounis, Anna Dunnigan, Rimu Byadya, Linda J. Cobiac, Peter Scarborough, F.D. Richard Hobbs, Falko F. Sniehotta, Susan A. Jebb, Paul Aveyard

Abstract

Behavioral weight management programs (BWMPs) enhance weight loss in the short term, but longer term cardiometabolic effects are uncertain as weight is commonly regained. We assessed the impact of weight regain after BWMPs on cardiovascular risk factors, diabetes, and cardiovascular disease. Trial registries, 11 databases, and forward-citation searching (latest search, December 19) were used to identify articles published in English, from any geographical region. Randomized trials of BWMPs in adults with overweight/obesity reporting cardiometabolic outcomes at ≥12 months at and after program end were included. Differences between more intensive interventions and comparator groups were synthesized using mixed-effects, meta-regression, and time-to-event models to assess the impact of weight regain on cardiovascular disease incidence and risk. One hundred twenty-four trials reporting on ≥1 cardiometabolic outcomes with a median follow-up of 28 (range, 11-360) months after program end were included. Median baseline participant body mass index was 33 kg/m2; median age was 51 years. Eight and 15 study arms (7889 and 4202 participants, respectively) examined the incidence of cardiovascular disease and type 2 diabetes, respectively, with imprecise evidence of a lower incidence for at least 5 years. Weight regain in BWMPs relative to comparators reduced these differences. One and 5 years after program end, total cholesterol/HDL (high-density lipoprotein) ratio was 1.5 points lower at both times (82 studies; 19 003 participants), systolic blood pressure was 1.5 mm mercury and 0.4 mm lower (84 studies; 30 836 participants), and HbA1c (%) 0.38 lower at both times (94 studies; 28 083 participants). Of the included studies, 22% were judged at high risk of bias; removing these did not meaningfully change results. Despite weight regain, BWMPs reduce cardiometabolic risk factors with effects lasting at least 5 years after program end and dwindling with weight regain. Evidence that they reduce the incidence of cardiovascular disease or diabetes is less certain. Few studies followed participants for ≥5 years. URL: https://www.crd.york.ac.uk/PROSPERO/; Unique identifier: CRD42018105744.

X Demographics

X Demographics

The data shown below were collected from the profiles of 34 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 50 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 50 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 4 8%
Student > Ph. D. Student 4 8%
Student > Postgraduate 4 8%
Student > Bachelor 3 6%
Other 3 6%
Other 6 12%
Unknown 26 52%
Readers by discipline Count As %
Medicine and Dentistry 14 28%
Unspecified 4 8%
Psychology 2 4%
Environmental Science 1 2%
Nursing and Health Professions 1 2%
Other 2 4%
Unknown 26 52%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 780. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 February 2024.
All research outputs
#25,676
of 26,106,397 outputs
Outputs from Circulation: Cardiovascular Quality & Outcomes
#8
of 1,770 outputs
Outputs of similar age
#699
of 428,293 outputs
Outputs of similar age from Circulation: Cardiovascular Quality & Outcomes
#1
of 17 outputs
Altmetric has tracked 26,106,397 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,770 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 41.2. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 428,293 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 17 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 94% of its contemporaries.