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Effective weight management practice: a review of the lifestyle intervention evidence

International Journal of Obesity volume 36, pages 178–185 (2012)Cite this article

Abstract

Objectives:

Despite the existence of guidelines for obesity management, uncertainty remains as to what interventions comprise effective practice. This uncertainty could act as a barrier to busy health care professionals, who may lack the time and expertize to fully appraise the huge amount of literature that is published each year on obesity management. Therefore, the objectives of this review were to synthesize the available evidence, determine most effective and most promising practices for obesity management in adults, using an established methodology, and present this information according to its quality.

Evidence acquisition:

This synthesis review was conducted from January 2009. A detailed search of relevant databases was conducted to September 2010. Most effective and promising practices were defined using the Canadian Best Practice Initiative Methodology Background Paper, with systematic reviews (with/without meta analysis) as the most rigorous methodology for developing recommendations that were deemed most effective (level 1), and non-systematic reviews for developing recommendations deemed as most promising (level 2). Literature was reviewed and classified across these two levels of rigor, and supplemented with primary studies to further refine recommendations.

Results:

Evidence from systematic reviews and meta-analyses was classified into three intervention themes or areas of context, in which more specific most effective and/or promising practice recommendations could be nested. These intervention themes were (1) targeted multi-component interventions for weight management, (2) dietary manipulation strategies and (3) delivery of weight management interventions, including health professional roles and method of delivery. Specific recommendations accompanied each theme.

Conclusions:

This review highlights the value of multi-component interventions that are delivered over the longer term, and reinforces the role of health care professionals. The findings will help to inform evidence-based practice for health care practitioners involved in obesity management and prevention.

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Acknowledgements

Support for this review was provided by the Public Health Agency of Canada to the Canadian Obesity Network—Réseau Canadien Obésité (CON-RCO). The authors thank Lisa Underhill (Public Health Agency of Canada) and Ximena Ramos Salas (CON-RCO) for their helpful comments on the original report, and Greg Hayward for administrative support during manuscript preparation. Sara FL Kirk is supported by a CIHR Canada Research Chair in Health Services Research. Tarra L Penney is supported by a Nova Scotia Health Research Foundation health research project grant awarded to Dr Kirk.

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Authors and Affiliations

  1. Applied Research Collaborations for Health, School of Health Administration, Dalhousie University, Halifax, Nova Scotia, Canada

    S F L Kirk & T L Penney

  2. Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta, Canada

    T-Lf McHugh

  3. Department of Medicine, University of Alberta, Royal Alexandra Hospital, Edmonton, Alberta, Canada

    A M Sharma

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  1. S F L Kirk
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Correspondence to S F L Kirk.

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Kirk, S., Penney, T., McHugh, TL. et al. Effective weight management practice: a review of the lifestyle intervention evidence. Int J Obes 36, 178–185 (2012). https://doi.org/10.1038/ijo.2011.80

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