Direct comparisons of commercial weight-loss programs on weight, waist circumference, and blood pressure: a systematic review

Abstract Background Obesity is common in the U.S. and many individuals turn to commercial programs to lose weight. Our objective was to directly compare weight loss, waist circumference, and systolic and diastolic blood pressure (SBP, DBP) outcomes between commercially available weight-loss programs...

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Main Authors: Rachit M. Vakil, Ruchi S. Doshi, Ambereen K. Mehta, Zoobia W. Chaudhry, David K. Jacobs, Clare J. Lee, Sara N. Bleich, Jeanne M. Clark, Kimberly A. Gudzune
Format: Article
Language:English
Published: BMC 2016-06-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-016-3112-z
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author Rachit M. Vakil
Ruchi S. Doshi
Ambereen K. Mehta
Zoobia W. Chaudhry
David K. Jacobs
Clare J. Lee
Sara N. Bleich
Jeanne M. Clark
Kimberly A. Gudzune
author_facet Rachit M. Vakil
Ruchi S. Doshi
Ambereen K. Mehta
Zoobia W. Chaudhry
David K. Jacobs
Clare J. Lee
Sara N. Bleich
Jeanne M. Clark
Kimberly A. Gudzune
author_sort Rachit M. Vakil
collection DOAJ
description Abstract Background Obesity is common in the U.S. and many individuals turn to commercial programs to lose weight. Our objective was to directly compare weight loss, waist circumference, and systolic and diastolic blood pressure (SBP, DBP) outcomes between commercially available weight-loss programs. Methods We conducted a systematic review by searching MEDLINE and the Cochrane Database of Systematic Reviews from inception to November 2014 and by using references identified by commercial programs. We included randomized, controlled trials (RCTs) of at least 12 weeks duration that reported comparisons with other commercial weight-loss programs. Two reviewers extracted information on mean change in weight, waist circumference, SBP and DBP and assessed risk of bias. Results We included seven articles representing three RCTs. Curves participants lost 1.8 kg (95%CI: 0.1, 3.5 kg) more than Weight Watchers in one comparison. There was no statistically significant difference in waist circumference change among the included programs. The mean reduction in SBP for SlimFast participants was 4.5 mmHg (95%CI: 0.4, 8.6 mmHg) more than that of Atkins participants in one comparison. There was no significant difference in mean DBP changes among programs. Conclusions There is limited evidence that any one of the commercial weight-loss programs has superior results for mean weight change, mean waist circumference change, or mean blood pressure change.
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spelling doaj.art-4940b1e25f2a44a996795b532ef89f4a2022-12-21T23:31:04ZengBMCBMC Public Health1471-24582016-06-011611810.1186/s12889-016-3112-zDirect comparisons of commercial weight-loss programs on weight, waist circumference, and blood pressure: a systematic reviewRachit M. Vakil0Ruchi S. Doshi1Ambereen K. Mehta2Zoobia W. Chaudhry3David K. Jacobs4Clare J. Lee5Sara N. Bleich6Jeanne M. Clark7Kimberly A. Gudzune8The Johns Hopkins Bloomberg School of Public HealthThe Johns Hopkins Bloomberg School of Public HealthThe Johns Hopkins Bayview Medical CenterThe Johns Hopkins University School of MedicineThe University of Maryland School of MedicineThe Johns Hopkins University School of MedicineThe Johns Hopkins Bloomberg School of Public HealthThe Johns Hopkins Bloomberg School of Public HealthThe Johns Hopkins University School of MedicineAbstract Background Obesity is common in the U.S. and many individuals turn to commercial programs to lose weight. Our objective was to directly compare weight loss, waist circumference, and systolic and diastolic blood pressure (SBP, DBP) outcomes between commercially available weight-loss programs. Methods We conducted a systematic review by searching MEDLINE and the Cochrane Database of Systematic Reviews from inception to November 2014 and by using references identified by commercial programs. We included randomized, controlled trials (RCTs) of at least 12 weeks duration that reported comparisons with other commercial weight-loss programs. Two reviewers extracted information on mean change in weight, waist circumference, SBP and DBP and assessed risk of bias. Results We included seven articles representing three RCTs. Curves participants lost 1.8 kg (95%CI: 0.1, 3.5 kg) more than Weight Watchers in one comparison. There was no statistically significant difference in waist circumference change among the included programs. The mean reduction in SBP for SlimFast participants was 4.5 mmHg (95%CI: 0.4, 8.6 mmHg) more than that of Atkins participants in one comparison. There was no significant difference in mean DBP changes among programs. Conclusions There is limited evidence that any one of the commercial weight-loss programs has superior results for mean weight change, mean waist circumference change, or mean blood pressure change.http://link.springer.com/article/10.1186/s12889-016-3112-zCommercial weight-loss programsWeight lossWaist circumferenceBlood pressure
spellingShingle Rachit M. Vakil
Ruchi S. Doshi
Ambereen K. Mehta
Zoobia W. Chaudhry
David K. Jacobs
Clare J. Lee
Sara N. Bleich
Jeanne M. Clark
Kimberly A. Gudzune
Direct comparisons of commercial weight-loss programs on weight, waist circumference, and blood pressure: a systematic review
BMC Public Health
Commercial weight-loss programs
Weight loss
Waist circumference
Blood pressure
title Direct comparisons of commercial weight-loss programs on weight, waist circumference, and blood pressure: a systematic review
title_full Direct comparisons of commercial weight-loss programs on weight, waist circumference, and blood pressure: a systematic review
title_fullStr Direct comparisons of commercial weight-loss programs on weight, waist circumference, and blood pressure: a systematic review
title_full_unstemmed Direct comparisons of commercial weight-loss programs on weight, waist circumference, and blood pressure: a systematic review
title_short Direct comparisons of commercial weight-loss programs on weight, waist circumference, and blood pressure: a systematic review
title_sort direct comparisons of commercial weight loss programs on weight waist circumference and blood pressure a systematic review
topic Commercial weight-loss programs
Weight loss
Waist circumference
Blood pressure
url http://link.springer.com/article/10.1186/s12889-016-3112-z
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