A Trial of One to One Weight Management in Primary Care

The purpose of this study is to conduct a randomised controlled trial to assess the sustained effects on weight, selected risk factors and sense of well-being of offering individualized weight management advice in the primary care setting to patients who wish to lose weight; and to identify the key factors influencing the success of the intervention.

Primary care could make a substantial impact on the increasing prevalence of overweight and obesity and their associated adverse impact on health. The lack of a proven intervention may deter health professionals in primary care from providing support to their overweight patients as few obese people recall receiving weight control advice from a health professional. In this study we aim to conduct a large scale randomised controlled trial to assess the effectiveness of a longer-term structured lifestyle support programme provided by a research nurse and the provision of pedometers compared to usual care in overweight/ obese adults who wish to lose weight. We will assess the degree of weight loss over a period of 12 months as well as related factors such as changes in waist circumference, quality of life and cost-effectiveness of the interventions. The research is highly relevant to policy making at both national and local levels.

Obesity, Overweight, Randomised controlled trial, Primary Care, Weight, Cardiovascular Risk, Diabetes, Quality of life

This is the control group, and they will receive "usual care" for weight management at their GP practice.

The intervention group will meet with a research nurse on 14 occasions over the 1 year research study, for structured lifestyle support, including dietary, physical activity and behavioral advice. They will also receive a pedometer.

BMI, blood pressure, resting heart rate; obesity and weight related quality of life, Rosenberg measure of self-esteem changes at 12 months.

Inclusion Criteria: 18 years or over BMI ≥ 25 kg/m2 GP confirmation Exclusion Criteria: pregnant or lactating women patients with renal failure, pacemakers or cancer participating in other research affecting weight Ability to complete questionnaires Ability to give consent

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