Deprivation, clubs and drugs

results of a UK regional population-based cross-sectional study of weight management strategies

Clare Relton, Jessica Li, Mark Strong, Michelle Holdsworth, Richard Cooper, Mark Green, Paul Bissell

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Despite rising levels of obesity in England, little is known about slimming club and weight loss drug (medication) use or users. In order to inform future commissioning, we report the prevalence of various weight management strategies and examine the associations between slimming club and medication use and age, gender, deprivation and body mass index. Methods. A population based cross-sectional survey of 26,113 adults was conducted in South Yorkshire using a self-completed health questionnaire. Participants were asked whether they had ever used the following interventions to manage their weight: increasing exercise, healthy eating, controlling portion size, slimming club, over the counter weight loss medication, or meal replacements. Factors associated with slimming club and weight-loss medication use were explored using logistic regression. Results: Over half of the sample was either overweight (36.6%) or obese (19.6%). Obesity was more common in the most deprived areas compared to the least deprived (26.3% vs. 12.0%). Healthy eating (49.0%), controlling portion size (43.4%), and increasing exercise (43.0%) were the most commonly reported weight management strategies. Less common strategies were attending a slimming club (17.2%), meal replacements (3.4%) and weight-loss medication (3.2%). Adjusting for BMI, age, deprivation and long standing health conditions, women were significantly more likely to report ever using a slimming club (adjusted OR = 18.63, 95% CI = 16.52-21.00) and more likely to report ever using over the counter weight-loss medications (AOR = 3.73, 95% CI = 3.10-4.48), while respondents from the most deprived areas were less likely to report using slimming clubs (AOR = 0.60, 95% CI = 0.53-0.68), and more likely to reporting using weight loss medications (AOR =1.38, 95% CI = 1.05-1.82). Conclusion: A large proportion of individuals report having used weight management strategies. Slimming clubs and over-the-counter weight loss medication account for a smaller proportion of the overall uptake. Those from less deprived areas were more likely to use slimming clubs while those from more deprived areas were more likely to use weight-loss medications. Future NHS and Local Authority commissioning of weight management services must be aware of this varying social gradient in weight management strategies.

Original languageEnglish
Article number444
JournalBMC Public Health
Volume14
DOIs
Publication statusPublished - 12 May 2014
Externally publishedYes

Fingerprint

Weight Loss
Cross-Sectional Studies
Weights and Measures
Pharmaceutical Preparations
Population
Portion Size
Meals
Obesity
Anti-Obesity Agents
Women's Health
England
Body Mass Index
Logistic Models
Health

Cite this

Relton, Clare ; Li, Jessica ; Strong, Mark ; Holdsworth, Michelle ; Cooper, Richard ; Green, Mark ; Bissell, Paul. / Deprivation, clubs and drugs : results of a UK regional population-based cross-sectional study of weight management strategies. In: BMC Public Health. 2014 ; Vol. 14.
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title = "Deprivation, clubs and drugs: results of a UK regional population-based cross-sectional study of weight management strategies",
abstract = "Background: Despite rising levels of obesity in England, little is known about slimming club and weight loss drug (medication) use or users. In order to inform future commissioning, we report the prevalence of various weight management strategies and examine the associations between slimming club and medication use and age, gender, deprivation and body mass index. Methods. A population based cross-sectional survey of 26,113 adults was conducted in South Yorkshire using a self-completed health questionnaire. Participants were asked whether they had ever used the following interventions to manage their weight: increasing exercise, healthy eating, controlling portion size, slimming club, over the counter weight loss medication, or meal replacements. Factors associated with slimming club and weight-loss medication use were explored using logistic regression. Results: Over half of the sample was either overweight (36.6{\%}) or obese (19.6{\%}). Obesity was more common in the most deprived areas compared to the least deprived (26.3{\%} vs. 12.0{\%}). Healthy eating (49.0{\%}), controlling portion size (43.4{\%}), and increasing exercise (43.0{\%}) were the most commonly reported weight management strategies. Less common strategies were attending a slimming club (17.2{\%}), meal replacements (3.4{\%}) and weight-loss medication (3.2{\%}). Adjusting for BMI, age, deprivation and long standing health conditions, women were significantly more likely to report ever using a slimming club (adjusted OR = 18.63, 95{\%} CI = 16.52-21.00) and more likely to report ever using over the counter weight-loss medications (AOR = 3.73, 95{\%} CI = 3.10-4.48), while respondents from the most deprived areas were less likely to report using slimming clubs (AOR = 0.60, 95{\%} CI = 0.53-0.68), and more likely to reporting using weight loss medications (AOR =1.38, 95{\%} CI = 1.05-1.82). Conclusion: A large proportion of individuals report having used weight management strategies. Slimming clubs and over-the-counter weight loss medication account for a smaller proportion of the overall uptake. Those from less deprived areas were more likely to use slimming clubs while those from more deprived areas were more likely to use weight-loss medications. Future NHS and Local Authority commissioning of weight management services must be aware of this varying social gradient in weight management strategies.",
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Deprivation, clubs and drugs : results of a UK regional population-based cross-sectional study of weight management strategies. / Relton, Clare; Li, Jessica; Strong, Mark; Holdsworth, Michelle; Cooper, Richard; Green, Mark; Bissell, Paul.

In: BMC Public Health, Vol. 14, 444, 12.05.2014.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Deprivation, clubs and drugs

T2 - results of a UK regional population-based cross-sectional study of weight management strategies

AU - Relton, Clare

AU - Li, Jessica

AU - Strong, Mark

AU - Holdsworth, Michelle

AU - Cooper, Richard

AU - Green, Mark

AU - Bissell, Paul

PY - 2014/5/12

Y1 - 2014/5/12

N2 - Background: Despite rising levels of obesity in England, little is known about slimming club and weight loss drug (medication) use or users. In order to inform future commissioning, we report the prevalence of various weight management strategies and examine the associations between slimming club and medication use and age, gender, deprivation and body mass index. Methods. A population based cross-sectional survey of 26,113 adults was conducted in South Yorkshire using a self-completed health questionnaire. Participants were asked whether they had ever used the following interventions to manage their weight: increasing exercise, healthy eating, controlling portion size, slimming club, over the counter weight loss medication, or meal replacements. Factors associated with slimming club and weight-loss medication use were explored using logistic regression. Results: Over half of the sample was either overweight (36.6%) or obese (19.6%). Obesity was more common in the most deprived areas compared to the least deprived (26.3% vs. 12.0%). Healthy eating (49.0%), controlling portion size (43.4%), and increasing exercise (43.0%) were the most commonly reported weight management strategies. Less common strategies were attending a slimming club (17.2%), meal replacements (3.4%) and weight-loss medication (3.2%). Adjusting for BMI, age, deprivation and long standing health conditions, women were significantly more likely to report ever using a slimming club (adjusted OR = 18.63, 95% CI = 16.52-21.00) and more likely to report ever using over the counter weight-loss medications (AOR = 3.73, 95% CI = 3.10-4.48), while respondents from the most deprived areas were less likely to report using slimming clubs (AOR = 0.60, 95% CI = 0.53-0.68), and more likely to reporting using weight loss medications (AOR =1.38, 95% CI = 1.05-1.82). Conclusion: A large proportion of individuals report having used weight management strategies. Slimming clubs and over-the-counter weight loss medication account for a smaller proportion of the overall uptake. Those from less deprived areas were more likely to use slimming clubs while those from more deprived areas were more likely to use weight-loss medications. Future NHS and Local Authority commissioning of weight management services must be aware of this varying social gradient in weight management strategies.

AB - Background: Despite rising levels of obesity in England, little is known about slimming club and weight loss drug (medication) use or users. In order to inform future commissioning, we report the prevalence of various weight management strategies and examine the associations between slimming club and medication use and age, gender, deprivation and body mass index. Methods. A population based cross-sectional survey of 26,113 adults was conducted in South Yorkshire using a self-completed health questionnaire. Participants were asked whether they had ever used the following interventions to manage their weight: increasing exercise, healthy eating, controlling portion size, slimming club, over the counter weight loss medication, or meal replacements. Factors associated with slimming club and weight-loss medication use were explored using logistic regression. Results: Over half of the sample was either overweight (36.6%) or obese (19.6%). Obesity was more common in the most deprived areas compared to the least deprived (26.3% vs. 12.0%). Healthy eating (49.0%), controlling portion size (43.4%), and increasing exercise (43.0%) were the most commonly reported weight management strategies. Less common strategies were attending a slimming club (17.2%), meal replacements (3.4%) and weight-loss medication (3.2%). Adjusting for BMI, age, deprivation and long standing health conditions, women were significantly more likely to report ever using a slimming club (adjusted OR = 18.63, 95% CI = 16.52-21.00) and more likely to report ever using over the counter weight-loss medications (AOR = 3.73, 95% CI = 3.10-4.48), while respondents from the most deprived areas were less likely to report using slimming clubs (AOR = 0.60, 95% CI = 0.53-0.68), and more likely to reporting using weight loss medications (AOR =1.38, 95% CI = 1.05-1.82). Conclusion: A large proportion of individuals report having used weight management strategies. Slimming clubs and over-the-counter weight loss medication account for a smaller proportion of the overall uptake. Those from less deprived areas were more likely to use slimming clubs while those from more deprived areas were more likely to use weight-loss medications. Future NHS and Local Authority commissioning of weight management services must be aware of this varying social gradient in weight management strategies.

KW - Cohort

KW - Obesity

KW - Population

KW - Slimming clubs

KW - Survey

KW - Weight loss medication

KW - Weight management strategy

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DO - 10.1186/1471-2458-14-444

M3 - Article

VL - 14

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

M1 - 444

ER -