15^thEuro Obesity and Endocrinology Congress

Biography

Biography: Difei Lu

Abstract

Introduction: The treatment of obesity is based on diet and lifestyle intervention and medication, bariatric surgery or acupuncture in China is recommended in some cases. Therefore, a multidisciplinary team is needed for the management of obesity. Herein we described the body weight and other metabolic profile changes in the multidisciplinary team for obesity at Peking University First Hospital in 2-year follow-up.

Methodology & Theoretical Orientation: 445 patients participated in the multidisciplinary team for obesity, which consisted of a physician, a dietician, an exercise therapist, a bariatric surgeon, an acupuncturist and several health educators. Patients were followed up at 3 months, 6 months, 1 year, 18 months and 2 years after their first visit. We investigated body weight changes across up to 5 times of follow-ups and factors that affected the successful rate in weight reduction using logistic regression.

Findings: Body weight declined significantly at every visit compared with the basal value (p<0.0001), and it decreased significantly in follow-up at 6 months and 1 year compared with the former visit (p<0.0001, 6m vs. 3m; p<0.0001, 1y vs. 6m). Defining body weight reduction over 5% as success, the rate of success was as high as 40.9%-50.9% during visits. Defining the reduction of body weight over 10% as success, the successful rate gradually increased from 13.2% to 26.9% during visits. Sex category, baseline body weight, body mass index and hip circumference were associated with the success of weight-loss.

Conclusion & Significance: A multidisciplinary team for obesity management could significantly achieve the goal of body weight reduction. For most of the patients, weight reduction occurs during the first year of treatment. Sex category, baseline body weight, body mass index and hip circumference are associated with successful weight control.