| Lightening the load? A systematic review of community pharmacy-based weight management interventions. | |
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MedLine Citation:
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PMID: 21883869 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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The extent to which community pharmacies can increase capacity for weight management is unknown. Thus, the objective of the present paper was to evaluate the effectiveness and cost-effectiveness of community pharmacy weight management interventions. This paper used a design of systematic review and narrative synthesis. Electronic databases (1999-2009) were searched, including Medline, EMBASE, CINAHL and Pharm-line. Weight management studies in community pharmacies were eligible for the inclusion criteria. All languages and study designs were considered. Outcome measures included body weight or anthropometry (at baseline and at least one follow-up time point). Data were extracted through independent, duplicate data extraction and quality assessment. As a result, 10 studies were included, totalling 2,583 service users and 582 pharmacies from the USA, the UK, Switzerland, Spain and Denmark. One was a randomized controlled trial of a meal-replacement versus a reduced calorie diet. A non-randomized controlled before and after study compared community pharmacist treatment using Orlistat with usual care. Eight studies were uncontrolled. Five studies described behaviour change techniques. Long-term (12 months) mean weight loss measured in three studies ranged from 1.1 to 4.1 kg. Four uncontrolled studies reported statistically significant weight loss. No study reported economic evaluations. Currently, there is insufficient evidence for the effectiveness and cost-effectiveness of community pharmacy-based weight management initiatives to support investment in their provision. |
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Authors:
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J Gordon; M Watson; A Avenell |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-25 |
Journal Detail:
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Title: Obesity reviews : an official journal of the International Association for the Study of Obesity Volume: - ISSN: 1467-789X ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-9-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100897395 Medline TA: Obes Rev Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2011 The Authors. obesity reviews © 2011 International Association for the Study of Obesity. |
Affiliation:
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Community Dietetic Department, Westholme, Woodend Hospital, Aberdeen, UK Centre for Academic Primary Care, University of Aberdeen, Aberdeen, UK Health Services Research Unit, University of Aberdeen, Aberdeen, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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