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      Association between weight loss, change in physical activity, and change in quality of life following a corporately sponsored, online weight loss program

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          Abstract

          Background

          The physiological benefits associated with corporately sponsored weight loss programs are increasingly well documented. However, less is known about how these programs affect employees’ quality of life (QoL). The purpose of the present analysis was to examine the association between weight loss, change in physical activity, and change in QoL following a corporately sponsored, online weight loss program.

          Methods

          We examined the relationship between weight loss, self-reported change in physical activity, and change in several QoL indices in 26,658 participants (79% women) after the initial 10 weeks of the online weight loss program. The trend in changes in each QoL index with increasing weight loss and change in physical activity was examined using logistic regression analysis.

          Results

          We observed greater improvements in each QoL index with increasing weight loss ( p-for-trend, < 0.001) as well as with progressive increases in physical activity ( p-for-trend, < 0.001). The combination of increasing weight loss and increases in physical activity were associated with the greatest improvements in each QoL index (additive effect). The percentage of employees reporting improvements in QoL (“improved” or “very much improved”) was 64% for energy, 63% for mood, 33% for sleep, 65% for self-confidence, 68% for indigestion, and 39% for musculoskeletal pain.

          Conclusions

          Among people, who engage with a commercial weight loss program, greater weight loss during the program was associated with greater improvements in QoL, and increases in physical activity further enhanced the QoL-related benefits.

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          Most cited references29

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          Workplace wellness programs can generate savings.

          Amid soaring health spending, there is growing interest in workplace disease prevention and wellness programs to improve health and lower costs. In a critical meta-analysis of the literature on costs and savings associated with such programs, we found that medical costs fall by about $3.27 for every dollar spent on wellness programs and that absenteeism costs fall by about $2.73 for every dollar spent. Although further exploration of the mechanisms at work and broader applicability of the findings is needed, this return on investment suggests that the wider adoption of such programs could prove beneficial for budgets and productivity as well as health outcomes.
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            A systematic review of reviews: exploring the relationship between obesity, weight loss and health‐related quality of life

            Summary This is the first systematic review of reviews to assess the effect of obesity and weight loss on health‐related quality of life (HRQoL). We identified 12 meta‐analyses/systematic reviews published between January 2001 and July 2016. They addressed the following themes: (i) the relationship between weight/body mass index and HRQoL (baseline/pre‐intervention; n = 2). (ii) HRQoL after weight loss (varied interventions and/or study design; n = 2). (iii) HRQoL after weight loss (randomized controlled trials only; n = 2). (iv) HRQoL after bariatric surgery (n = 6). We found that in all populations, obesity was associated with significantly lower generic and obesity‐specific HRQoL. The relationship between weight loss and improved HRQoL was consistently demonstrated after bariatric surgery, perhaps due to a greater than average weight loss compared with other treatments. Improved HRQoL was evident after non‐surgical weight loss, but was not consistently demonstrated, even in randomized controlled trials. This inconsistency may be attributed to variation in quality of reporting, assessment measures, study populations and weight‐loss interventions. We recommend longer‐term studies, using both generic and obesity‐specific measures, which go beyond HRQoL in isolation to exploring mediators of HRQoL changes and interactions with other variables, such as comorbidities, fitness level and body image.
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              Exercise dose and quality of life: a randomized controlled trial.

              Improved quality of life (QOL) is a purported benefit of exercise, but few randomized controlled trials and no dose-response trials have been conducted to examine this assertion. The effect of 50%, 100%, and 150% of the physical activity recommendation on QOL was examined in a 6-month randomized controlled trial. Participants were 430 sedentary postmenopausal women (body mass index range, 25.0-43.0 [calculated as weight in kilograms divided by height in meters squared]) with elevated systolic blood pressure randomized to a nonexercise control group (n = 92) or 1 of 3 exercise groups: exercise energy expenditure of 4 (n = 147), 8 (n = 96), or 12 (n = 95) kilocalories per kilogram of body weight per week. Eight aspects of physical and mental QOL were measured at baseline and month 6 with the use of the Medical Outcomes Study 36-Item Short Form Health Survey. Change in all mental and physical aspects of QOL, except bodily pain, was dose dependent (trend analyses were significant, and exercise dose was a significant predictor of QOL change; P < .05). Higher doses of exercise were associated with larger improvements in mental and physical aspects of QOL. Controlling for weight change did not attenuate the exercise-QOL association. Exercise-induced QOL improvements were dose dependent and independent of weight change.
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                Author and article information

                Contributors
                christoph.hoechsmann@tum.de
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                7 March 2022
                7 March 2022
                2022
                : 22
                : 451
                Affiliations
                [1 ]GRID grid.250514.7, ISNI 0000 0001 2159 6024, Pennington Biomedical Research Center, ; Baton Rouge, LA USA
                [2 ]GRID grid.6936.a, ISNI 0000000123222966, Department of Sport and Health Sciences, , Technical University of Munich, ; Connollystraße 32, Munich, 80809 Germany
                [3 ]GRID grid.8756.c, ISNI 0000 0001 2193 314X, Human Nutrition, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life of Sciences, , University of Glasgow, ; Glasgow, UK
                [4 ]GRID grid.264756.4, ISNI 0000 0004 4687 2082, Texas A&M University, ; College Station, TX USA
                [5 ]Wondr Health™, Dallas, TX USA
                Author information
                http://orcid.org/0000-0003-2007-3007
                https://orcid.org/0000-0002-1917-2828
                https://orcid.org/0000-0002-8125-4015
                https://orcid.org/0000-0002-6546-1268
                https://orcid.org/0000-0002-1039-0298
                Article
                12835
                10.1186/s12889-022-12835-4
                8900429
                35255862
                fbb58edb-bff8-4334-8b28-b4f7a7da4e82
                © The Author(s) 2022

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 7 January 2021
                : 22 February 2022
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100000062, National Institute of Diabetes and Digestive and Kidney Diseases;
                Award ID: T32DK064584
                Award ID: P30DK072476
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100000968, American Heart Association;
                Award ID: 20POST35210907
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100000057, National Institute of General Medical Sciences;
                Award ID: U54 GM104940
                Funded by: Technische Universität München (1025)
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2022

                Public health
                quality of life,weight loss program,corporate health,web-based,online,physical activity
                Public health
                quality of life, weight loss program, corporate health, web-based, online, physical activity

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