Real-world data of a digitally enabled, time-restricted eating weight management program in public sector workers living with overweight and obesity in the United Kingdom: A service evaluation of the Roczen program.



Brown, Adrian, Dobbie, Laurence J ORCID: 0000-0003-1908-848X, Falvey, Laura, Patel, Dipesh C, Kwan, Jonathan TC, Steinmo, Siri, Chow, Ling and McGowan, Barbara M
(2024) Real-world data of a digitally enabled, time-restricted eating weight management program in public sector workers living with overweight and obesity in the United Kingdom: A service evaluation of the Roczen program. Obesity science & practice, 10 (1). e730-e730.

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Abstract

<h4>Introduction</h4>The health of the United Kingdom workforce is key; approximately 186 million days are lost to sickness each year. Obesity and type 2 diabetes (T2D) remain major global health challenges. The aim of this retrospective service evaluation was to assess the impact of a digitally enabled, time-restricted eating (TRE) intervention (Roczen Program, Reset Health Ltd) on weight and other health-related outcomes.<h4>Methods</h4>This service evaluation was conducted in people living with overweight/obesity, with 89% referred from public sector employers. Participants were placed on a TRE, low-carbohydrate, moderate protein plan delivered by clinicians and mentors with regular follow up, dietary guidance, goal setting, feedback, and social support.<h4>Results</h4>A total of 660 members enrolled and retention was 41% at 12 months. The majority were female (73.2%), 58.9% were of White ethnicity, with a mean (SD) age of 47.5 years (10.1), and a body mass index of 35.0 kg/m<sup>2</sup> (5.7). Data were available for 82 members at 12-month. At 12-month, members mean actual and percentage weight loss was -9.0 kg (7.0; <i>p</i> < 0.001) and -9.2% (6.7, <i>p</i> < 0.001) respectively and waist circumference reduced by -10.3 cm (10.7 <i>p</i> < 0.001), with 45.1% of members achieving ≥10% weight loss. Glycated hemoglobin was significantly improved at 6 months in people living with T2D (-11 mmol/mol [5.7] <i>p</i> = 0.012). Binge eating score significantly reduced (-4.4 [7.0] <i>p</i> = 0.006), despite cognitive restraint increasing (0.37 [0.6] <i>p</i> = 0.006).<h4>Conclusion</h4>Our service evaluation showed that the Roczen program led to clinically meaningful improvements in body weight, health-related outcomes and eating behaviors that were sustained at 12-month.

Item Type: Article
Uncontrolled Keywords: digital‐health, obesity, time‐restricted eating, work based health
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 09 Apr 2024 09:42
Last Modified: 09 Apr 2024 13:45
DOI: 10.1002/osp4.730
Open Access URL: https://doi.org/10.1002/osp4.730
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3180198