PMID- 37565116
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230812
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 7
DP  - 2023 Jul
TI  - Health Coaching for Weight Loss Among Overweight and Obese Individuals in Saudi 
      Arabia: A Retrospective Analysis.
PG  - e41658
LID - 10.7759/cureus.41658 [doi]
LID - e41658
AB  - Background Health coaching is an increasingly used strategy to help in adopting 
      lifestyle changes for weight loss. While Saudi Arabia has one of the highest 
      obesity prevalences worldwide, research on lifestyle interventions for weight 
      loss is limited. Aim We aimed to investigate the effectiveness of health coaching 
      for weight loss among the Saudi population in real-world primary healthcare 
      settings. Methods This is a retrospective observational study. Secondary data 
      from the health coach national program in the Eastern Health Cluster were 
      retrieved. Obese and overweight individuals aged 15 years or older with 
      weight-related goals who completed at least 12 weeks of coaching were included in 
      the analysis. The primary outcomes are weight change (kg) and weight change 
      percent (%) of the initial weight. We further compared the weight change% between 
      different follow-up methods (i.e., physical, virtual, and hybrid) and studied the 
      factors associated with -5% weight loss. Results In total, 465 participants were 
      included in the analysis, with a female predominance (66.2%) and a median initial 
      weight of 90 kg (interquartile range (IQR): 77, 101). The median follow-up 
      duration was 127 days (IQR: 101, 157), and the median total number of coaching 
      sessions was three (IQR: 2, 5). The mean weight change was -2.68 kg (95% 
      confidence interval (CI): -3.12, -2.24), p<0.001. Comparing each follow-up group, 
      no statistically significant difference was found when controlling for number of 
      visits (p=0.059). The adjusted means for weight change% were -3.77%, -2.59%, and 
      -2.54% for hybrid, physical, and virtual visits, respectively. Factors that were 
      associated with achieving at least -5% weight loss were male sex (adjusted odds 
      ratio (aOR)=1.87, 95% CI: 1.16, 3.02), five or more total coaching visits 
      (aOR=5.23, 95% CI: 2.88, 9.50), longer follow-up duration (aOR=1.09, 95% CI: 
      1.03, 1.15), and having a weight management goal (aOR=4.5, 95% CI: 1.63, 12.45) 
      as the reason for initial coaching visit. Conclusion We found statistically 
      significant weight change among clients who completed 12 weeks of coaching in 
      primary care settings. The findings in this paper contribute to the importance of 
      lifestyle interventions for weight loss among the Saudi population. However, 
      stronger controlled studies are needed to confirm this finding.
CI  - Copyright (c) 2023, Aldhamin et al.
FAU - Aldhamin, Rabab A
AU  - Aldhamin RA
AD  - Preventive Medicine, Al-Ahsa Health Cluster, Al-Ahsa, SAU.
FAU - Al-Ghareeb, Ghadeer
AU  - Al-Ghareeb G
AD  - Primary Healthcare, Qatif Health Network, Qatif, SAU.
FAU - Al Saif, Ahmed
AU  - Al Saif A
AD  - Keep Well Unit, Model of Care Department, Eastern Health Cluster, Dammam, SAU.
FAU - Al-Ahmed, Zahra
AU  - Al-Ahmed Z
AD  - Keep Well Unit, Model of Care Department, Eastern Health Cluster, Dammam, SAU.
LA  - eng
PT  - Journal Article
DEP - 20230710
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10411960
OTO - NOTNLM
OT  - coaching
OT  - lifestyle
OT  - obesity
OT  - saudi arabia
OT  - weight loss
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/08/11 06:43
MHDA- 2023/08/11 06:44
PMCR- 2023/07/10
CRDT- 2023/08/11 04:11
PHST- 2023/07/10 00:00 [accepted]
PHST- 2023/08/11 06:44 [medline]
PHST- 2023/08/11 06:43 [pubmed]
PHST- 2023/08/11 04:11 [entrez]
PHST- 2023/07/10 00:00 [pmc-release]
AID - 10.7759/cureus.41658 [doi]
PST - epublish
SO  - Cureus. 2023 Jul 10;15(7):e41658. doi: 10.7759/cureus.41658. eCollection 2023 
      Jul.