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Weight loss after participation in a national VA weight management program among veterans with or without PTSD.

Hoerster KD, Lai Z, Goodrich DE, Damschroder LJ, Littman AJ, Klingaman EA, Nelson KM, Kilbourne AM. Weight loss after participation in a national VA weight management program among veterans with or without PTSD. Psychiatric services (Washington, D.C.). 2014 Nov 1; 65(11):1385-8.

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OBJECTIVE: This evaluation compared the effectiveness of MOVE!, a U.S. Veterans Health Administration (VHA) weight management program, among veterans with posttraumatic stress disorder (PTSD), other mental conditions, or no mental health diagnoses. METHODS: VHA administrative data from 2008 to 2012 were used to estimate adjusted six- and 12-month weight change and = 5% weight loss among 20,819 veterans with "intense and sustained" MOVE! participation (14% of 148,963 MOVE! participants, regardless of mental health status). RESULTS: Compared with veterans with no mental health diagnoses, veterans with PTSD lost significantly less weight at six and 12 months (p < .05) and were less likely to lose = 5% body weight at six months (OR = .89, p < .05). At six months, those with other mental conditions lost significantly less weight than those with no mental health diagnoses (p < .05). CONCLUSIONS: MOVE! may need adaptation to increase overall engagement and enhance weight loss for veterans with mental conditions, especially PTSD.

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