The goal of this clinical trial is to prospectively assess the efficacy of the BLOOM program, a comprehensive weight loss dietary and lifestyle program, in a population of patients living with obesity and awaiting hip or knee surgery. The main questions it seeks to answer are: 1. Can the BLOOM program support these patients to lose up to 10% of their initial body weight? 2. Will patients continue to lose weight for the next six months after completing the program? 3. Does the BLOOM program help patients to improve their overall quality of life? Study participants will undergo the BLOOM program, a virtual pre-operative weight management program that spans 24 weeks and is carefully supervised by medical professionals. They will be recruited at the LEAF Clinic after being referred by their primary care physician. During the BLOOM program, they will meet with a physician (initially, then once monthly) and a dietitian (initially, and then biweekly as part of virtual group coaching). They will have access to LEAF's online learning portal. These are normal elements of the BLOOM program. Furthermore, as part of their participation in the research study, participants will be asked to complete the following questionnaires: the Mediterranean dietary score, the Oxford Hip and Knee Questionnaire and the EQ-D5-5L quality of life assessment. They will complete these initially, and then at completion of the program and 3 and 6 months post-program. We will also collect their height and weight at these intervals.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
58
This intervention is a lifestyle program with includes dietary coaching from a dietitian and regular doctor appointments with a bariatric medicine specialist over the course of 24 weeks.
Weight loss
The difference (in lbs and %) in weight between the admission visit and the end of the BLOOM program
Time frame: Weight will be compared from beginning of program to end of program, six months after program completion, and also monthly for months 1-5.
Weight - BMI 35-40
The difference (in lbs and %) in weight between the admission visit and the end of the BLOOM program for individuals with a BMI of 35-39.9
Time frame: Six months
Weight - BMI 40+
The difference (in lbs and %) in weight between the admission visit and the end of the BLOOM program for individuals with a BMI over 40
Time frame: Six months
Mediterranean Diet Score
The change in the Mediterranean Dietary Score between the initial visit and the end of the BLOOM program and 3 and 6 months after
Time frame: At program start, at program completion (approx 6 months, 3 and 6 months post-program completion (total time: twelve months)
Oxford Knee and Hip
The change in the Oxford Hip and Knee Questionnaires between the initial visit and the end of the BLOOM program and three and six months after.
Time frame: At program start, at program completion (approx 6 months, 3 and 6 months post-program completion (total time: twelve months)
EQ-5D-5L
The change in the EQ-5D-5L quality of life (QoL) score between the initial visit and the end of the BLOOM program and three and six months after.
Time frame: At program start, at program completion (approx 6 months, 3 and 6 months post-program completion (total time: twelve months)
Decision change
The proportion of patients that have a change of decision for joint arthropathy.
Time frame: Twelve months
Weight change
The proportion of patients who continued to lose weight or maintained their weight 3 and 6 months after the end of the program
Time frame: Twelve months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.