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Evaluation of Veterans MOVE! Program for Weight Loss.

Katie Braun1, Megan Erickson2, Anne Utech3

  • 1Michael E. DeBakey Veterans Affairs Medical Center, Nutrition and Food Service, Department of Veterans Affairs, Houston, TX; Texas Woman's University, Houston, TX.

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Summary

Attending three or more nutrition education sessions in the Veterans Affairs weight management program (MOVE!) was linked to greater body weight loss compared to fewer sessions. This suggests increased engagement may improve weight management outcomes.

Keywords:
nutrition educationobesityveteranweight management

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Area of Science:

  • Health Services Research
  • Obesity Research
  • Clinical Nutrition

Background:

  • The Veterans Affairs (VA) weight management program, MOVE!, aims to support veterans in achieving and maintaining a healthy weight.
  • Understanding the impact of program engagement, specifically nutrition education encounters, is crucial for optimizing weight loss interventions.
  • Previous research highlights the importance of behavioral support in weight management, but specific dose-response relationships for nutrition education in veteran populations require further investigation.

Purpose of the Study:

  • To evaluate the association between the number of nutrition education encounters and the degree of weight loss among adult veterans enrolled in the MOVE! program.
  • To determine if a higher frequency of participation in nutrition education is correlated with more significant weight reduction.

Main Methods:

  • A retrospective cohort study design was employed, analyzing data from adult veterans (n=1,659) at a tertiary care US veterans hospital.
  • Data on weight change and the number of nutrition education encounters were extracted from a retrospective database spanning July 2007 to September 2008.
  • One-way ANOVA was used to analyze the relationship between the number of encounters and weight change, with weight change as the primary outcome and visits/encounters as the predictor.

Main Results:

  • Veterans participating in three or more nutrition education encounters experienced significantly greater body weight loss (-1.62%) compared to those with 1-2 encounters (0.2%) or no education (-0.23%).
  • The association between higher engagement (≥3 encounters) and weight loss was statistically significant (P = .01).
  • The majority of participants were men (85%), indicating a predominantly male cohort in this VA weight management program.

Conclusions:

  • Increased engagement with nutrition education, defined as three or more encounters within the MOVE! program, is associated with modest but statistically significant weight loss in veterans.
  • These findings suggest a potential dose-response relationship between nutrition education frequency and weight management success.
  • Further prospective studies are recommended to establish causality and confirm these results in diverse veteran populations.