Weight management groups

Weight management groups provide support to help people lose weight. This usually includes a structured diet plan and behavioural support, in groups or on an individual basis, either in person or remotely via social media or apps. The basic premise of weight management programmes is to facilitate changes in eating behaviour and activity levels by encouraging people to make healthier choices about their lifestyle and what they eat as well as suggesting practical ways to make changes.

We asked people we interviewed about their experiences of weight management groups. Among the people we spoke to there was considerable experience of both Weight Watchers and Slimming World.

What people liked about weight management groups

One of the most positive aspects of weight management groups that we heard about was the support provided by other people who were all in the same boat; according to Sue X, who felt that Slimming World had worked for her said, ‘nobody judges you. Everybody is there to support you and help you’. Sue X reached her target weight but continued attending the weekly classes because she valued their support and friendship.

The first time Myra went to Slimming World, she weighed nearly 20 stone. She felt encouraged and inspired by the success stories of other group members and the group leader.

Age at interview 65

Gender Female

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The people we spoke to said it was important to have the right kind of person leading the group. Group leaders who could draw on their own experience of weight loss to encourage and empathise were particularly appreciated. June’s teacher was young and energetic, loved cooking and had lots of positive ideas. The only down side was that her classes were often very full because she was so popular.

Sue X’s group leader has been through it all herself and supports the group without being at all judgmental.

Age at interview 61

Gender Female

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June kept attending because she liked the positive and enthusiastic teacher at Slimming World.

Age at interview 70

Gender Female

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Apart from the group support and a positive leader, people valued the opportunity to make friends, learn from others in the group, receive recipes and nutritional information, and have access to support via social media. Rosemary and others said that the important thing was to be weighed by somebody else; this in itself motivated her to lose weight. Realistic expectations were important though – achieving the target weight was usually a slow and steady progress.

Tommy learnt a lot from Slimming World but made the mistake of thinking that he did not need to keep going just to get weighed’ He stopped going and his weight blossomed again.

Age at interview 85

Gender Male

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Community weight management groups are open to women and men and in some areas of the country the group is quite gender balanced. Some of the men we talked to thought that the classes would be mainly women and worried they would feel uncomfortable. Jim and his wife Linda experienced a weight management programme as a couple. Jim didn’t attend the classes, because he was concerned that he might be the only man. Linda did attend and applied what she learned at home for both of them. This resulted in Jim losing two stone in six months.

Jim and Linda were a double act, with Linda attending Slimming World classes to help her husband Jim lose weight. He thought that attending would be a girly thing’ to do.

Age at interview 71

Gender Male

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[See also ‘What has worked when trying to lose weight? – Motivations and mind-sets, ‘What has worked when trying to lose weight? Finding what works for you‘ and ‘What hasn’t worked when trying to lose weight?‘.]

What people didn’t like about weight management groups

Some people did not enjoy their experiences of weight management groups. The aspect of being weighed in public and having to account for oneself in a group occasioned particularly strong feelings. Maxine Mary said she found it ‘degrading’ and humiliating to be weighed and then clapped for losing 2 pounds, while for Liz it was ‘mortifying’. Carole said it made her feel more self-conscious about her weight.

Angela managed to get within 4 lbs of her target weight with a weight management programme but still felt like she had failed.

Age at interview 51

Gender Female

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Liz did not like going to classes and particularly disliked the aspect of group accountability.

Age at interview 54

Gender Female

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Moreover, the calorie counting element of some weight management programmes wasn’t for everyone, with some preferring a more flexible approach to weight loss.

Carole found calorie counting too muddling’ and switched to a less regimented’ programme. Being weighed in class made her more self-conscious of her weight and of the task ahead.

Age at interview 59

Gender Female

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At one point, June stopped going to Slimming World because ‘it was all about what had gone wrong for people who hadn’t had a weight loss and I found that, you know, I was already negative in me self, I didn’t need to hear everybody else’s reasons and excuses’. Angela felt it could get competitive ‘it gets silly, you know, and you look at other people that are similar size to you and you think, ‘How come they’ve done that? How come they have lost weight?’

After feeling depressed listening to other people, Shirley decided only to stay to be weighed and not for the discussion part of meetings.

Age at interview 56

Gender Female

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Not managing to lose weight in spite of following a weight management programme could be a dispiriting experience, particularly as the reasons were not always clear. For example, Joan was disheartened by her lack of progress at Weight Watchers and only later discovered her thyroid may have played a part. While such groups are designed to provide a supportive community, this was not always the experience of the people we spoke with.

Shirley describes what it felt like not to lose weight in spite of sticking to the rules.

Age at interview 56

Gender Female

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Julie did not find the group very supportive when she was struggling to lose weight

Age at interview 73

Gender Female

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Weight management programmes were not usually able to provide a personalised approach taking into account a person’s health condition, living circumstances, history or preference. Class sizes were sometimes too large for personal attention, but also group leaders did not have always specialist knowledge about nutrition. Julie commented that it would have been more useful if the group lead knew about health problems, including her own diabetes.

Julie would have liked a more personalised and specialist approach than the weight management programme could provide.

Age at interview 73

Gender Female

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For Angela, it would be better if the programmes treated people as individual not as the group and listened to their history to understand why losing weight hadn’t worked for them in the past.

Age at interview 51

Gender Female

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Sue Y attended a local commercial weight loss programme but was not impressed by it, describing the young leader as the wrong person to give advice on weight loss.

Age at interview 69

Gender Female

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For a number of reasons including life events, social life and health problems some people found it difficult to attain their target weight. Angela described her target weight as an ‘unattainable goal’. She got down to 8 stone 10 but because her target was 8 stone 6, she couldn’t lose the four pounds she needed to get her achievement certificate. The certificate was important to her because ‘it was like doing your degree and if you don’t come out with your certificate what was the whole point’. She dropped out of the programme.

While many of the factors people didn’t like concerned the format and style of the support groups, for some, it was the advice itself which was problematic. Liz was frustrated at the seemingly illogical way some foods were promoted over others, and how this could change from one week to the next. Ria felt that ‘some of the advice is very iffy’ and was sceptical of the bars that were sold which contain the artificial sweetener aspartame. There have been many scare stories about aspartame, but a comprehensive review of the scientific evidence by the European Food Safety Authority in 2013 concluded that it was safe for human consumption (EFSA 2013). Nonetheless, some people continued to wonder whether diet products promoted by weight management programmes, which contain aspartame, really were safe.

The promotion of aspartame-containing products put Christine off going to Slimming World.

Age at interview 53

Gender Female

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GPs can refer patients who are overweight or obese to a commercial weight management programme (groups) for a free course. However, not everyone we spoke to was aware of this and some felt that the programmes were expensive or even unaffordable.

Carole could not afford the fees of one weight management programme and was not aware she could be referred by her GP to some programmes.

Age at interview 59

Gender Female

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Weight management groups are not for everyone

Some of the people we spoke to had not tried a weight management programme because they did not like the idea of joining a group. Heather said she was ‘not a joining sort of person’ while David said he was ‘not a great group person’. Hilary said she felt losing weight was something she needed to do on her own, and Lesley didn’t want to share her weight problems with other people. Ellie had tried a group and hated it because ‘I’m quite private and I don’t really like the thought of talking about things that really matter in public’.

Alan said he would consider going to a weight management programme for the recipes but did not feel he needed the element of group support.

Age at interview 49

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Paul lives in a rural area and would have to drive for miles to attend weight management classes. He would prefer to join a sports team rather than a weight management group.

Age at interview 55

Gender Male

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For more see:
Mental and emotional benefits of losing weight
Local and National NHS/Charity support for weight management
Online and other sources of information and support for weight loss
Messages to others interested in controlling their weight