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Most NHS weight management and diabetes education is short term, so can the more sustained support provided by commercial weight loss programmes prove a useful ally in treating obesity and diabetes? Here the authors evaluate a survey that suggests it can Healthcare professionals could work in partnership with commercial group weight management programmes (CGWMP) to help people with diabetes lose weight and improve their glycaemic control. The effect of ongoing CGWMP support on diabetes control has not previously been reported. This study evaluates weight loss and glycaemic control in people with diabetes attending a CGWMP. Method: A cross-sectional online survey posted on a CGWMP's member's website. The survey asked for reported changes in HbA1c and physical activity and demographics including age, type of diabetes, medications taken and healthcare professional support. The dataset was linked to electronically reported weight and attendances. Data was statistically analysed to assess percentage of individuals meeting targets for weight reduction and HbA1c and outcome changes with variation between genders, type of diabetes and support. Results: 620 respondents with mean weight loss of 10.0±8.0%; 157 reported a mean reduction in HbA1c of 18±21mmol/mol (1.6±1.9%). 58.2% lost >10% body weight after 24 weeks and 51.5% had achieved HbA1c of <48mmol/l (6.5%). Those with type 2 (n=547) had greater reduction in HbA1c (p=0.034) but not weight (p=0.317) compared to type 1 diabetes (n=73). An increase in physical activity was associated with advise from a healthcare professional (p<0.001) with increases in PA not associated with lower HbA1c (p=0.654). A >5% weight reduction was associated with diabetes medication reduction (p=0.028) and improved glycaemic control (p=0.001). Conclusion: Support provided by the CGWMP resulted in clinically significant weight losses and improvements in HbA1c with reductions in diabetes medication. Attendance at CGWMPs may be an effective

Introduction and methods: This study examined associations between weight loss, its maintenance and self-esteem in 292 members of a commercial weight management organisation, Slimming World. Self-esteem was measured with the Rosenberg self-esteem questionnaire adapted to 5-point Likert scales. Associations between dimensions of self-esteem and weight change were examined by correlation and regression using the GENSTAT 5 statistical program. Results: Mean (SD) weight on joining the CWMO was 89.0 (20.0) kg; time taken to reach current weight was 16.3 (13.5) months. Mean (SD) weight change was -15.6 (11.4) kg and BMI change was -5.7 (4.0) (both p < 0.001), maintained for 11.7 (12.8) months. Percent variance in weight change associated with each component of self-esteem is given in parentheses. All weight changes were negative. Participants reported a decrease in sense of failure (3.9%) and an increase in self-respect (3.0%) and self-pride (2.4%). Self-satisfaction (12.8%), feelings of self-achievement (10.6%), positive attitudes towards themselves (9.9%), sense of self-worth (10.6%) and self-efficacy (7.3%) all significantly increased in association with reaching and maintaining their current weight (all p < 0.001). Multiple regression analysis showed that age, gender, height and start weight accounted for 35.4% of the variance in weight change. Self-esteem components of the model accounted for 50.4% of the variance in weight change. Conclusion: Successful weight loss and maintenance was associated with significant reported improvements in self-esteem in members of a Commercial Weight Management Organisation.

Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Methods: online survey using quantitative questions to determine motivation and lifestyle behaviours related to post-natal weight management in women attending a commercial weight management organisation. Weekly weights confirmed from digitally recorded data. Results: 1015 responded. Mean joining BMI was 33.3kg/m2 ± 5.85 and when surveyed 30.5kg/m2 ± 5.86, a change of -2.8 ± 0.1 kg/m² (p <0.01, 95% CI 2.76 – 3.11). 463 (45.7%) joined the groups between 6-26 weeks postnatal. Main motivators to lose weight were ‘to improve how I feel about my body size and shape’ (85.2%) and ‘improve self-confidence’ (76.6%) although only ‘to improve my health’ (65.6%) correlated with actual weight loss (0.114, p<0.01). Healthcare professional recommendation was less of a reason (6.5%). Improvements in self-confidence (77.6%), self-esteem (78.6%), wellbeing (85.2%) and body size/shape (70.1%) were reported. Conclusion: Women chose to engage to improve self-confidence, feelings about their body shape and health. There is an opportunity for healthcare professionals to encourage women early after giving birth to engage in weight loss and this may improve outcomes.

Healthcare professionals could work in partnership with commercial group weight management programmes (CGWMP) to help people with diabetes lose weight and improve their glycaemic control. The effect of ongoing CGWMP support on diabetes control has not previously been reported. This study evaluates weight loss and glycaemic control in people with diabetes attending a CGWMP. Method: A cross-sectional online survey posted on a CGWMP’s member’s website. The survey asked for reported changes in HbA1c and physical activity and demographics including age, type of diabetes, medications taken and healthcare professional support. The dataset was linked to electronically reported weight and attendances. Data was statistically analyzed to assess percentage of individuals meeting targets for weight reduction and HbA1c and outcome changes with variation between genders, type of diabetes and support. Results: 620 respondents with mean weight loss of 10.0±8.0%; 157 reported a mean reduction in HbA1c of 18±21mmol/mol (1.6±1.9%). 58.2% lost >10% body weight after 24 weeks and 51.5% had achieved HbA1c of <48mmol/l (6.5%). Those with type 2 (n=547) had greater reduction in HbA1c (p=0.034) but not weight (p=0.317) compared to type 1 diabetes (n=73). An increase in physical activity was associated with advise from a healthcare professional (p<0.001) with increases in PA not associated with lower HbA1c (p=0.654). A >5% weight reduction was associated with diabetes medication reduction (p=0.028) and improved glycaemic control (p=0.001). Conclusion: Support provided by the CGWMP resulted in clinically significant weight losses and improvements in HbA1c with reductions in diabetes medication. Attendance at CGWMPs may be an effective long-term strategy and a scalable option to help improve diabetes control.

Introduction and methods: This study examined associations between weight loss, its maintenance and self-esteem in 292 members of a commercial weight management organisation, Slimming World. Self-esteem was measured with the Rosenberg self-esteem questionnaire adapted to 5-point Likert scales. Associations between dimensions of self-esteem and weight change were examined by correlation and regression using the GENSTAT 5 statistical program. Results: Mean (SD) weight on joining the CWMO was 89.0 (20.0) kg; time taken to reach current weight was 16.3 (13.5) months. Mean (SD) weight change was -15.6 (11.4) kg and BMI change was -5.7 (4.0) (both p < 0.001), maintained for 11.7 (12.8) months. Percent variance in weight change associated with each component of self-esteem is given in parentheses. All weight changes were negative. Participants reported a decrease in sense of failure (3.9%) and an increase in self-respect (3.0%) and self-pride (2.4%). Self-satisfaction (12.8%), feelings of self-achievement (10.6%), positive attitudes towards themselves (9.9%), sense of self-worth (10.6%) and self-efficacy (7.3%) all significantly increased in association with reaching and maintaining their current weight (all p < 0.001). Multiple regression analysis showed that age, gender, height and start weight accounted for 35.4% of the variance in weight change. Self-esteem components of the model accounted for 50.4% of the variance in weight change. Conclusion: Successful weight loss and maintenance was associated with significant reported improvements in self-esteem in members of a Commercial Weight Management Organisation.

Healthcare professionals could work in partnership with commercial group weight management programmes (CGWMP) to help people with diabetes lose weight and improve their glycaemic control. The effect of ongoing CGWMP support on diabetes control has not previously been reported. This study evaluates weight loss and glycaemic control in people with diabetes attending a CGWMP. Method: A cross-sectional online survey posted on a CGWMP’s member’s website. The survey asked for reported changes in HbA1c and physical activity and demographics including age, type of diabetes, medications taken and healthcare professional support. The dataset was linked to electronically reported weight and attendances. Data was statistically analyzed to assess percentage of individuals meeting targets for weight reduction and HbA1c and outcome changes with variation between genders, type of diabetes and support. Results: 620 respondents with mean weight loss of 10.0±8.0%; 157 reported a mean reduction in HbA1c of 18±21mmol/mol (1.6±1.9%). 58.2% lost >10% body weight after 24 weeks and 51.5% had achieved HbA1c of <48mmol/l (6.5%). Those with type 2 (n=547) had greater reduction in HbA1c (p=0.034) but not weight (p=0.317) compared to type 1 diabetes (n=73). An increase in physical activity was associated with advise from a healthcare professional (p<0.001) with increases in PA not associated with lower HbA1c (p=0.654). A >5% weight reduction was associated with diabetes medication reduction (p=0.028) and improved glycaemic control (p=0.001). Conclusion: Support provided by the CGWMP resulted in clinically significant weight losses and improvements in HbA1c with reductions in diabetes medication. Attendance at CGWMPs may be an effective long-term strategy and a scalable option to help improve diabetes control.

Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Methods: online survey using quantitative questions to determine motivation and lifestyle behaviours related to post-natal weight management in women attending a commercial weight management organisation. Weekly weights confirmed from digitally recorded data. Results: 1015 responded. Mean joining BMI was 33.3kg/m2 ± 5.85 and when surveyed 30.5kg/m2 ± 5.86, a change of -2.8 ± 0.1 kg/m² (p <0.01, 95% CI 2.76 – 3.11). 463 (45.7%) joined the groups between 6-26 weeks postnatal. Main motivators to lose weight were ‘to improve how I feel about my body size and shape’ (85.2%) and ‘improve self-confidence’ (76.6%) although only ‘to improve my health’ (65.6%) correlated with actual weight loss (0.114, p<0.01). Healthcare professional recommendation was less of a reason (6.5%). Improvements in self-confidence (77.6%), self-esteem (78.6%), wellbeing (85.2%) and body size/shape (70.1%) were reported. Conclusion: Women chose to engage to improve self-confidence, feelings about their body shape and health. There is an opportunity for healthcare professionals to encourage women early after giving birth to engage in weight loss and this may improve outcomes.

Healthcare professionals could work in partnership with commercial group weight management programmes (CGWMP) to help people with diabetes lose weight and improve their glycaemic control. The effect of ongoing CGWMP support on diabetes control has not previously been reported. This study evaluates weight loss and glycaemic control in people with diabetes attending a CGWMP. Method: A cross-sectional online survey posted on a CGWMP’s member’s website. The survey asked for reported changes in HbA1c and physical activity and demographics including age, type of diabetes, medications taken and healthcare professional support. The dataset was linked to electronically reported weight and attendances. Data was statistically analyzed to assess percentage of individuals meeting targets for weight reduction and HbA1c and outcome changes with variation between genders, type of diabetes and support. Results: 620 respondents with mean weight loss of 10.0±8.0%; 157 reported a mean reduction in HbA1c of 18±21mmol/mol (1.6±1.9%). 58.2% lost >10% body weight after 24 weeks and 51.5% had achieved HbA1c of <48mmol/l (6.5%). Those with type 2 (n=547) had greater reduction in HbA1c (p=0.034) but not weight (p=0.317) compared to type 1 diabetes (n=73). An increase in physical activity was associated with advise from a healthcare professional (p<0.001) with increases in PA not associated with lower HbA1c (p=0.654). A >5% weight reduction was associated with diabetes medication reduction (p=0.028) and improved glycaemic control (p=0.001). Conclusion: Support provided by the CGWMP resulted in clinically significant weight losses and improvements in HbA1c with reductions in diabetes medication. Attendance at CGWMPs may be an effective long-term strategy and a scalable option to help improve diabetes control.

Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Methods: online survey using quantitative questions to determine motivation and lifestyle behaviours related to post-natal weight management in women attending a commercial weight management organisation. Weekly weights confirmed from digitally recorded data. Results: 1015 responded. Mean joining BMI was 33.3kg/m2 ± 5.85 and when surveyed 30.5kg/m2 ± 5.86, a change of -2.8 ± 0.1 kg/m² (p <0.01, 95% CI 2.76 – 3.11). 463 (45.7%) joined the groups between 6-26 weeks postnatal. Main motivators to lose weight were ‘to improve how I feel about my body size and shape’ (85.2%) and ‘improve self-confidence’ (76.6%) although only ‘to improve my health’ (65.6%) correlated with actual weight loss (0.114, p<0.01). Healthcare professional recommendation was less of a reason (6.5%). Improvements in self-confidence (77.6%), self-esteem (78.6%), wellbeing (85.2%) and body size/shape (70.1%) were reported. Conclusion: Women chose to engage to improve self-confidence, feelings about their body shape and health. There is an opportunity for healthcare professionals to encourage women early after giving birth to engage in weight loss and this may improve outcomes.

Introduction and methods: This study examined associations between weight loss, its maintenance and self-esteem in 292 members of a commercial weight management organisation, Slimming World. Self-esteem was measured with the Rosenberg self-esteem questionnaire adapted to 5-point Likert scales. Associations between dimensions of self-esteem and weight change were examined by correlation and regression using the GENSTAT 5 statistical program. Results: Mean (SD) weight on joining the CWMO was 89.0 (20.0) kg; time taken to reach current weight was 16.3 (13.5) months. Mean (SD) weight change was -15.6 (11.4) kg and BMI change was -5.7 (4.0) (both p < 0.001), maintained for 11.7 (12.8) months. Percent variance in weight change associated with each component of self-esteem is given in parentheses. All weight changes were negative. Participants reported a decrease in sense of failure (3.9%) and an increase in self-respect (3.0%) and self-pride (2.4%). Self-satisfaction (12.8%), feelings of self-achievement (10.6%), positive attitudes towards themselves (9.9%), sense of self-worth (10.6%) and self-efficacy (7.3%) all significantly increased in association with reaching and maintaining their current weight (all p < 0.001). Multiple regression analysis showed that age, gender, height and start weight accounted for 35.4% of the variance in weight change. Self-esteem components of the model accounted for 50.4% of the variance in weight change. Conclusion: Successful weight loss and maintenance was associated with significant reported improvements in self-esteem in members of a Commercial Weight Management Organisation.

Healthcare professionals could work in partnership with commercial group weight management programmes (CGWMP) to help people with diabetes lose weight and improve their glycaemic control. The effect of ongoing CGWMP support on diabetes control has not previously been reported. This study evaluates weight loss and glycaemic control in people with diabetes attending a CGWMP. Method: A cross-sectional online survey posted on a CGWMP’s member’s website. The survey asked for reported changes in HbA1c and physical activity and demographics including age, type of diabetes, medications taken and healthcare professional support. The dataset was linked to electronically reported weight and attendances. Data was statistically analyzed to assess percentage of individuals meeting targets for weight reduction and HbA1c and outcome changes with variation between genders, type of diabetes and support. Results: 620 respondents with mean weight loss of 10.0±8.0%; 157 reported a mean reduction in HbA1c of 18±21mmol/mol (1.6±1.9%). 58.2% lost >10% body weight after 24 weeks and 51.5% had achieved HbA1c of <48mmol/l (6.5%). Those with type 2 (n=547) had greater reduction in HbA1c (p=0.034) but not weight (p=0.317) compared to type 1 diabetes (n=73). An increase in physical activity was associated with advise from a healthcare professional (p<0.001) with increases in PA not associated with lower HbA1c (p=0.654). A >5% weight reduction was associated with diabetes medication reduction (p=0.028) and improved glycaemic control (p=0.001). Conclusion: Support provided by the CGWMP resulted in clinically significant weight losses and improvements in HbA1c with reductions in diabetes medication. Attendance at CGWMPs may be an effective long-term strategy and a scalable option to help improve diabetes control.

Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Methods: online survey using quantitative questions to determine motivation and lifestyle behaviours related to post-natal weight management in women attending a commercial weight management organisation. Weekly weights confirmed from digitally recorded data. Results: 1015 responded. Mean joining BMI was 33.3kg/m2 ± 5.85 and when surveyed 30.5kg/m2 ± 5.86, a change of -2.8 ± 0.1 kg/m² (p <0.01, 95% CI 2.76 – 3.11). 463 (45.7%) joined the groups between 6-26 weeks postnatal. Main motivators to lose weight were ‘to improve how I feel about my body size and shape’ (85.2%) and ‘improve self-confidence’ (76.6%) although only ‘to improve my health’ (65.6%) correlated with actual weight loss (0.114, p<0.01). Healthcare professional recommendation was less of a reason (6.5%). Improvements in self-confidence (77.6%), self-esteem (78.6%), wellbeing (85.2%) and body size/shape (70.1%) were reported. Conclusion: Women chose to engage to improve self-confidence, feelings about their body shape and health. There is an opportunity for healthcare professionals to encourage women early after giving birth to engage in weight loss and this may improve outcomes.

Healthcare professionals could work in partnership with commercial group weight management programmes (CGWMP) to help people with diabetes lose weight and improve their glycaemic control. The effect of ongoing CGWMP support on diabetes control has not previously been reported. This study evaluates weight loss and glycaemic control in people with diabetes attending a CGWMP. Method: A cross-sectional online survey posted on a CGWMP’s member’s website. The survey asked for reported changes in HbA1c and physical activity and demographics including age, type of diabetes, medications taken and healthcare professional support. The dataset was linked to electronically reported weight and attendances. Data was statistically analyzed to assess percentage of individuals meeting targets for weight reduction and HbA1c and outcome changes with variation between genders, type of diabetes and support. Results: 620 respondents with mean weight loss of 10.0±8.0%; 157 reported a mean reduction in HbA1c of 18±21mmol/mol (1.6±1.9%). 58.2% lost >10% body weight after 24 weeks and 51.5% had achieved HbA1c of <48mmol/l (6.5%). Those with type 2 (n=547) had greater reduction in HbA1c (p=0.034) but not weight (p=0.317) compared to type 1 diabetes (n=73). An increase in physical activity was associated with advise from a healthcare professional (p<0.001) with increases in PA not associated with lower HbA1c (p=0.654). A >5% weight reduction was associated with diabetes medication reduction (p=0.028) and improved glycaemic control (p=0.001). Conclusion: Support provided by the CGWMP resulted in clinically significant weight losses and improvements in HbA1c with reductions in diabetes medication. Attendance at CGWMPs may be an effective long-term strategy and a scalable option to help improve diabetes control.

Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Methods: online survey using quantitative questions to determine motivation and lifestyle behaviours related to post-natal weight management in women attending a commercial weight management organisation. Weekly weights confirmed from digitally recorded data. Results: 1015 responded. Mean joining BMI was 33.3kg/m2 ± 5.85 and when surveyed 30.5kg/m2 ± 5.86, a change of -2.8 ± 0.1 kg/m² (p <0.01, 95% CI 2.76 – 3.11). 463 (45.7%) joined the groups between 6-26 weeks postnatal. Main motivators to lose weight were ‘to improve how I feel about my body size and shape’ (85.2%) and ‘improve self-confidence’ (76.6%) although only ‘to improve my health’ (65.6%) correlated with actual weight loss (0.114, p<0.01). Healthcare professional recommendation was less of a reason (6.5%). Improvements in self-confidence (77.6%), self-esteem (78.6%), wellbeing (85.2%) and body size/shape (70.1%) were reported. Conclusion: Women chose to engage to improve self-confidence, feelings about their body shape and health. There is an opportunity for healthcare professionals to encourage women early after giving birth to engage in weight loss and this may improve outcomes.

Introduction and methods: This study examined associations between weight loss, its maintenance and self-esteem in 292 members of a commercial weight management organisation, Slimming World. Self-esteem was measured with the Rosenberg self-esteem questionnaire adapted to 5-point Likert scales. Associations between dimensions of self-esteem and weight change were examined by correlation and regression using the GENSTAT 5 statistical program. Results: Mean (SD) weight on joining the CWMO was 89.0 (20.0) kg; time taken to reach current weight was 16.3 (13.5) months. Mean (SD) weight change was -15.6 (11.4) kg and BMI change was -5.7 (4.0) (both p < 0.001), maintained for 11.7 (12.8) months. Percent variance in weight change associated with each component of self-esteem is given in parentheses. All weight changes were negative. Participants reported a decrease in sense of failure (3.9%) and an increase in self-respect (3.0%) and self-pride (2.4%). Self-satisfaction (12.8%), feelings of self-achievement (10.6%), positive attitudes towards themselves (9.9%), sense of self-worth (10.6%) and self-efficacy (7.3%) all significantly increased in association with reaching and maintaining their current weight (all p < 0.001). Multiple regression analysis showed that age, gender, height and start weight accounted for 35.4% of the variance in weight change. Self-esteem components of the model accounted for 50.4% of the variance in weight change. Conclusion: Successful weight loss and maintenance was associated with significant reported improvements in self-esteem in members of a Commercial Weight Management Organisation.

Introduction and methods: This study examined associations between weight loss, its maintenance and self-esteem in 292 members of a commercial weight management organisation, Slimming World. Self-esteem was measured with the Rosenberg self-esteem questionnaire adapted to 5-point Likert scales. Associations between dimensions of self-esteem and weight change were examined by correlation and regression using the GENSTAT 5 statistical program. Results: Mean (SD) weight on joining the CWMO was 89.0 (20.0) kg; time taken to reach current weight was 16.3 (13.5) months. Mean (SD) weight change was -15.6 (11.4) kg and BMI change was -5.7 (4.0) (both p < 0.001), maintained for 11.7 (12.8) months. Percent variance in weight change associated with each component of self-esteem is given in parentheses. All weight changes were negative. Participants reported a decrease in sense of failure (3.9%) and an increase in self-respect (3.0%) and self-pride (2.4%). Self-satisfaction (12.8%), feelings of self-achievement (10.6%), positive attitudes towards themselves (9.9%), sense of self-worth (10.6%) and self-efficacy (7.3%) all significantly increased in association with reaching and maintaining their current weight (all p < 0.001). Multiple regression analysis showed that age, gender, height and start weight accounted for 35.4% of the variance in weight change. Self-esteem components of the model accounted for 50.4% of the variance in weight change. Conclusion: Successful weight loss and maintenance was associated with significant reported improvements in self-esteem in members of a Commercial Weight Management Organisation.

Healthcare professionals could work in partnership with commercial group weight management programmes (CGWMP) to help people with diabetes lose weight and improve their glycaemic control. The effect of ongoing CGWMP support on diabetes control has not previously been reported. This study evaluates weight loss and glycaemic control in people with diabetes attending a CGWMP. Method: A cross-sectional online survey posted on a CGWMP’s member’s website. The survey asked for reported changes in HbA1c and physical activity and demographics including age, type of diabetes, medications taken and healthcare professional support. The dataset was linked to electronically reported weight and attendances. Data was statistically analyzed to assess percentage of individuals meeting targets for weight reduction and HbA1c and outcome changes with variation between genders, type of diabetes and support. Results: 620 respondents with mean weight loss of 10.0±8.0%; 157 reported a mean reduction in HbA1c of 18±21mmol/mol (1.6±1.9%). 58.2% lost >10% body weight after 24 weeks and 51.5% had achieved HbA1c of <48mmol/l (6.5%). Those with type 2 (n=547) had greater reduction in HbA1c (p=0.034) but not weight (p=0.317) compared to type 1 diabetes (n=73). An increase in physical activity was associated with advise from a healthcare professional (p<0.001) with increases in PA not associated with lower HbA1c (p=0.654). A >5% weight reduction was associated with diabetes medication reduction (p=0.028) and improved glycaemic control (p=0.001). Conclusion: Support provided by the CGWMP resulted in clinically significant weight losses and improvements in HbA1c with reductions in diabetes medication. Attendance at CGWMPs may be an effective long-term strategy and a scalable option to help improve diabetes control.

Many women exceed gestational weight gain recommendations. Successful postnatal weight management decreases the risk of entering further pregnancies obese. This service evaluation investigates women’s motivations to lose weight postnatally, the weight loss achieved and impact on self-esteem. Methods: online survey using quantitative questions to determine motivation and lifestyle behaviours related to post-natal weight management in women attending a commercial weight management organisation. Weekly weights confirmed from digitally recorded data. Results: 1015 responded. Mean joining BMI was 33.3kg/m2 ± 5.85 and when surveyed 30.5kg/m2 ± 5.86, a change of -2.8 ± 0.1 kg/m² (p <0.01, 95% CI 2.76 – 3.11). 463 (45.7%) joined the groups between 6-26 weeks postnatal. Main motivators to lose weight were ‘to improve how I feel about my body size and shape’ (85.2%) and ‘improve self-confidence’ (76.6%) although only ‘to improve my health’ (65.6%) correlated with actual weight loss (0.114, p<0.01). Healthcare professional recommendation was less of a reason (6.5%). Improvements in self-confidence (77.6%), self-esteem (78.6%), wellbeing (85.2%) and body size/shape (70.1%) were reported. Conclusion: Women chose to engage to improve self-confidence, feelings about their body shape and health. There is an opportunity for healthcare professionals to encourage women early after giving birth to engage in weight loss and this may improve outcomes.