Journal article
A Primary Care Intervention for Weight Loss: Results of a Randomized Controlled Pilot Study
Obesity (Silver Spring, Md.), v 18(8), pp 1614-1618
Aug 2010
PMID: 20019680
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Most primary care providers (PCPs), constrained by time and resources, cannot provide intensive behavioral counseling for obesity. This study evaluated the effect of using medical assistants (MAs) as weight loss counselors. The study was a randomized controlled trial conducted in two primary care offices at an academic medical center. Patients (n = 50) had a BMI of 27-50 kg/m(2) and no contraindications to weight loss. They were randomized to quarterly PCP visits and weight loss materials (Control group) or to the same approach combined with eight visits with a MA over 6 months (Brief Counseling). Outcomes included change in weight and cardiovascular risk factors (glucose, lipids, blood pressure, and waist circumference). Patients in the Brief Counseling and Control groups lost 4.4 +/- 0.6 kg (5.1 +/- 0.7% of initial weight) and 0.9 +/- 0.6 kg (1.0 +/- 0.7%), respectively, at month 6 (P < 0.001). There were no significant differences between groups for changes in cardiovascular risk factors. Brief Counseling patients regained weight between month 6 and month 12, when MA visits were discontinued. Attrition was 10% after 6 months and 6% after 12 months. Brief Counseling by MAs induced significant weight loss during 6 months. Office-based obesity treatment should be tested in larger trials and should include weight loss maintenance counseling.
Metrics
Details
- Title
- A Primary Care Intervention for Weight Loss: Results of a Randomized Controlled Pilot Study
- Creators
- Adam G. Tsai - University of Colorado DenverThomas A. Wadden - University of PennsylvaniaMarisa A. Rogers - University of PennsylvaniaSusan C. Day - University of PennsylvaniaRenee H. Moore - University of PennsylvaniaBuneka J. Islam - University of Pennsylvania
- Publication Details
- Obesity (Silver Spring, Md.), v 18(8), pp 1614-1618
- Publisher
- Wiley
- Number of pages
- 5
- Grant note
- R01DK056124 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) K12HD043459 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) DK56124; 5-K12-HD043459-04 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA University of Pennsylvania (Institute for Diabetes, Obesity, and Metabolism)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000280392400020
- Scopus ID
- 2-s2.0-77955051992
- Other Identifier
- 991021463612804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics