A Two-Year Randomized Trial of Obesity Treatment in Primary Care Practice

A Two-Year Randomized Trial of Obesity Treatment in Primary Care Practice

This trial compared three weight-loss interventions (usual care, brief lifestyle counseling, and enhanced brief lifestyle counseling) in primary care practice. Enhanced brief lifestyle counseling was most effective, resulting in significant weight loss in about one third of patients. Investigators a...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 365; no. 21; pp. 1969 - 1979
Main Authors: Wadden, Thomas A, Volger, Sheri, Sarwer, David B, Vetter, Marion L, Tsai, Adam G, Berkowitz, Robert I, Kumanyika, Shiriki, Schmitz, Kathryn H, Diewald, Lisa K, Barg, Ronald, Chittams, Jesse, Moore, Reneé H
Format: Journal Article
Language:English
Published: Waltham, MA Massachusetts Medical Society 24-11-2011
Subjects:
Adult
Behavior Therapy
Biological and medical sciences
Body weight loss
Cardiovascular disease
Cardiovascular Diseases
Counseling
Diet, Reducing
Evidence-based medicine
Exercise
Female
Gastrointestinal surgery
General aspects
Humans
Intention to Treat Analysis
Life Style
Lifestyles
Male
Medical personnel
Medical sciences
Metabolic diseases
Middle Aged
Obesity
Obesity - physiopathology
Obesity - therapy
Patients
Primary care
Primary Health Care
Risk Factors
Risk Reduction Behavior
Sibutramine
Weight control
Weight Loss
United States > US
Pennsylvania
Medicine
Obesity
Randomization
Treatment
Primary health care
Professional practice
Nutrition disorder
Clinical trial
Nutritional status
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Summary:This trial compared three weight-loss interventions (usual care, brief lifestyle counseling, and enhanced brief lifestyle counseling) in primary care practice. Enhanced brief lifestyle counseling was most effective, resulting in significant weight loss in about one third of patients. Investigators are searching for new approaches to the treatment of obesity during routine medical visits. 1 – 4 Trials in which primary care providers (PCPs) offer counseling about diet and activity (i.e., lifestyle counseling) have led to weight loss of 2.5 kg or less over study periods ranging from 6 to 18 months. 5 – 7 Limited treatment contact is probably responsible for this modest degree of weight loss. 1 Given the demands on providers' time, an increase in the frequency of PCP counseling does not appear to be feasible. 8 As an alternative, Tsai et al. 9 trained medical assistants to deliver individual lifestyle counseling with . . .
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This article is dedicated to the memory of our dear friend and colleague Dr. Thomas Ten Have.
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMoa1109220