Weight Control in the Physician's Office
Abstract
BACKGROUND: Lifestyle changes involving diet, behavior, and physical activity are the cornerstone of successful weight control. Incorporating meal replacements (1-2 per day) into traditional lifestyle interventions may offer an additional strategy for overweight patients in the primary care setting. METHODS: One hundred thirteen overweight premenopausal women (mean +/- SD age, 40.4 +/- 5.5 years; weight, 82 +/- 10 kg; and body mass index, 30 +/- 3 kg/m(2)) participated in a 1-year weight-reduction study consisting of 26 sessions. The women were randomly assigned to 3 different traditional lifestyle-based groups: (1) dietitian-led group intervention (1 hour per session), (2) dietitian-led group intervention incorporating meal replacements (1 hour per session), or (3) primary care office intervention incorporating meal replacements with individual physician and nurse visits (10-15 minutes per visit). RESULTS: For the 74 subjects (65%) completing 1 year, the primary care office intervention using meal replacements was as effective as the traditional dietitian-led group intervention not using meal replacements (mean +/- SD weight loss, 4.3% +/- 6.5% vs 4.1% +/- 6.4%, respectively). Comparison of the dietitian-led groups showed that women using meal replacements maintained a significantly greater weight loss (9.1% +/- 8.9% vs 4.1% +/- 6.4%) (P =.03). Analysis across groups showed that weight loss of 5% to 10% was associated with significant (P =.01) reduction in percentage of body fat, body mass index, waist circumference, resting energy expenditure, insulin level, total cholesterol level, and low-density lipoprotein cholesterol level. Weight loss of 10% or greater was associated with additional significant (P =.05) improvements in blood pressure and triglyceride level. CONCLUSIONS: A traditional lifestyle intervention using meal replacements can be effective for weight control and reduction in risk of chronic disease in the physician's office setting as well as in the dietitian-led group setting.
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The addition of meal replacements to lifestyle modification increases weight loss.
“and the same is true for the addition of meal replacements to lifestyle modification.15,16”
From A Two-Year Randomized Trial of Obesity Treatment in Primary Care Practice (2011) · cites this paper as [15]
Cites
(1998) · PsycEXTRA Dataset · doi:10.1037/e565682010-001 · Cited by 9,452 · see citing works
Overweight and obesity in the United States: prevalence and trends, 1960–1994
Flegal, K., Carroll, M., Kuczmarski, R., & Johnson, C. (1998) · International Journal of Obesity · doi:10.1038/sj.ijo.0800541 · Cited by 3,045 · see citing works
Weight gain as a risk factor for clinical diabetes mellitus in women
Colditz, G. A., Willett, W. C., Rotnitzky, A., & Manson, J. E. (1995) · Annals of Internal Medicine · doi:10.7326/0003-4819-122-7-199504010-00001 · Cited by 2,064 · see citing works
Generalized equations for predicting body density of women
Jackson, A. S., Pollock, M. L., & Ward, A. (1980) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198023000-00009 · Cited by 1,853 · see citing works
Current Estimates of the Economic Cost of Obesity in the United States
Wolf, A., & Colditz, G. A. (1998) · Obesity Research · doi:10.1002/j.1550-8528.1998.tb00322.x · Cited by 1,244 · see citing works
Willett, W. C., Dietz, W. H., & Colditz, G. A. (1999) · New England Journal of Medicine · doi:10.1056/nejm199908053410607 · Cited by 1,141 · see citing works
A descriptive study of individuals successful at long-term maintenance of substantial weight loss
Klem, M., Wing, R., McGuire, M., Seagle, H., & Hill, J. (1997) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/66.2.239 · Cited by 1,060 · see citing works
Body Weight, Weight Change, and Risk for Hypertension in Women
Huang, Z., Willett, W. C., Manson, J. E., ROSNER, B. A., Stampfer, M. J., Speizer, F. E., & Colditz, G. A. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-128-2-199801150-00001 · Cited by 687 · see citing works
Improving dietary behavior: the effectiveness of tailored messages in primary care settings.
Campbell, M. K., DeVellis, B. M., Strecher, V. J., Ammerman, A. S., DeVellis, R. F., & Sandler, R. S. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.5.783 · Cited by 666 · see citing works
Are Health Care Professionals Advising Obese Patients to Lose Weight?
Galuska, D. A. (1999) · JAMA · doi:10.1001/jama.282.16.1576 · Cited by 640 · see citing works
Effect of Degree of Weight Loss on Health Benefits
Blackburn, G. L. (1995) · Obesity Research · doi:10.1002/j.1550-8528.1995.tb00466.x · Cited by 500 · see citing works
How Does Physician Advice Influence Patient Behavior?: Evidence for a Priming Effect
Kreuter, M. W. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.5.426 · Cited by 442 · see citing works
Metabolic and weight-loss effects of a long-term dietary intervention in obese patients
Ditschuneit, H. H. M., Flechtner‐Mors, M., Johnson, T. D., & Adler, G. (1999) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.2.198 · Cited by 304 · see citing works
Weighing the Options: Criteria for Evaluating Weight-Management Programs
Thomas, P. (2013) · Cited by 285 · see citing works
Flechtner‐Mors, M., Ditschuneit, H. H. M., Johnson, T. D., Suchard, M. A., & Adler, G. (2000) · Obesity Research · doi:10.1038/oby.2000.48 · Cited by 285 · see citing works
Wadden, T. A., Anderson, D. A., & Foster, G. D. (1999) · Obesity Research · doi:10.1002/j.1550-8528.1999.tb00699.x · Cited by 116 · see citing works
Nutritional counselling in general practice: a cost effective analysis.
Pritchard, D. A., Hyndman, J., & Taba, F. (1999) · Journal of Epidemiology & Community Health · doi:10.1136/jech.53.5.311 · Cited by 103 · see citing works
Treating the Obese Patient: Suggestions for Primary Care Practice
Anderson, D. A. (1999) · Archives of Family Medicine · doi:10.1001/archfami.8.2.156 · Cited by 95 · see citing works
Wadden, T. A., Berkowitz, R. I., Vogt, R. A., Steen, S. N., Stunkard, A. J., & Foster, G. D. (1997) · Obesity Research · doi:10.1002/j.1550-8528.1997.tb00296.x · Cited by 92 · see citing works
Rothacker, D. Q. (2000) · Nutrition · doi:10.1016/s0899-9007(99)00280-4 · Cited by 86 · see citing works
Clinical evaluation of a minimal intervention meal replacement regimen for weight reduction.
Heber, D., Ashley, J. M., Wang, H. J., & Elashoff, R. M. (1994) · Journal of the American College of Nutrition · doi:10.1080/07315724.1994.10718456 · Cited by 62 · see citing works
Self-citationWeighing the options. Criteria for evaluating weight-management programs
Thompson, J. (1996) · Social Science & Medicine · doi:10.1016/0277-9536(96)81764-3 · Cited by 44 · see citing works
The Case for Medical Management of Obesity: A Call for Increased Physician Involvement
Rippe, J. M. (1998) · Obesity Research · doi:10.1002/j.1550-8528.1998.tb00685.x · Cited by 38 · see citing works
Improving dietary behavior: the effectiveness of tailored messages in primary care settings.
Ammerman, A., DeVellis, B. M., Campbell, M. K., et al. (2020) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/21mr-7w20 · Cited by 26 · see citing works
Overweight and health: communications challenges and opportunities
Rippe, J. (1996) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/63.3.470 · Cited by 21 · see citing works
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Franz, M. J., VanWormer, J. J., Crain, A. L., Boucher, J. L., Histon, T., Caplan, W., Bowman, J. D., & Pronk, N. P. (2007) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2007.07.017 · Cited by 1,559 · see citing works
Franz, M. J., Bantle, J. P., Beebe, C. A., Brunzell, J. D., Chiasson, J.-L., Garg, A., Holzmeister, L. A., Hoogwerf, B., Mayer-Davis, E., Mooradian, A. D., et al. (2002) · Diabetes Care · doi:10.2337/diacare.25.1.148 · Cited by 1,165 · see citing works
Comparative Effectiveness of Weight-Loss Interventions in Clinical Practice
Appel, L. J., Clark, J. M., Yeh, H.-C., Wang, N.-Y., Coughlin, J. W., Daumit, G., Miller, E. R., Dalcin, A., Jerome, G. J., Geller, S., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1108660 · Cited by 783 · see citing works
Behavioral treatment of obesity
Butryn, M. L., Webb, V., & Wadden, T. A. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.08.006 · Cited by 636 · see citing works
Weight management using a meal replacement strategy: meta and pooling analysis from six studies.
Heymsfield, S. B., van Mierlo, C. A. J., van der Knaap, H. C. M., Heo, M., & Frier, H. I. (2003) · International Journal of Obesity · doi:10.1038/sj.ijo.0802258 · Cited by 557 · see citing works
A Two-Year Randomized Trial of Obesity Treatment in Primary Care Practice
Wadden, T. A., Volger, S., Sarwer, D. B., Vetter, M. L., Tsai, A. G., Berkowitz, R. I., Kumanyika, S., Schmitz, K. H., Diewald, L. K., Barg, R., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1109220 · Cited by 487 · see citing works
The Evolution of Very‐Low‐Calorie Diets: An Update and Meta‐analysis
Tsai, A. G., & Wadden, T. A. (2006) · Obesity · doi:10.1038/oby.2006.146 · Cited by 371 · see citing works
Bupropion SR Enhances Weight Loss: A 48‐Week Double‐Blind, Placebo‐ Controlled Trial
Anderson, J. W., Greenway, F. L., Fujioka, K., Gadde, K. M., McKenney, J., & O'Neil, P. M. (2002) · Obesity Research · doi:10.1038/oby.2002.86 · Cited by 315 · see citing works
Predictors of Attrition in a Large Clinic‐Based Weight‐Loss Program
Honas, J. J., Early, J. L., Frederickson, D. D., & O'Brien, M. S. (2003) · Obesity Research · doi:10.1038/oby.2003.122 · Cited by 175 · see citing works
Weight Loss Maintenance Following a Primary Care Intervention for Low‐income Minority Women
Martin, P. D., Dutton, G. R., Rhode, P. C., Horswell, R. L., Ryan, D. H., & Brantley, P. J. (2008) · Obesity · doi:10.1038/oby.2008.399 · Cited by 100 · see citing works
Flodgren, G., Deane, K., Dickinson, H. O., Kirk, S., Alberti, H., Beyer, F. R., Brown, J. G., Penney, T. L., Summerbell, C. D., & Eccles, M. P. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000984.pub2 · Cited by 90 · see citing works
What do physicians recommend to their overweight and obese patients?
Phelan, S., Nallari, M., Darroch, F. E., & Wing, R. R. (2009) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2009.02.080081 · Cited by 54 · see citing works
Nutritional Management of Diabetes
Tomuta, N., Davis, N., Isasi, C., Tomuta, V., & Wylie-Rosett, J. (2009) · Diabetes and Exercise · doi:10.1007/978-1-59745-260-1_11 · Cited by 4 · see citing works
- Authors
- Ashley, J. M., St Jeor, S. T., Schrage, J. P., Perumean-Chaney, S. E., Gilbertson, M. C., McCall, N. L., & Bovee, V.
- Affiliations
- University of Nevada, Reno (US)
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2001-07-09
- Volume
- 161
- Issue
- 13
- Pages
- 1599
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W1996383965
- Cited by
- 163
- References
- 25
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2019: 3 · 2018: 3 · 2017: 6 · 2016: 4 · 2015: 7 · 2014: 4 · 2013: 18 · 2012: 8
- FWCI
- 11.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- weight management, meal replacement, overweight women, lifestyle intervention, primary care, weight loss, fat mass, insulin, cholesterol, blood pressure, triglycerides, resting energy expenditure, chronic disease risk
- MeSH terms
- Adult, Analysis of Variance, Diet, Reducing, Female, Humans, Life Style, Cholesterol, LDL, Obesity, Physicians' Offices, Weight Loss, Exercise, Body Mass Index, Premenopause
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