Weight History in Clinical Practice: The State of the Science and Future Directions
Abstract
Eliciting a weight history can provide clinically important information to aid in treatment decision‐making. This view is consistent with the life course perspective of obesity and the aim of patient‐centered care, one of six domains of health care quality. However, thus far, the value and practicality of including a weight history in the clinical assessment and treatment of patients with obesity have not been systematically explored. For these reasons, the Clinical Committee of The Obesity Society established a task force to review and assess the available evidence to address five key questions. It is concluded that weight history is an essential component of the medical history for patients presenting with overweight or obesity, and there are strong and emerging data that demonstrate the importance of life stage, duration of exposure to obesity, maximum BMI, and group‐based trajectory modeling in predicting risk for increased morbidity and mortality. Consideration of these and other patient‐specific factors may improve risk stratification and clinical decision‐making for screening, counseling, and management. Recommendations are provided for the key elements that should be included in a weight history, and several needs for future clinical research are outlined.
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Early satiety, nausea, and changes in food preferences often result in reduced dietary variety and diminished intake of essential nutrients, including iron, vitamin B12, vitamin D, calcium, and thiamine.
“Early satiety, nausea, and changes in food preferences often result in reduced dietary variety and diminished intake of essential nutrients, including iron, vitamin B12, vitamin D, calcium, and thiamine [6, 9].”
From Bridging the nutrition guidance gap for GLP-1 receptor agonist therapy assisted weight loss: Lessons from bariatric surgery (2026) · cites this paper as [9]
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- Authors
- Kushner, R. F., Batsis, J. A., Butsch, W. S., Davis, N., Golden, A., Halperin, F., Kidambi, S., Machineni, S., Novick, M., Port, A., Rubino, D. M., Saunders, K. H., Shapiro Manning, L., Soleymani, T., & Kahan, S.
- Affiliations
- Northwestern University (US)
- Dartmouth–Hitchcock Medical Center (US)
- Cleveland Clinic (US)
- New York City Health and Hospitals Corporation (US)
- NP Obesity Treatment Clinic Flagstaff Arizona USA
- Brigham and Women's Hospital (US)
- Medical College of Wisconsin (US)
- University of North Carolina at Chapel Hill (US)
- Penn State Milton S. Hershey Medical Center (US)
- University of Maryland, College Park (US)
- Washington Center for Weight Management and Research (US)
- Weill Cornell Medicine (US)
- Clinical Development and Medical Affairs‐Metabolism Boehringer Ingelheim Pharmaceuticals, Inc. Ridgefield Connecticut USA
- Summit Medical Group (United States) (US)
- Johns Hopkins University (US)
- Corresponding author
- Kushner, Robert F.
- ORCID
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2019-12-20
- Volume
- 28
- Issue
- 1
- Pages
- 9-17
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W2996705565
- Cited by
- 55
- References
- 94
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 5 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 16 · 2019: 1
- FWCI
- 12.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- weight history, overweight, patient-centered care, risk stratification, morbidity and mortality risk, group-based trajectory modeling, life stages, obesity screening, obesity counseling, clinical decision-making
- MeSH terms
- Body-Weight Trajectory, Body Weight, Counseling, Decision Making, Humans, Medical History Taking, Morbidity, Mortality, Obesity, Practice Patterns, Physicians', Patient-Centered Care, Overweight
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