The impact of a primary care-based weight loss intervention on the quality of life
Open accessAbstract
Objective This study investigated changes in the quality of life of men and women who participated in a primary care-based weight loss intervention program.Methods Participants were enrolled in a 2-year randomized clinical trial (POWER-UP) conducted at the University of Pennsylvania and in six affiliated primary care practices. Inclusion criteria included the presence of obesity (body mass index of 30-50 kg m(-2)) and at least two components of the metabolic syndrome.Main outcome measures Quality of life was assessed by three measures: the Short Form Health Survey (SF-12); the Impact of Weight on Quality of Life-Lite; and the EuroQol-5D.Results Six months after the onset of treatment, and with a mean weight loss of 3.9 ± 0.3 kg, participants reported significant improvements on all measures of interest with the exception of the Mental Component Score of the SF-12. These changes remained significantly improved from baseline to month 24, with the exception of the EuroQol-5D. Many of these improvements were correlated with the magnitude of weight loss and, for the most part, were consistent across gender and ethnic group.Conclusions Individuals with obesity and components of the metabolic syndrome reported significant improvements in most domains of the quality of life with a modest weight loss of 3.7% of initial weight, which was achieved within the first 6 months of treatment. The majority of these improvements were maintained at month 24, when participants had lost 3.0% of their weight.
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In all but four studies over 90% of the women were white.
“In all but four 40 , 42 , 43 , 44 over 90% of the women were white. 2 , 3 , 33 , 34 , 38 , 39 , 51”
From Positive psychological well-being in women with obesity: A scoping review of qualitative and quantitative primary research (2022) · cites this paper as [40]
The Results, under “Participants’ Baseline Characteristics” (page not available), report that 311 of 390 participants were women and approximately 60% of all participants were European-American. Even if every European-American participant were a woman, fewer than 90% of the women could have been white. The paper therefore contradicts the attributed proportion for this study. (LLM, conf=0.90)
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Exploring the role of the general practitioner in obesity management in Australian primary care
Sturgiss, E. A. (2018) · ANU Open Research (Australian National University) · doi:10.25911/5d6512531e41e
Denstel, K. D., Mire, E. F., Martin, C. K., Apolzan, J. W., Arnold, C. L., Davis, T. C., Lavie, C. J., Newton, R. L., Zhang, D., Price‐Haywood, E. G., et al. (2026) · Obesity · doi:10.1002/oby.70189
- Authors
- for the POWER-UP Research Group, Sarwer, D. B., Moore, R. H., Diewald, L. K., Chittams, J., Berkowitz, R. I., Vetter, M., Volger, S., & Wadden, T. A.
- Affiliations
- University of Pennsylvania (US)
- North Carolina State University (US)
- Children's Hospital of Philadelphia (US)
- Haverford College (US)
- Corresponding author
- Sarwer, D B
- Venue
- International Journal of Obesity
- Published
- 2013-08
- Volume
- 37
- Issue
- S1
- Pages
- S25-S30
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- PMC
- PMC3786773
- OpenAlex
- W1988280850
- Cited by
- 64
- References
- 25
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 5 · 2020: 11 · 2019: 3 · 2018: 9 · 2017: 4 · 2016: 7 · 2015: 7 · 2014: 5 · 2013: 2
- FWCI
- 7.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Pennsylvania
- National Institutes of Health (5u01hl087072-05, 5k24dk065018-10)
- National Heart, Lung, and Blood Institute (U01-HL087072)
- National Institute of Diabetes and Digestive and Kidney Diseases (K24-DK-065018, DK065018)
- 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
- obesity, weight loss interventions, quality of life, primary care, metabolic syndrome, SF-12, EuroQol-5D, weight loss maintenance, gender differences, ethnic differences
- MeSH terms
- Behavior Therapy, Female, Humans, Male, Middle Aged, Obesity, Pennsylvania, Primary Health Care, Quality of Life, Surveys and Questionnaires, Time Factors, Weight Loss, Exercise, Body Mass Index, Treatment Outcome, Age Distribution, Sex Distribution
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