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Cited by 72Obesity and Health PracticesObesity, Physical Activity, DietPharmacology and Obesity Treatment

A Primary Care Intervention for Weight Loss: Results of a Randomized Controlled Pilot Study

Tsai, Adam G., Wadden, Thomas A., Rogers, Marisa A., Day, Susan C., Moore, Renee H., Islam, Buneka J.·2010·Obesity
DOI 10.1038/oby.2009.457
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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.

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Crossref · 10.1038/oby.2009.457

Cites

21 of 21 references verified0 citation errors · 0 not checkable

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  • Overweight patients who received eight brief counseling sessions and quarterly PCP visits lost 4.4 kg in 6 months, compared with 0.9 kg for control patients limited to quarterly PCP visits.

    “Overweight patients who received eight brief counseling sessions (and met quarterly with their PCP to manage coexisting illnesses) lost 4.4 kg in 6 months, as compared with 0.9 kg for the patients in the control group, who were limited to quarterly PCP visits.”

    From A Two-Year Randomized Trial of Obesity Treatment in Primary Care Practice (2011) · cites this paper as [9]

  • Brief counseling without enhancement did not result in the 4-kg weight loss expected in light of the pilot study.

    “brief counseling without enhancement did not result in the 4-kg weight loss expected in light of the results of the pilot study.9”

    From A Two-Year Randomized Trial of Obesity Treatment in Primary Care Practice (2011) · cites this paper as [9]

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Authors
Tsai, A. G., Wadden, T. A., Rogers, M. A., Day, S. C., Moore, R. H., & Islam, B. J.
Affiliations
  • University of Colorado Denver (US)
  • University of Pennsylvania (US)
Corresponding author
Tsai, Adam G.
ORCID
Venue
Obesity
Publisher
Wiley
Published
2010-08
Volume
18
Issue
8
Pages
1614-1618
ISSN
  • 1930-7381 (ISSN-L)
  • 1930-739X
DOI
10.1038/oby.2009.457
OpenAlex
W2014411813
Cited by
72
References
21
Citations by year
2024: 1 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 5 · 2019: 3 · 2018: 8 · 2017: 4 · 2016: 7 · 2015: 6 · 2014: 9 · 2013: 11 · 2012: 4
FWCI
9.15
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 767 d)
Locations
  • Obesity (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Pennsylvania
  • National Institutes of Health
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK056124, DK-56124)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD043459)
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 › Pharmacology › Pharmacology and Obesity Treatment
Keywords
weight loss, medical assistants, behavioral counseling, primary care, weight loss maintenance, cardiovascular risk factors, weight regain, brief counseling intervention
MeSH terms
Workforce, Adult, Allied Health Personnel, Counseling, Female, Humans, Male, Middle Aged, Obesity, Patient Compliance, Patient Education as Topic, Pilot Projects, Primary Health Care, Weight Gain, Weight Loss, Body Mass Index

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