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Published on: August 1, 2019
Implementation of a primary care physician network obesity management program
S Bowerman1, M Bellman, P Saltsman
1Center for Human Nutrition, University of California Los Angeles, 90095-1742, USA. sbowerman@mednet.ucla.edu
Primary care physicians can effectively manage obesity with a brief intervention and dietitian support. This program demonstrated significant weight loss in patients and high physician satisfaction.
Area of Science:
- Obesity Medicine
- Primary Care
- Telehealth Interventions
Background:
- Obesity management is often neglected in primary care due to time, resource, and knowledge barriers.
- Effective interventions are needed to integrate obesity treatment into routine primary care settings.
Purpose of the Study:
- To evaluate a brief, physician-directed obesity intervention combined with remote dietitian counseling.
- To assess the feasibility and effectiveness of this model in a primary care setting.
Main Methods:
- A 10-minute physician intervention was paired with telephone-based dietary counseling by a registered dietitian.
- Patients received follow-up care from their physician over 52 weeks.
- Meal replacements were offered as a dietary option.
Main Results:
- 252 patients with comorbid conditions were enrolled.
- Two-thirds of patients opted for meal replacements.
- At 6 months, women lost an average of 19.0 lb and men lost 15.5 lb.
Conclusions:
- A brief, physician-led obesity program with telehealth nutritionist support is feasible in primary care.
- This integrated approach can lead to significant patient weight loss.
- Physician satisfaction with the program was high, indicating potential for wider adoption.
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