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Updated: Jun 23, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Weight-management interventions in primary care: a pilot randomised controlled trial.

Kiran Nanchahal¹, Joy Townsend, Louise Letley

¹London School of Hygiene and Tropical Medicine, London. kiran.nanchahal@lshtm.ac.uk

The British Journal of General Practice : the Journal of the Royal College of General Practitioners

|April 30, 2009

Summary

A nurse-led weight management program in primary care showed significant weight loss compared to usual care. This structured lifestyle support is feasible for a full trial in general practice.

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Last Updated: Jun 23, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Area of Science:

Primary care research
Obesity management
Health services research

Background:

Limited randomized controlled trials (RCTs) exist for weight management interventions within primary care settings.
Primary care represents a key setting for delivering accessible health interventions to a broad population.

Purpose of the Study:

To assess the feasibility of conducting a full-scale randomized controlled trial (RCT) for a nurse-led weight management program.
To evaluate the potential effectiveness of structured lifestyle support versus usual care in a primary care setting.

Main Methods:

A factorial randomized controlled trial was conducted in UK general practices.
123 adults (BMI > or =27 kg/m(2)) were randomized into four groups: structured lifestyle support, structured lifestyle support plus pedometer, usual care, or usual care plus pedometer for 12 weeks.
Data on weight, waist circumference, and participant experience were collected.

Main Results:

Participants receiving structured lifestyle support lost an average of 2.63 kg more than those receiving usual care.
34.0% of participants in structured support groups achieved a 5% or greater weight loss, compared to 18.9% in usual care groups.
Structured support also led to a greater reduction in waist circumference (-1.80 cm).

Conclusions:

A structured lifestyle support package delivered in general practice can significantly contribute to weight management.
The implementation of a nurse-led weight management intervention trial in primary care is feasible and practical.