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Updated: May 22, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Evaluation of a weight management program for veterans.

Alyson J Littman¹, Edward J Boyko, Mary B McDonell

¹Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System (152E), 1100 Olive Way, Ste 1400, Seattle, Washington 98101, USA. alyson@u.washington.edu

Preventing Chronic Disease

|May 19, 2012

Summary

Few eligible veterans joined the MOVE! Weight Management Program, with low participation rates and minimal weight loss observed. More intensive program engagement showed slightly greater effectiveness.

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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index

Published on: January 8, 2020

Area of Science:

Health Services Research
Obesity Management
Veterans Health

Background:

The Department of Veterans Affairs (VA) established the MOVE! Weight Management Program to address overweight and obesity among veterans.
This evaluation aimed to determine the program's reach and effectiveness within the veteran population.

Purpose of the Study:

To assess the participation rate and representativeness of eligible veterans in the MOVE! program.
To evaluate the effectiveness of the MOVE! program on weight and body mass index (BMI) changes.

Main Methods:

Data were extracted from VA administrative databases in four western states.
Eligibility criteria included age under 70 and specific BMI or BMI with related conditions.
Reach was assessed by the percentage of eligible veterans participating; effectiveness was measured using multivariable linear regression for weight and BMI changes.

Main Results:

Less than 5% of eligible veterans participated, with half having only one encounter.
Participation was higher among women, those with higher BMI, more primary care visits, sleep apnea, or mental health conditions.
Weight loss was modest: 1.3 lb at 6 months and 0.9 lb at 12 months more than non-participants; intensive treatment (≥6 encounters) yielded greater 12-month weight loss (-3.7 lb).

Conclusions:

The MOVE! program demonstrated low reach among eligible veterans during the study period.
Overall weight loss estimates for participants were minimal.
Higher engagement in the program correlated with more significant weight reduction.