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Weight change after a one-time preventive cardiology clinic visit
M W Cullen1, R J Thomas, T R Behrenbeck
1Department of Internal Medicine, Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA - cullen.michael@mayo.edu.
Minerva Cardioangiologica
|November 21, 2013
Summary
A single visit to a cardiovascular health clinic (CVHC) resulted in modest weight loss, reversing prior weight gain trends. Key factors for greater weight reduction included provider focus on weight issues and diet recommendations.
Area of Science:
- Cardiovascular Health
- Preventive Medicine
- Weight Management
Background:
- The impact of a single cardiovascular health clinic (CVHC) visit on weight change is not well understood.
- This study investigates weight changes in individuals attending a CVHC for medical and preventive evaluations.
Purpose of the Study:
- To determine the effect of a one-time CVHC visit on patient weight.
- To identify factors influencing weight change following a CVHC encounter.
Main Methods:
- Retrospective review of medical records for 342 patients (BMI > 25 kg/m²) with follow-up data at least 6 months post-visit.
- Exclusion of patients with active cardiac disease.
- Analysis of baseline and follow-up weights, BMI, and documented diagnoses/recommendations.
Main Results:
- Mean weight loss of 0.76 kg (P=0.005) was observed, reversing a prior trend of weight gain.
- Greater weight loss was associated with referrals for weight issues, encounters with MDs, and documented diet recommendations.
- Patients undergoing medical evaluations experienced more weight loss than those in preventive programs.
Conclusions:
- A single CVHC visit can lead to significant weight loss and counteract previous weight gain.
- Provider-initiated focus on weight-related issues and specific interventions like diet recommendations are crucial for effective weight management.
- The setting (medical vs. preventive evaluation) influences the degree of weight loss achieved.
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