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Updated: May 2, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Primary care-based, targeted screening programme to promote sustained weight management.

Päivi E Korhonen¹, Salme Järvenpää, Hannu Kautiainen

¹Institute of Clinical Medicine, Family Medicine, University of Turku , Turku , Finland.

Scandinavian Journal of Primary Health Care

|March 6, 2014

Summary

Community screening identified overweight individuals for lifestyle counseling, leading to sustained weight management in 18% over three years. Psychological factors like depression impact weight loss success.

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Last Updated: May 2, 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:

Public Health
Cardiovascular Risk Management
Lifestyle Interventions

Background:

Overweight and obesity are significant risk factors for cardiovascular disease.
Community-based screening programs are essential for early identification of at-risk individuals.
Effective lifestyle counseling is crucial for managing weight and reducing cardiovascular risk.

Purpose of the Study:

To identify overweight and obese individuals with increased cardiovascular risk in a community setting.
To implement practical, real-life lifestyle counseling for weight management.
To assess the effectiveness of a primary care screening program in promoting sustained weight management.

Main Methods:

A longitudinal cohort study was conducted in two Finnish communities.
A screening questionnaire and waist measurement tape were mailed to residents aged 45-70.
High-risk individuals (BMI ≥ 25 kg/m²) received physician consultations and lifestyle counseling focused on at least 5% weight reduction.

Main Results:

After three years, 18% of participants achieved ≥ 5% weight loss, 70% stabilized their weight, and 12% gained weight.
Newly diagnosed glucose disorder predicted successful weight management (OR 1.37).
Depressive symptoms (OR 0.61), excessive alcohol use (OR 0.63), and medication count (OR 0.91) predicted poor weight management outcomes.

Conclusions:

A primary care screening program effectively identifies individuals for sustained weight management.
Psychological factors, particularly depressive symptoms, are critical considerations for lifestyle change interventions.
Early identification and tailored interventions are key to managing weight and cardiovascular risk in the community.