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Related Experiment Video

Updated: Apr 11, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Weight-loss talks: what works (and what doesn't).

Stewart C Alexander¹, Mary E Cox¹, William S Yancy¹

¹Durham VA Medical Center, North Carolina, Department of Medicine, NC, USA.

The Journal of Family Practice

|June 7, 2015

Summary

Physician advice combining nutrition and exercise can help patients reduce dietary fat. However, exercise advice alone may lead to weight gain in primary care settings.

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Area of Science:

Primary Care Medicine
Obesity Research
Behavioral Science

Background:

Effectiveness of physician weight-related advice in primary care is unclear.
Physician advice impact on patient weight loss requires investigation.

Purpose of the Study:

Analyze physician weight-related advice given during primary care encounters.
Measure changes in patient dietary intake, physical activity, and weight following advice.

Main Methods:

Audio-recorded primary care encounters (40 physicians, 461 overweight/obese patients).
Coded weight-related advice: nonspecific, specific nutritional, specific exercise, or specific weight.
Mixed models assessed changes in diet, exercise, and weight 3 months post-encounter.

Main Results:

Combined specific weight, nutrition, and physical activity advice (34%) led to reduced dietary fat intake (P=.02).
Physical activity advice alone significantly increased patient weight (+1.41 kg, P=.02) compared to no advice.

Conclusions:

Most physicians offer combined lifestyle recommendations for weight management.
Combined advice may improve dietary fat reduction.
Physical activity advice in isolation may be counterproductive for weight management.