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Few Patients Are Treated for Both Obesity and Depression
Elizabeth Pfoh1, Ning Guo2, Michael Rothberg1
1From the Center for Value-Based Care Research, Cleveland Clinic.
Southern Medical Journal
|January 30, 2025
Summary
Weight management treatment, alone or with depression care, improved weight loss in obese patients with new depression diagnoses. Many patients with obesity and depression do not receive adequate weight management care.
Area of Science:
- Obesity and Mental Health
- Epidemiology of Chronic Diseases
- Integrated Healthcare Models
Background:
- Co-occurring depression and obesity present complex challenges in patient care.
- Understanding treatment patterns is crucial for improving quality of care for these patients.
Purpose of the Study:
- To examine treatment strategies for patients with obesity and newly diagnosed depression.
- To determine if treatment is associated with changes in body mass index (BMI).
Main Methods:
- A cohort study analyzed adults with obesity and new depression diagnoses from 2015-2020.
- Treatment groups included: none, depression only, weight management only, or both.
- Generalized structural equation models assessed BMI change at 6 and 12 months.
Main Results:
- Only 3% received weight management treatment, and 4% received both depression and weight management treatment.
- Weight management treatment alone or combined with depression treatment led to significant BMI reduction at 6 and 12 months.
- Combined treatment showed greater weight loss than depression treatment alone.
Conclusions:
- There is a significant gap in obesity treatment for patients with newly diagnosed depression.
- Integrating weight management interventions into depression care pathways is warranted.
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