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Matthew Nodelman1, Mark Shaffer2, Morgan A Rhodes3

  • 1University of South Carolina School of Medicine; Prisma Health Midlands in Columbia, South Carolina.

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Summary
This summary is machine-generated.

Primary care obesity management focuses on lifestyle changes for motivated patients. Comprehensive interventions, including diet and exercise, achieve 5-10% weight loss, supported by counseling and digital tools.

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Area of Science:

  • Primary Care Medicine
  • Obesity Management
  • Behavioral Health

Background:

  • Obesity is a complex chronic disease requiring effective management strategies.
  • Primary care settings are crucial for initiating obesity interventions.
  • Patient readiness for behavior change is a key factor in successful management.

Purpose of the Study:

  • To outline a primary care approach to obesity management.
  • To emphasize the role of lifestyle interventions and patient engagement.
  • To detail the 5As counseling model for effective patient interaction.

Main Methods:

  • Utilizing the 5As counseling model (assess, advise, agree, assist, arrange).
  • Implementing comprehensive lifestyle interventions: reduced caloric intake, increased physical activity, behavioral changes.
  • Setting Specific, Measurable, Achievable, Relevant, Time-based (SMART) goals.
  • Promoting self-monitoring and personalized feedback through digital tools.

Main Results:

  • Comprehensive lifestyle interventions typically achieve 5% to 10% weight loss over 6 months.
  • Patient-centered, nonjudgmental counseling enhances motivation and adherence.
  • Multidisciplinary programs, digital tools, or commercial alternatives can support interventions.

Conclusions:

  • Lifestyle interventions are the cornerstone of obesity management in primary care.
  • The 5As model provides a structured framework for counseling.
  • Addressing patient barriers and tailoring approaches are essential for success.