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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
A Service Evaluation of a Specialist Multi-Disciplinary Weight Management Service Based in Primary Care Including
Helen M Parretti1, Carly A Hughes1,2, Sally Erskine1
1Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.
Clinical Obesity
|July 2, 2026
Summary
Primary care weight management services show significant long-term success. Patients achieved sustained weight loss and improved health markers, demonstrating the effectiveness of these programs.
Area of Science:
- Obesity and metabolic health
- Primary care and public health
- Clinical service evaluation
Background:
- Obesity is a complex chronic disease requiring effective management strategies.
- Primary care settings offer a accessible platform for weight management interventions.
- Long-term outcomes of primary care-based specialist weight management services require further evaluation.
Purpose of the Study:
- To evaluate the effectiveness of a primary care-based specialist weight management service.
- To assess patient outcomes including weight loss, lifestyle changes, and health markers.
- To determine the longer-term impact of the service up to one year post-discharge.
Main Methods:
- Service evaluation of 1094 patients over five years (2014-2019).
- Collection of weight data at baseline, program completion, and one-year post-discharge.
- Analysis included completer data and intention-to-treat (baseline observation carried forward).
Main Results:
- Significant improvements observed in weight, diet, physical activity, quality of life, blood pressure, and blood glucose control.
- At one year, completers (n=560) achieved a mean weight loss of 8.3 kg, with 23.8% losing ≥10% of starting weight.
- Intention-to-treat analysis showed a mean weight loss of 4.5 kg at one year, with 13.2% achieving ≥10% weight loss.
Conclusions:
- Primary care-based specialist weight management services lead to clinically significant weight loss.
- The service demonstrates sustained weight loss and improvements in health outcomes one year post-discharge.
- These findings support the long-term effectiveness and integration of specialist weight management within primary care.
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