Primary Care Interventions for Obesity: Review of the Evidence

Jena Shaw Tronieri, Thomas A. Wadden, Ariana M. Chao, Adam Gilden Tsai

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: This review describes the results of randomized controlled trials that have evaluated the efficacy of behavioral interventions for obesity in primary care settings. Recent Findings: Most studies have found that high-intensity behavioral counseling (providing 12 or more sessions per year, as defined by the US Preventative Services Task Force), when delivered in-person, by phone, or electronically, produced clinically meaningful weight loss (4 to 7 kg). Low- to moderate-intensity behavioral counseling and counseling that did not include behavioral strategies (e.g., motivational interviewing) produced modest losses of 1 to 2 kg. The addition of weight loss medication increased mean losses relative to behavioral treatment alone. Summary: Consistent with national guidelines, the largest weight losses were achieved with high-intensity counseling, either alone or in combination with obesity pharmacotherapy. Primary care providers can support their patients by inviting them to discuss their weight concerns and referring interested individuals to appropriate interventions.

Original languageEnglish (US)
Pages (from-to)128-136
Number of pages9
JournalCurrent Obesity Reports
Volume8
Issue number2
DOIs
StatePublished - Jun 1 2019
Externally publishedYes

Keywords

  • Interventions
  • Lifestyle modification
  • Obesity
  • Primary care
  • Weight management

ASJC Scopus subject areas

  • Internal Medicine

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