Jena Shaw Tronieri1, Thomas A Wadden2, Ariana M Chao2,3, Adam Gilden Tsai4,5. 1. Department of Psychiatry, Center for Weight and Eating Disorders, Perelman School of Medicine at the University of Pennsylvania, 3535 Market Street, Suite 3025, Philadelphia, PA, 19104, USA. jena.tronieri@pennmedicine.upenn.edu. 2. Department of Psychiatry, Center for Weight and Eating Disorders, Perelman School of Medicine at the University of Pennsylvania, 3535 Market Street, Suite 3025, Philadelphia, PA, 19104, USA. 3. Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA, USA. 4. Kaiser Permanente, Metabolic-Surgical Weight Management, 2045 Franklin Street, 3rd Floor, Denver, CO, 80205, USA. 5. University of Colorado School of Medicine, Aurora, CO, USA.
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. 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.
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. 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.
Authors: James G Christian; Daniel H Bessesen; Tim E Byers; Kyle K Christian; Michael G Goldstein; Beth C Bock Journal: Arch Intern Med Date: 2008-01-28
Authors: Thomas A Wadden; Robert I Berkowitz; Leslie G Womble; David B Sarwer; Suzanne Phelan; Robert K Cato; Louise A Hesson; Suzette Y Osei; Rosalind Kaplan; Albert J Stunkard Journal: N Engl J Med Date: 2005-11-17 Impact factor: 91.245
Authors: Thomas A Wadden; Leslie G Womble; David B Sarwer; Robert I Berkowitz; Vicki L Clark; Gary D Foster Journal: J Consult Clin Psychol Date: 2003-12
Authors: Kathleen M McTigue; Russell Harris; Brian Hemphill; Linda Lux; Sonya Sutton; Audrina J Bunton; Kathleen N Lohr Journal: Ann Intern Med Date: 2003-12-02 Impact factor: 25.391
Authors: Christie A Befort; Jeffrey J VanWormer; Cyrus Desouza; Edward F Ellerbeck; Byron Gajewski; Kim S Kimminau; K Allen Greiner; Michael G Perri; Alexandra R Brown; Ram D Pathak; Terry T-K Huang; Leslie Eiland; Andjela Drincic Journal: JAMA Date: 2021-01-26 Impact factor: 56.272
Authors: Peter T Katzmarzyk; John W Apolzan; Byron Gajewski; William D Johnson; Corby K Martin; Robert L Newton; Michael G Perri; Jeffrey J VanWormer; Christie A Befort Journal: Obesity (Silver Spring) Date: 2021-10-29 Impact factor: 9.298
Authors: Peter T Katzmarzyk; Emily F Mire; Corby K Martin; Robert L Newton; John W Apolzan; Eboni G Price-Haywood; Kara D Denstel; Ronald Horswell; San T Chu; William D Johnson Journal: Int J Obes (Lond) Date: 2022-05-06 Impact factor: 5.551
Authors: Peter T Katzmarzyk; Corby K Martin; Robert L Newton; John W Apolzan; Connie L Arnold; Terry C Davis; Eboni G Price-Haywood; Kara D Denstel; Emily F Mire; Tina K Thethi; Phillip J Brantley; William D Johnson; Vivian Fonseca; Jonathan Gugel; Kathleen B Kennedy; Carl J Lavie; Daniel F Sarpong; Benjamin Springgate Journal: N Engl J Med Date: 2020-09-03 Impact factor: 91.245
Authors: Rebecca A Jones; Emma R Lawlor; Jack M Birch; Manal I Patel; André O Werneck; Erin Hoare; Simon J Griffin; Esther M F van Sluijs; Stephen J Sharp; Amy L Ahern Journal: Obes Rev Date: 2020-10-25 Impact factor: 9.213
Authors: Christoph Höchsmann; James L Dorling; Corby K Martin; Robert L Newton; John W Apolzan; Candice A Myers; Kara D Denstel; Emily F Mire; William D Johnson; Dachuan Zhang; Connie L Arnold; Terry C Davis; Vivian Fonseca; Carl J Lavie; Eboni G Price-Haywood; Peter T Katzmarzyk Journal: Circulation Date: 2021-02-09 Impact factor: 29.690
Authors: Caitlyn Hauff; Sharon M Fruh; Brook M Sims; Susan G Williams; Cindy Herf; Angela Golden; Rebecca J Graves; Leigh A Minchew; Heather R Hall Journal: J Am Assoc Nurse Pract Date: 2020-07 Impact factor: 1.495