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Attendance Is Key in Weight Loss Management Program

Obesity; ePub 2018 Aug 29; Kumanyika, et al

Strategies to improve treatment attendance among female primary care patients may improve weight loss resulting from moderate‐intensity counseling. This according to a recent primary care weight-management trial, Think Health! ¡Vive Saludable!, that evaluated a moderate‐intensity, lifestyle behavior‐change weight‐loss program in primary care over 2 years of treatment. Adult primary care patients (n=261; 84% female; 65% black; 16% Hispanic) were randomly assigned to Basic Plus (moderate intensity, counseling by primary care clinician, and a lifestyle coach) or Basic (clinician counseling only). Intention‐to‐treat analyses used all available weight measurements from data collection, treatment, and routine clinical visits. Researchers found:

  • Model‐based estimates for 24‐month mean weight change from baseline were −1.34 kg (−2.92 to 0.24) in Basic Plus and −1.16 kg (−2.70 to 0.37) in Basic (net difference −0.18 kg [−2.38 to 2.03]).
  • Larger initial weight loss in Basic Plus was attenuated by a ~0.5‐kg rebound at 12 to 16 months.
  • Each additional coaching visit was associated with a 0.37‐kg greater estimated 24‐month weight loss.

Kumanyika SK, Morales KH, Allison KC, et al. Two‐year results of Think Health! ¡Vive Saludable!: A primary care weight‐management trial. [Published online ahead of print August 29, 2018]. Obesity. doi:10.1002/oby.22258.

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