Physician weight loss advice and patient weight loss behavior change: a literature review and meta-analysis of survey data

Rose, Stephanie; Poynter, P S; Anderson, James W.; Noar, Seth M.; Conigliaro, Joseph

doi:10.1038/ijo.2012.24

Cited by 195 publications

(166 citation statements)

References 39 publications

(46 reference statements)

Supporting

Mentioning

155

Contrasting

Unclassified

Order By: Relevance

“…Nonetheless, physician referral to weight management treatment appeared to increase treatment enrollment compared to families who self-referred, which is also consistent with reports that healthcare provider recommendation to engage in weight loss treatment is associated with greater motivation to participate in treatment 31 and increases the likelihood that patients will engage in health behavior change. 32 Second, families indicated that primary barriers to participation in or completion of a behavioral weight loss program were mostly related to psychiatric diagnosis or symptoms, as has been reported in adult mentally ill populations. 20,21,33 Caregivers also frequently cited a preference for in-session support to expose the child to new foods and PAs.…”

Section: Discussionmentioning

confidence: 94%

Getting to More Effective Weight Management in Antipsychotic-Treated Youth: A Survey of Barriers and Preferences

et al. 2016

View full text Add to dashboard Cite

Background: Mentally ill youth are at risk for developing obesity, especially when they require antipsychotic treatment; moreover, they may face unique challenges in adhering to behavioral weight loss interventions. The aims of this project were to characterize the challenges families of youth with psychiatric disorders face when engaging in weight loss treatment and to gather information on attitudes and preferences for weight management interventions in this population.Methods: We devised a telephone survey to evaluate caregiver-perceived barriers/challenges to and preferences for behavioral weight loss treatment in overweight or obese mentally ill youth ages 6-18 treated with an antipsychotic agent in an outpatient setting.Results: A total of 26 parents or primary caregivers completed the survey. The most commonly cited barriers to participation in physical activity (PA) and maintaining a healthy diet were child's dislike of PA and child's preference for energy-dense foods, respectively, which were impacted by psychiatric symptoms. Preferences for weight loss treatment included individualized, prescribed meal plans and shopping lists, and exercise support/demonstration, with a preference for Internet or cell phone applications to help with monitoring food intake and exercise.Conclusions: These results suggest that targets for obesity treatment in this population include individualized, specific support that takes into account the child's motivation, which is effected by psychiatric symptoms. Tools for providing support may include the use of telehealth visits and mobile device applications for self-monitoring.

show abstract

Section: Discussionmentioning

confidence: 94%

Getting to More Effective Weight Management in Antipsychotic-Treated Youth: A Survey of Barriers and Preferences

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Although the current analysis defined seeking care from a physician for obesity as the final stage of the care cascade, this step may be necessary but not sufficient for adequate diagnosis, counseling, and referral for obesity‐related treatment services. Studies suggest that obesity is underdiagnosed in primary practice and that many patients with obesity may not receive adequate counseling and treatment for weight management 14, 15. Increasing access and use of obesity‐related treatments will likely involve addressing provider beliefs, attitudes, and perceptions toward screening, diagnosis, and treatment of obesity 16.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Determinants of Engagement with Obesity Care in the United States

Stokes

Collins

Grant³

et al. 2018

Obesity

View full text Add to dashboard Cite

ObjectiveMedical management of obesity can result in significant weight loss and reduce the burden of obesity‐related complications. This report employs a new conceptual model to quantify engagement with obesity care and associated determinants in the US adult population.MethodsEngagement with obesity care was conceptualized as a cascade comprising 5 successive steps: perceiving oneself as overweight, desiring to lose weight, attempting weight loss, seeking care from a health care professional for obesity, and seeking care from a physician specifically.ResultsAmong adults with obesity, 7.3% did not perceive themselves as overweight, 1.5% perceived themselves as overweight but had no desire to lose weight, 29.9% wanted to lose weight but did not try in the last year, 51.3% tried to lose weight but did not consult a health professional, and 6.4% sought help for weight loss from a health professional but not a physician, implying that 96.4% of the population with obesity had an unmet need for obesity care.ConclusionsThis analysis provides new insight into the most common points along the cascade at which disengagement occurs and can inform efforts to improve uptake of obesity‐related health care services.

show abstract

“…The act of the PCP referral may have a similar influence as receiving behavioral counseling or may be done in conjunction with behavioral counseling. A recent meta-analysis of physician weight loss advice and patient weight loss attempts demonstrated a significant impact (OR 3.85); the authors also noted that there was a positive association between provider weight loss advice and actual patient weight loss [16]. For HLP participants, we do not know the extent to which physician weight loss advice occurred along with the referral; this represents a potential confounder that could not be addressed in this study.…”

Section: Discussionmentioning

confidence: 55%

Weight Loss, Program Completion and Biometric Changes by Location of a Healthy Living Program

Russell¹,

Fogarty²,

Bennett³

et al. 2017

AOWMC

View full text Add to dashboard Cite

Objectives: The Healthy Living Program (HLP) is a behavioral change intervention which utilizes group support, health education and organized group exercise to promote healthier dietary practices and physical activity in urban underserved areas of Rochester, NY. Over 200 HLP groups have been completed at 20 different locations since 2001. Location types include Faith Centers, Community Centers and Health Centers. New models from the implementation literature recommend considering the program location and staff equally important as the intervention itself. Our objective is to see if there is a relationship between the type of location of a behavioral change intervention and program completion, weight loss and biometric measurement change.Study Design: This is a secondary analysis of data looking at differences in outcomes based on the type of location of the intervention. The primary outcome is weight loss, using both absolute weight loss in pounds and categorical weight loss percent. We also analyzed change in systolic and diastolic blood pressures, waist and hip circumference and program completion based on type of location. Methods:The first analysis was restricted to only those cases with a full set of values and then a second analysis was completed using imputed data with an intention to treat approach. Differences in baseline characteristics between the groups were analyzed using the Pearson chi-square test. For continuous variables significant differences were determined using repeated-measures analysis of variance. Percentages of participants in each group who met different categorical weight losses (<5% or ≥5%) were compared using the Pearson chi-square test. Completion of at least one variable of the post-assessment was considered "Program Completion", and analyzed using the chi-square test. We used generalized linear modeling to assess differences in changes related to gender, age and race/ethnicity, baseline BMI and group class size.Results: There was a small, but significant difference in the weight loss and percentage weight loss of those who participated in a Health Center based HLP compared with participants in Faith and Community Center based HLPs. We found the highest rates of program completion in Faith Based Center HLPs. There were no differences in changes in blood pressure or waist or hip circumference changes. Conclusions:This study provides preliminary evidence that type of location may be an important element when designing and implementing interventions and that health center based interventions should be a focus of further obesity treatment research.

show abstract

Physician weight loss advice and patient weight loss behavior change: a literature review and meta-analysis of survey data

Cited by 195 publications

References 39 publications

Getting to More Effective Weight Management in Antipsychotic-Treated Youth: A Survey of Barriers and Preferences

Getting to More Effective Weight Management in Antipsychotic-Treated Youth: A Survey of Barriers and Preferences

Prevalence and Determinants of Engagement with Obesity Care in the United States

Weight Loss, Program Completion and Biometric Changes by Location of a Healthy Living Program

Contact Info

Product

Resources

About