Weight Loss in Underserved Patients — A Cluster-Randomized Trial

Katzmarzyk, Peter T.; Martin, Corby K.; Newton, Robert L.; Apolzan, John W.; Arnold, Connie L.; Davis, Terry C.; Price‐Haywood, Eboni G.; Denstel, Kara D.; Mire, Emily F.; Thethi, Tina K.; Brantley, Phillip J.; Johnson, William D.; Fonseca, Vivian; Gugel, Jonathan; Kennedy, Kathleen; Lavie, Carl J.; Sarpong, Daniel F.; Springgate, Benjamin

doi:10.1056/nejmoa2007448

Cited by 87 publications

(109 citation statements)

References 35 publications

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“…As has been documented in prior studies, 54 , 56 , 57 , 58 session attendance was positively associated with weight loss. Technology-mediated strategies, such as online videos or videoconference sessions, could be incorporated to increase session attendance.…”

Section: Discussionsupporting

confidence: 82%

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Effect of a Culturally Adapted Behavioral Intervention for Latino Adults on Weight Loss Over 2 Years

Rosas

Xiao

et al. 2020

JAMA Netw Open

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Key Points Question Is a culturally adapted behavioral lifestyle intervention using technology more effective than usual care for weight loss among Latino adults in primary care? Findings In this randomized clinical trial of 191 Latino patients in primary care, a culturally adapted behavioral lifestyle intervention using technology, including web-based self-monitoring and a wearable activity monitor, was more effective for weight loss over 12 months but not 24 months. Meaning These findings suggest that the culturally adapted behavioral intervention using technology was not effective for long-term weight loss over 24 months, so research to optimize intervention effectiveness over 24 months is needed.

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Section: Discussionsupporting

confidence: 82%

“…It is possible that participants need additional support in the second year to continue to lose weight or sustain weight loss, as has been done in previous trials, albeit not with primarily Latino adults. 52 , 53 , 54 …”

Section: Discussionmentioning

confidence: 99%

Effect of a Culturally Adapted Behavioral Intervention for Latino Adults on Weight Loss Over 2 Years

Rosas

Xiao

et al. 2020

JAMA Netw Open

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“…However, they can be effective in producing clinically meaningful weight loss of around 5% and can be implemented within primary care. 36 , 37 , 38 , 39 With the COVID-19 pandemic expected to remain for the foreseeable future, management of obesity and lifestyle counseling is even more imperative now than ever. Telehealth may provide an opportunity to expand access to such essential health services.…”

Section: Discussionmentioning

confidence: 99%

Obesity Management in Primary Care During and Beyond the COVID-19 Pandemic

Mulugeta¹

2021

The Journal for Nurse Practitioners

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With 6.1 million US cases as of early September 2020, the coronavirus disease 2019 (COVID-19) pandemic is presenting unprecedented challenges to primary care. As a complex multifactorial chronic disease, obesity is a significant risk for severe COVID-19 complications associated with high morbidity and mortality. Sustainable lifestyle changes and weight loss can be effective to address obesity and its complications. With COVID-19 expected to persist for the foreseeable future, treatment and prevention of obesity is more imperative than ever. We summarize how obesity management and lifestyle counseling can be incorporated and applied in primary care during and beyond the COVID-19 pandemic.

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“…Studies have also reported greater weight loss when more time is spent on intensive interventions delivered in the primary care setting. 35,36…”

Section: The Need For Early Detection Of Obesity With a Sensitive Amentioning

confidence: 99%

How to provide a structured clinical assessment of a patient with overweight or obesity

Bessell

Markovic

Fuller

2021

Diabetes Obesity Metabolism

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With the increasing prevalence of overweight and obesity worldwide, there is a reciprocal increase in the global economic burden and ill‐health from obesity‐related chronic diseases. Primary healthcare services have a role to play in ensuring early detection of weight issues and in directing patients towards evidence‐based care to slow this progression. Research shows that many people with obesity are motivated to lose weight and want their clinician to initiate a conversation about weight management and treatment options. However, this conversation rarely occurs and there is a significant delay in treatment, resulting in an increased burden on the individual, healthcare system and society. In this paper, the components and rationale for the clinical assessment of adult patients with overweight or obesity, including anthropometric measurements and pathology tests, are described. Recommendations to ascertain the potential factors influencing the development of obesity in the patient, such as lifestyle factors (diet and physical activity) and mental health, are also provided. The potential sequelae of obesity that may be present and the necessary assessments for diagnosis are also addressed. These assessments are vital to ensure the patient is referred to the appropriate allied health services and/or specialists.

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Weight Loss in Underserved Patients — A Cluster-Randomized Trial

Cited by 87 publications

References 35 publications

Effect of a Culturally Adapted Behavioral Intervention for Latino Adults on Weight Loss Over 2 Years

Effect of a Culturally Adapted Behavioral Intervention for Latino Adults on Weight Loss Over 2 Years

Obesity Management in Primary Care During and Beyond the COVID-19 Pandemic

How to provide a structured clinical assessment of a patient with overweight or obesity

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