Clinically significant weight loss is possible in underserved, low-income patients in primary care settings.
WeightControl.com Interview with:
Peter Katzmarzyk, Ph.D., FACSM, FAHA, FTOS
Professor and Marie Edana Corcoran Endowed Chair
Pediatric Obesity and Diabetes
Assoc Exec Dir for Population and Public Health Sciences
Pennington Biomedical Research Center
Baton Rouge, LA
WeightControl.com: What is the background for this study?
Response: Obesity remains one of the greatest public health threats, and there is good evidence that intensive lifestyle interventions should be a primary approach to obesity management and treatment. However, there has been minimal uptake of obesity treatment approaches in primary care, which is the cornerstone of medicine in the US.
WeightControl.com: What are the main findings?
Response: We developed an intervention to reduce calorie intake and increase physical activity that was delivered by health coaches embedded in primary care clinics. The sample was diverse with a large percentage of low-income and African American patients. The results demonstrated that patients in the intensive lifestyle intervention lost approximately 5% of their initial body weight, compared to patients in usual care who lost about 0.5% of their body weight. These weight loss differences between the two groups were maintained out to 2 years, which demonstrates the durability of the intervention.
Continue reading “Weight Loss in Low Income Patients in Primary Care Settings”
L. Kuk, PhD
School of Kinesiology and Health Science
Sherman Health Science Research Centre, Rm 2002
What is the background for this study? What are the main findings?
weight loss is prescribed at the rate of 1 to 2 pounds per week. However,
this is largely based on the observation that weight losses faster than 2
pounds per week put patients at an increased risk for gallstones. It is
unclear whether this is the optimal rate of weight loss for CVD or diabetes
outcomes. Furthermore, fast weight loss has historically thought to be
associated with poorer long term weight loss. However, this was largely
based on research using liquid diets. Recent evidence suggests that
faster weight loss may be similar to slower weight loss when more sensible
lifestyle interventions are used. Thus, if there are additional benefits
of faster weight loss for CVD or diabetes outcomes, then there may a rationale
for prescribing faster weight loss as the overall rate of gallstones is fairly
observed that those who lose weight faster than 2lb/wk tend to lose more weight
overall, but for the same overall weight loss, there is no difference in terms
of health benefits with fast or slow weight loss.
Continue reading “Same Health Benefits with Fast or Slow Weight Loss”