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About 'gp help with weight loss'|Effective Weight Loss Starter Guide:







About 'gp help with weight loss'|Effective Weight Loss Starter Guide:








               There               are               increasing               calls               for               primary               care               providers               to               provide               weight               loss               assistance               to               their               patients.

The               benefits               of               weight               loss               in               overweight               patients               are               substantial:               a               lower               risk               of               premature               death.
               A               recent               study               published               in               the               New               England               Journal               of               Medicine               looked               at               three               different               lifestyle               interventions               that               could               be               applied               in               primary               care               clinics.

The               treatment               was               delivered               by               the               primary               care               providers               themselves               along               with               auxiliary               lifestyle               coaches.

The               researchers               looked               at               a               total               of               almost               400               patients               in               a               2-year               trial.
               The               people               assigned               to               usual               care               received               quarterly               visits               (every               3               months)               to               their               primary               care               provider,               which               included               discussions               about               weight               management               and               lifestyle.

These               patients               lost               on               average               about               4               lbs.
               Those               assigned               to               a               slightly               higher               level               of               counseling               which               the               authors               called               brief               lifestyle               counseling,               lost               about               6               lbs.

This               consisted               of               the               quarterly               visits               to               the               primary               care               provider               and               in               addition               included               monthly               sessions               with               a               lifestyle               coach.

These               monthly               sessions               reinforced               the               weight               management               and               lifestyle               counseling               offered               by               the               primary               care               provider.
               The               final               group               underwent               enhanced               lifestyle               counseling.

This               consisted               of               quarterly               visits               to               their               primary               care               provider               for               weight               loss               and               lifestyle               counseling;               monthly               sessions               with               a               lifestyle               coach;               and               in               addition               included               meal               replacements               or               a               weight-loss               medication               to               help               them               lose               weight.

People               in               this               group               lost               on               average               about               10               lbs.
               A               statistical               analysis               of               the               results               found               that               enhanced               lifestyle               counseling               was               superior               to               usual               care               and               brief               lifestyle               counseling.

Even               when               excluding               patients               who               received               a               weight-loss               medication,               the               enhanced               lifestyle               counseling               was               found               to               be               more               effective.
               The               findings               from               this               study               are               of               no               surprise:               weight               loss               counseling               works.

Monthly               counseling               most               likely               is               better               than               quarterly               visits               for               counseling.

This               may               be               due               in               part               to               the               increased               frequency               of               the               visits.

It               also               may               be               due               in               part               to               an               added               benefit               of               getting               the               counseling               from               at               least               two               different               sources,               both               the               primary               care               provider               and               a               lifestyle               coach.

Finally,               targeted               meal               replacement               programs               seem               to               provide               an               more               help               for               people               who               desire               to               lose               weight.
               REFERENCES
               Wadden               TA               et               al.

A               two-year               randomized               trial               of               obesity               treatment               in               primary               care               practice.

N               Engl               J               Med.

2011               Nov               24;365(21):1969-79.

Epub               2011               Nov               14.
               The               New               American               Heart               Association               Cookbook,               7th               Edition               

               







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