scholarly journals Lessons learnt from a single physician‐led weight loss programme in primary care setting

2021 ◽  
Vol 75 (10) ◽  
Author(s):  
Varalakshmi Niranjan ◽  
Aleksandra Sliwinska ◽  
Fufei Chen ◽  
Srinath Ramanan ◽  
Narinder Maheshwari ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Care Setting ◽  
Primary Care Setting ◽  
Lessons Learnt ◽  
Weight Loss Programme

The effect of a primary care-based Medical Weight Loss Program on weight loss and anthropomorphic metrics

2020 ◽  
Author(s):  
Vivienne A Rose ◽  
Elena N Klyushnenkova ◽  
Min Zhang ◽  
Verlyn O Warrington
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Care Setting ◽  
Primary Care Practice ◽  
Primary Care Setting ◽  
Weight Loss Program ◽  
Care Practice ◽  
Control Group ◽  
Baseline Weight ◽  
Medical Weight Loss

Abstract Background Diet and lifestyle intervention programs have been shown to be effective in decreasing obesity/overweight and many associated comorbidities in specialty research settings. There is very little information however as to the efficacy of such programs conducted in usual/typical primary care practices. We analysed effectiveness of the Medical Weight Loss Program (MWLP) designed to specifically address overweight/obesity in the setting of an urban academic primary care practice. Objective To determine whether participation in the MWLP within a general primary care setting can result in weight loss. Methods A retrospective medical chart review of patients treated in MWLP and a control group of patients with obesity receiving regular care in the general primary care setting. From the practice database (1 April 2015–31 March 2016), 209 patients (≥18 years old) who participated in the MWLP were identified; 265 controls were selected from the remaining population based on the presence of the obesity-related diagnoses. Results MWLP patients lost on average 2.35 ± 5.88 kg in 6 months compared to their baseline weight (P < 0.0001). In contrast, the control group demonstrated a trend of gaining on average 0.37 ± 6.03 kg. Having three or more visits with the MWLP provider within 6 months after program initiation was the most important factor associated with successful loss of at least 5% of the baseline weight. Weight loss also correlated with a decrease in abdominal girth. Conclusion MWLP integrated into the general primary care practice may potentially be an effective model for managing obesity and related morbidities.

Physical activity goals among patients in a primary care setting

2019 ◽  
Vol 10 (3) ◽  
pp. 792-800
Author(s):  
Tonya Dodge ◽  
Deepti Joshi ◽  
Saud Abaalkhail ◽  
Brad Moore
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Weight Loss ◽  
Racial Differences ◽  
Stress Reduction ◽  
Care Setting ◽  
Primary Care Setting ◽  
Weight Maintenance ◽  
Primary Care Patients ◽  
Maintenance Goals

Abstract One approach to increasing physical activity (PA) among adults is to develop interventions targeting PA goals that could be implemented in the primary care setting. However, there is little understanding of the types of goals that individuals bring with them into the primary care setting, which is a necessary first step in building interventions. There were three objectives of the study. One was to identify the types of PA goals held by primary care patients. Another was to examine whether there were racial differences among types of PA goals held by primary care patients. A final objective was to examine the relationship between PA goals and PA behaviors (e.g., meet PA guidelines, number of breaks taken from PA routine). Adults (N = 626; Mage = 51.47, SD = 16.32) were recruited from the waiting room of a primary care clinic over a 30-day span to complete a questionnaire on PA and goals. The most commonly endorsed PA goals included, weight maintenance, overall health benefits, weight loss, well-being, body tone and/or shape, stress reduction, cardiovascular health, and energy level. Black patients were more likely than White patients to report weight loss and weight maintenance goals. Weight maintenance, overall health, and stress reduction are the goals for which the greatest percentage of individuals reported meeting aerobic PA guidelines. Finally, number of breaks taken and average length of breaks were similar across type of PA goal. A relatively small number of goals reflected a majority of the goals pursued by participants in this study. Racial differences in adoption of weight loss and weight maintenance goals highlight the need for further investigation into such differences. Finally, future research should consider the role that goal setting plays in PA adherence, paying particular attention to disparate levels of PA across racial groups.

scholarly journals Sodium Oxybate: A Cause of Extreme Involuntary Weight Loss in a Young Lady

2019 ◽  
Vol 2019 ◽  
pp. 1-2 ◽  
Author(s):  
Michael G. Noujaim ◽  
Ahmad Mourad ◽  
Jeffrey D. Clough
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Case Report ◽  
Side Effects ◽  
Care Setting ◽  
Primary Care Setting ◽  
Sodium Oxybate ◽  
Young Lady ◽  
Night Sweats ◽  
Involuntary Weight Loss

We present a case of a young lady with extreme involuntary weight loss and alarming constitutional symptoms found ultimately to be all due to a single medication’s side effects. The objective of this case report is to alert physicians, especially in a primary care setting, that the side effects of a medication used mostly in a highly specialized field of neurology, sodium oxybate (SXB), can cause extreme involuntary weight loss in addition to chronic night sweats and symptoms of clinical depression.

Abstract #1003244: The Weight of Time: Achievements and Challenges of a Physician-Led Weight Loss Program in a Primary Care Setting

2021 ◽  
Vol 27 (6) ◽  
pp. S79-S80
Author(s):  
Aleksandra Sliwinska ◽  
Srinath Ramanan ◽  
Varalakshmi Niranajan ◽  
Helen Wu ◽  
Fufei Chen ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Care Setting ◽  
Primary Care Setting ◽  
Weight Loss Program

scholarly journals Effectiveness of a Single Physician-led Weight loss Program in Primary Care Setting

2021 ◽  
Author(s):  
Varalakshmi Niranjan ◽  
Aleksandra Sliwinska ◽  
Fufei Chen ◽  
Srinath Ramanan ◽  
Narinder Maheshwari ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Retrospective Analysis ◽  
Weight Change ◽  
Care Setting ◽  
Primary Care Setting ◽  
Weight Loss Program ◽  
Time Period ◽  
Percentage Weight ◽  
Weight Loss Interventions

Abstract Objective The aim of this study is to examine the effectiveness of a single physician-led weight loss program in a primary care. Methods This is a retrospective analysis of 300 patients with a BMI >30 kg/m2 in an outpatient weight loss program. Weight loss interventions included lifestyle counseling and pharmacotherapy. Outcomes were assessed based on percentage weight change during a time period of two consecutive visits less than 90 days. Results We found that 57.7%, 43.3% and 16.1% patients who attended the clinic 5 or more times, 4-5 times, 2-3 times respectively achieved 5% weight loss (p < 0.0001). In regard to achieving 10% weight loss, 42.3%, 8.7% and 4.3% patients who attended the clinic 5 or more times, 4-5 times and 2-3 times did it respectively (p<0.0001). Moreover 60% of patients achieved 5% of weight loss in about 200 days, and 40% achieved 10% weight loss in 350 days. Patients who achieved 5% weight loss, their average A1c was reduced to 5.8 at their last visit from 6.4 at the first visit. Conclusions A single physician-led weight loss program is effective and can be created within a primary care setting to achieve 5-10% weight loss.

1499: The Prevalence of LUTS and Prostate Enlargement in the Primary Care Setting

2007 ◽  
Vol 177 (4S) ◽  
pp. 494-495 ◽  
Author(s):  
Michael Naslund ◽  
Alicia Gilsenan ◽  
Kirk Midkiff ◽  
Eric Wolford ◽  
Aileen Bown ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Prostate Enlargement

Recognizing and Treating PTSD in the Primary Care Setting

2008 ◽  
Author(s):  
Ruth Elaine Graves ◽  
Tanya N. Alim ◽  
Notalelomwan Aigbogun ◽  
Thomas A. Mellman ◽  
William B. Lawson
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting
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