Objectives: A multidisciplinary weight loss shared medical appointment (SMA) was created to help patients with weight management. The study objective was to evaluate the change in weight in patients participating in weight loss SMAs. The secondary objective was to evaluate the change in patients' cardiometabolic risk factors.
Setting: The study took place in Beachwood, OH, at a family medicine clinic associated with an academic medical center.
Practice Description And Innovation: Groups of 10 to 15 overweight and obese patients participated in weight loss SMAs in a family medicine clinic. The provider team included a family practice physician, a pharmacist, and a registered dietician. The pharmacist assisted with medication optimization to assist with weight management.
Evaluation: This retrospective observational study evaluated weight loss in patients who attended at least 1 weight loss SMA over a 9-month period. Weight loss and other cardiometabolic risk factors were compared from the time of the first SMA, 3 months after the first SMA, and at the end of the study period.
Results: A total of 222 patients attended at least 1 weight loss SMA. The mean weight loss was 4.0 ± 5.1 kg (3.8%) at 3 months and 4.4 ± 5.9 kg (4.1%) at the end of the study period. At 3 months, 38.7% of patients achieved 5% weight loss, and 41% of patients achieved 5% weight loss at the end of the study period. Patients also had a significant reduction in body mass index, blood pressure, and glycated hemoglobin. There was a significant correlation between the number of SMA visits attended and the amount of weight lost.
Conclusion: Patients who attended a weight loss SMA lost weight and had modest improvements in cardiometabolic risk factors. Weight loss SMAs are a promising weight loss option to assist patients seen in the primary care setting.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.japh.2019.07.014 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Unveiling the relation between swallowing muscle mass and skeletal muscle mass in head and neck cancer patients.
Eur Arch Otorhinolaryngol
January 2025
Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, PO box 30.001, Groningen, 9700RB, The Netherlands.
Purpose: Sarcopenia, characterized by loss of skeletal muscle mass (SMM) and strength, often leads to dysphagia in the elderly. This condition can also worsen treatment outcomes in head and neck cancer (HNC) patients, who are susceptible to swallowing difficulties. This study aimed to establish the correlation between swallowing muscle mass (SwMM) and SMM in HNC patients.
View Article and Find Full Text PDFAssociation between intraoperative fluid management and postoperative outcomes in living kidney donors: a retrospective cohort study.
Sci Rep
January 2025
Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81, Irwon-ro, Gangnam-gu, Seoul, 06351, Republic of Korea.
Optimal fluid strategy for laparoscopic donor nephrectomy (LDN) remains unclear. LDN has been a domain for liberal fluid management to ensure graft perfusion, but this can result in adverse outcomes due to fluid overload. We compared postoperative outcome of living kidney donors according to the intraoperative fluid management.
View Article and Find Full Text PDF[Cancer and nutritional management of overweight and obesity: Practice evaluation].
Bull Cancer
January 2025
Département prévention cancer environnement, centre Léon-Bérard, 69008 Lyon, France; Inserm U1296 rayonnements : défense, santé, environnement, centre Léon-Bérard, 69008 Lyon, France.
Context: The aim of this practice evaluation was to assess weight trends during and after a nutritional intervention in cancer patients and survivors.
Methods: This retrospective study was conducted between January 2014 and October 2020 in adults with different cancer types managed at the Léon-Bérard Cancer Center, undergoing treatment or during post-treatment follow-up, with a BMI≥25kg/m and who had at least 3 consultations with a nutrition physician. Nutritional management focused on behavioral, metabolic and nutritional aspects.
Maternal and neonatal outcomes after metabolic and bariatric surgery among women with severe obesity.
Surg Obes Relat Dis
January 2025
Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York; Division of Health Services Policy and Practice, Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, New York.
Background: Earlier evidence indicated that metabolic and bariatric surgery (MBS) may adversely affect neonatal outcomes among patients conceiving soon after MBS, but recent studies demonstrated conflicting results, especially for new surgical techniques.
Objectives: The aim of this study was to assess the effects of MBS types and surgery to birth interval on maternal, birth, and nonbirth outcomes in women with severe obesity.
Setting: New York State's all-payer hospital discharge database (2008-2019).
Glucagon-Like Peptide-1 Receptor Agonist Medications and Hair Loss: A Retrospective Cohort Study.
J Am Acad Dermatol
January 2025
Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, 33133, USA.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!