Category: Obesity/Nutrition

Monitor: 5

5 - SHARED MEDICAL APPOINTMENTS FOR WEIGHT LOSS

Saturday, Apr 27
10:30 AM – 11:00 AM

Objective :

An unfortunate trend in the past decade has been a drastic rise in the rate of obesity pervasive throughout all ages in the United States. Currently, more than one-third of adults in the United States are obese. While obesity is a risk factor for many diseases such as diabetes, hyperlipidemia, and hypertension it is modifiable by lifestyle changes and certain medications. Many studies have shown that lifestyle modifications such as diet and exercise will result in weight loss; however, it is often the maintenance or lack of guidance through the process which results in clinical deficiency. Our hypothesis is that obese participants who engage in shared medical appointments provided by a multidisciplinary team will be more successful in achieving clinically significant weight loss of 5 percent or greater compared with standard care.


Methods :

Patients were recruited from the primary care settings of the University of South Florida and participated in monthly 90-minute group visits. Each visit focused on: calorie restriction (500-750 calorie deficit), increased physical activity, and behavioral therapies including regular self-monitoring of food intake, physical activity, and weight. Additional behavioral therapies offered included techniques for reducing stress, maximizing sleep, controlling environments, and motivational interviewing. Further, these patients had the opportunity to meet one-on-one with a provider at each visit in order to discuss individual goals and progress. Pharmacotherapy changes were recommended to reduce or avoid medications with side effects of weight gain. Weight control medications were also discussed.  


Results :

Preliminary data gathered over the past year focused on the number of patients who attended two or more meetings. We recruited 50 patients and a total of 19 attended two or more of the monthly meetings. Of that subset the average weight loss was 6.76 pounds, the average age was 60.2 with a preponderance of the participants identifying as female.


Discussion :

The weight data gathered during the group meetings shows that on average, patients who attended at least 2 or more meetings were able to lose weight. Loss to follow-up of the study could be due to scheduling conflicts, transportation conflicts, or concurrent enrollment in other group meetings in the Patient Centered Medical Home model. Data is being gathered to assess participants lab values, hemodynamic improvements, and other values.


Conclusion :

A prospective study using a multidisciplinary, team based approach to group education and guidance in weight management showed that patients who attended at least 2 meetings lost weight when compared to baseline.

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Jonathan Marks

Medical Student
University of South Florida

Medical Student of the Morsani College of Medicine at the University of South Florida

Crystal Jacovino

Assistant Professor
University of South Florida

Assistant Professor in the College of Medicine

Rachel Franks

Assistant Professor
University of South Florida

Assistant Professor in the College of Pharmacy at the University of South Florida

Jerry Brown

Diabetic Educator
University of South Florda

Diabetic Educator for the Department of General Internal Medicine

Olivia Pane

Assistant Professor
University of South Florida

Assistant Professor in the College of Pharmacy at the University of South Florida