Implementation of a Primary Care Physician Network Obesity Management Program

Bowerman S, et al. Obes Res. 2001;9:321S-325S.

Objective

To measure the success of a primary care office-based weight management program.

Methods

A demonstration study involving 252 patients was undertaken with the University of California, Los Angeles Healthcare Network. These patients were seen by physicians in the network and placed on a weight loss program, which included bioelectric impedance measurement for body composition, the use of meal replacements (Slim·Fast) and portion-controlled meals for calorie control, identification of high-calorie trigger foods, reinforcement of the importance of exercise in their individual program, and guidelines for pharmacotherapy, if needed. A centrally located registered dietitian available by telephone contact was an integral part of the nutritional support and follow-up. Weight loss performance of patients entered into this program was followed for 1 year. A survey was administered to determine physician satisfaction with the medical program.

Results

When given a choice between a traditional food-based meal plan and a meal replacement strategy, two thirds of the patients opted to use the meal replacements at least once daily. At 6 months, men lost an average of 15.5 ± 8.2 lbs and women 19.0 ± 4.0 lbs.

Conclusion

These studies of primary care office-based weight management programs demonstrate that patients are more likely to choose meal replacement plans over traditional food-based meal plans at the suggestion of qualified physicians. Physicians participating reported a high degree of satisfaction with the program's use in a busy office practice, suggesting that brief targeted office visits with a centralized nutritional support program can be effective and easily implemented.

Return to: Previous Page

Back to: Articles and Abstracts