Implementation of a Community-Based Weight Loss Program in a North Carolina Healthcare System [post]

Sarah Ro, Angelica Lackey, Shannon Aymes, Jennifer McCauley, Teneisha Davis, Raene Wang, Will Stanley, Shana Ratner, Sriram Machineni, Lynne Fiscus
2021 unpublished
Current strategies for obesity management in primary care leave many patients inadequately treated. We aimed to evaluate a comprehensive primary care clinic-based weight management program's clinical effectiveness in a community practice setting. This is an 18 month long pre-post intervention study. We collected and analyzed anthropometric data on the patients enrolled in the community-based weight loss program. All participants received targeted lifestyle counseling, and 78% received
more » ... received pharmacotherapy. The primary outcomes were percent weight loss post-intervention and proportion of patients who achieved a total body weight loss of 5% or greater. Our program served 550 patients over 1952 visits from March 2019 through October 2020. Patients attended an average of 3.5 visits (SD 2.7). A total of 209 patients received adequate exposure to the program (attended at least four visits) and achieved a mean total body weight loss of 5.7% (SD 5.8%, range − 22.8% − 13.7%). Of these patients, 53.1% lost > 5% of total weight. We demonstrate that a community-based weight management program delivered by obesity medicine-trained, primary care clinicians effectively produces clinically significant weight loss in a community setting. Our approach represents a promising, scalable model for expanding access to obesity treatment for the general population.
doi:10.21203/rs.3.rs-487233/v1 fatcat:uwclcu4ye5dlzi4ba4ipwd5tka