Family Physician-Led Group Visits for Lifestyle Modification in Women with Weight Problems: A Pilot Intervention and Follow-Up Study

Obes Facts. 2018;11(1):1-14. doi: 10.1159/000486133. Epub 2018 Feb 7.

Abstract

Objective: Lifestyle modification requires extensive information sharing and counseling. However, one-on-one primary care consultations are lacking to cover all necessary components due to time constraints. This preliminary study aims to investigate the feasibility and effects of lifestyle-changing intervention by family physician-led group visits (GVs) on weight management in overweight and obese women.

Methods: 60 volunteers fulfilling the inclusion criteria were enrolled. Baseline and 6th month assessments consisted of anthropometric measurements, SF-36 Health Survey, blood variables, exercise test, and resting metabolic rate. Weight maintenance was controlled at the 12th month.

Results: Although weight loss among participants varied, the mean body weights were significantly decreased by 8.2% in full-attenders (n = 30). A significant increase in HDL-cholesterol and decreases in heart rate and blood pressure were found. SF-36 summary scales were significantly improved. Weight change was moderately correlated with exercise duration, compliance to diet, and baseline mental component score. It was determined that 62.5% of the participants either lost or maintained body weight at the 12th month.

Conclusion: Significant weight loss and quality of life improvement was achieved in this pilot study. GVs may be a promising alternative to primary care consultations for obesity management; however, the high dropout level and diverse outcomes need further assessment.

Keywords: Family physician; Group medical visits; Obesity management.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Behavior Therapy / methods*
  • Body Weight / physiology
  • Diet
  • Exercise / physiology
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Leadership*
  • Life Style
  • Middle Aged
  • Obesity / complications
  • Obesity / psychology
  • Obesity / therapy*
  • Office Visits
  • Overweight / complications
  • Overweight / psychology
  • Overweight / therapy*
  • Physician's Role*
  • Physicians, Family*
  • Pilot Projects
  • Psychotherapy, Group / methods*
  • Quality of Life
  • Self-Help Groups
  • Weight Loss / physiology
  • Young Adult