Influence of intense multidisciplinary follow-up and orlistat on weight reduction in a primary care setting

<p>Abstract</p> <p>Background</p> <p>Obesity is the most common health problem in developed countries. Recently, several physicians' organizations have issued recommendations for treating obesity to family physicians, including instructions in nutrition, physical a...

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Main Authors: Sarid Miri, Zusk Efrat, Pasternak Shmuel, Feigenbaum Amiel, Vinker Shlomo
Format: Article
Language:English
Published: BMC 2005-01-01
Series:BMC Family Practice
Online Access:http://www.biomedcentral.com/1471-2296/6/5
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author Sarid Miri
Zusk Efrat
Pasternak Shmuel
Feigenbaum Amiel
Vinker Shlomo
author_facet Sarid Miri
Zusk Efrat
Pasternak Shmuel
Feigenbaum Amiel
Vinker Shlomo
author_sort Sarid Miri
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Obesity is the most common health problem in developed countries. Recently, several physicians' organizations have issued recommendations for treating obesity to family physicians, including instructions in nutrition, physical activity and medications. The aim of this study was to examine if effective weight-reducing treatment can be given by a family physician. It compares regular treatment with intensive treatment that include close follow-up and orlistat treatment.</p> <p>Methods</p> <p>The study was conducted in three primary care clinics. 225 patients were divided into three groups according to their choice. Group A received a personal diet with fortnightly meetings with the family physician and dietitian and orlistat treatment. Group B received a general diet, monthly meetings with the family physician only and orlistat treatment. Group C received a personal diet, monthly meetings with the dietitian only and no drug treatment. The primary endpoint was reduction of at least 5% of the initial weight during the study period.</p> <p>Results</p> <p>A greater percentage of patients in group A achieved their weight reduction goals than in other groups (51%, 13% and 9% in groups A, B and C, respectively, p < 0.001). There was a significant reduction in triglycerides in all groups, a significant reduction of low density lipids (LDL) in groups A and B and no significant difference in high density lipids (HDL) in any group.</p> <p>Conclusions</p> <p>Significant weight reduction was obtained in a family physician setting. Further research is needed to evaluate if, by providing the family physician with the proper tools, similar success can be achieved in more clinics.</p>
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spelling doaj.art-ad6ac0684b6c4d1182d92d10f99c40822022-12-22T02:40:30ZengBMCBMC Family Practice1471-22962005-01-0161510.1186/1471-2296-6-5Influence of intense multidisciplinary follow-up and orlistat on weight reduction in a primary care settingSarid MiriZusk EfratPasternak ShmuelFeigenbaum AmielVinker Shlomo<p>Abstract</p> <p>Background</p> <p>Obesity is the most common health problem in developed countries. Recently, several physicians' organizations have issued recommendations for treating obesity to family physicians, including instructions in nutrition, physical activity and medications. The aim of this study was to examine if effective weight-reducing treatment can be given by a family physician. It compares regular treatment with intensive treatment that include close follow-up and orlistat treatment.</p> <p>Methods</p> <p>The study was conducted in three primary care clinics. 225 patients were divided into three groups according to their choice. Group A received a personal diet with fortnightly meetings with the family physician and dietitian and orlistat treatment. Group B received a general diet, monthly meetings with the family physician only and orlistat treatment. Group C received a personal diet, monthly meetings with the dietitian only and no drug treatment. The primary endpoint was reduction of at least 5% of the initial weight during the study period.</p> <p>Results</p> <p>A greater percentage of patients in group A achieved their weight reduction goals than in other groups (51%, 13% and 9% in groups A, B and C, respectively, p < 0.001). There was a significant reduction in triglycerides in all groups, a significant reduction of low density lipids (LDL) in groups A and B and no significant difference in high density lipids (HDL) in any group.</p> <p>Conclusions</p> <p>Significant weight reduction was obtained in a family physician setting. Further research is needed to evaluate if, by providing the family physician with the proper tools, similar success can be achieved in more clinics.</p>http://www.biomedcentral.com/1471-2296/6/5
spellingShingle Sarid Miri
Zusk Efrat
Pasternak Shmuel
Feigenbaum Amiel
Vinker Shlomo
Influence of intense multidisciplinary follow-up and orlistat on weight reduction in a primary care setting
BMC Family Practice
title Influence of intense multidisciplinary follow-up and orlistat on weight reduction in a primary care setting
title_full Influence of intense multidisciplinary follow-up and orlistat on weight reduction in a primary care setting
title_fullStr Influence of intense multidisciplinary follow-up and orlistat on weight reduction in a primary care setting
title_full_unstemmed Influence of intense multidisciplinary follow-up and orlistat on weight reduction in a primary care setting
title_short Influence of intense multidisciplinary follow-up and orlistat on weight reduction in a primary care setting
title_sort influence of intense multidisciplinary follow up and orlistat on weight reduction in a primary care setting
url http://www.biomedcentral.com/1471-2296/6/5
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