Program for Reducing Obesity (PRO): An institutional review of an insurance‐based weight loss program utilizing shared medical appointments
Abstract Background Based on CDC estimates in the United States, the prevalence of obesity was 42.4% in 2017–2018, and the annual cost of obesity was $147 billion in 2008. Yet studies estimate that only 20–40% of adults with obesity received counseling from their primary care providers. Recent studi...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-06-01
|
| Series: | Obesity Science & Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/osp4.564 |
| _version_ | 1818209611950325760 |
|---|---|
| author | Jeffrey Wei Lei Lei Albert Shieh Deepashree Gupta Susan Ahern Na Shen |
| author_facet | Jeffrey Wei Lei Lei Albert Shieh Deepashree Gupta Susan Ahern Na Shen |
| author_sort | Jeffrey Wei |
| collection | DOAJ |
| description | Abstract Background Based on CDC estimates in the United States, the prevalence of obesity was 42.4% in 2017–2018, and the annual cost of obesity was $147 billion in 2008. Yet studies estimate that only 20–40% of adults with obesity received counseling from their primary care providers. Recent studies using shared medical appointments (SMA), where patients are seen by a multidisciplinary team, have shown promising results in obesity management. We developed an insurance‐based weight loss program incorporating SMA, called the Program for Reducing Obesity (PRO), and report our findings here. Methods Enrollment began in January 2019 at the UCLA Health Thousand Oaks clinic. Patients age ≥18 years with BMI ≥30 kg/m2 were eligible by referral to PRO, a program consisting of individual visits and SMAs with an obesity medicine board certified endocrinologist and registered dietitian. Primary outcomes were change in weight after 3, 6, and 12 months. Secondary outcomes included proportion that achieved ≥5% weight loss, change in percent body fat, HbA1c, HDL, triglycerides, and blood pressure. Results 102 patients (mean age 59.7 years, 72% women, mean weight 103.6 kg, mean BMI 36.6 kg/m2) have been analyzed, with 91 patients completing at least 12 months of the program. Patients achieved significant weight loss: 3.0%, 5.0%, and 7.8% of their baseline weight after 3, 6, and 12 months respectively. 52% of patients lost ≥5% of their baseline weight after 12 months. Patients had significant reductions in body fat: 2.1%, 7.4%, and 6.7% of their baseline (all p ≤ 0.01) after 3, 6, and 12 months respectively. Improvements were also seen in HbA1c (p ≤ 0.01), triglycerides (p ≤ 0.04), and systolic blood pressure (p ≤ 0.07) after 12 months although not all results achieved statistical significance. Conclusion Our institutional review of PRO, an insurance‐based obesity program utilizing SMA, demonstrates a successful approach to promoting weight loss in a community‐based setting. |
| first_indexed | 2024-12-12T05:03:28Z |
| format | Article |
| id | doaj.art-b15f60df39ba42e28f40de847487056c |
| institution | Directory Open Access Journal |
| issn | 2055-2238 |
| language | English |
| last_indexed | 2024-12-12T05:03:28Z |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj.art-b15f60df39ba42e28f40de847487056c2022-12-22T00:37:10ZengWileyObesity Science & Practice2055-22382022-06-018327227810.1002/osp4.564Program for Reducing Obesity (PRO): An institutional review of an insurance‐based weight loss program utilizing shared medical appointmentsJeffrey Wei0Lei Lei1Albert Shieh2Deepashree Gupta3Susan Ahern4Na Shen5Department of Medicine Division of Endocrinology David Geffen School of Medicine at UCLA Los Angeles California USADepartment of Medicine Division of Endocrinology David Geffen School of Medicine at UCLA Los Angeles California USADivision of Geriatrics David Geffen School of Medicine at UCLA Los Angeles California USADepartment of Medicine Division of Endocrinology David Geffen School of Medicine at UCLA Los Angeles California USADepartment of Medicine Division of Endocrinology David Geffen School of Medicine at UCLA Los Angeles California USADepartment of Medicine Division of Endocrinology David Geffen School of Medicine at UCLA Los Angeles California USAAbstract Background Based on CDC estimates in the United States, the prevalence of obesity was 42.4% in 2017–2018, and the annual cost of obesity was $147 billion in 2008. Yet studies estimate that only 20–40% of adults with obesity received counseling from their primary care providers. Recent studies using shared medical appointments (SMA), where patients are seen by a multidisciplinary team, have shown promising results in obesity management. We developed an insurance‐based weight loss program incorporating SMA, called the Program for Reducing Obesity (PRO), and report our findings here. Methods Enrollment began in January 2019 at the UCLA Health Thousand Oaks clinic. Patients age ≥18 years with BMI ≥30 kg/m2 were eligible by referral to PRO, a program consisting of individual visits and SMAs with an obesity medicine board certified endocrinologist and registered dietitian. Primary outcomes were change in weight after 3, 6, and 12 months. Secondary outcomes included proportion that achieved ≥5% weight loss, change in percent body fat, HbA1c, HDL, triglycerides, and blood pressure. Results 102 patients (mean age 59.7 years, 72% women, mean weight 103.6 kg, mean BMI 36.6 kg/m2) have been analyzed, with 91 patients completing at least 12 months of the program. Patients achieved significant weight loss: 3.0%, 5.0%, and 7.8% of their baseline weight after 3, 6, and 12 months respectively. 52% of patients lost ≥5% of their baseline weight after 12 months. Patients had significant reductions in body fat: 2.1%, 7.4%, and 6.7% of their baseline (all p ≤ 0.01) after 3, 6, and 12 months respectively. Improvements were also seen in HbA1c (p ≤ 0.01), triglycerides (p ≤ 0.04), and systolic blood pressure (p ≤ 0.07) after 12 months although not all results achieved statistical significance. Conclusion Our institutional review of PRO, an insurance‐based obesity program utilizing SMA, demonstrates a successful approach to promoting weight loss in a community‐based setting.https://doi.org/10.1002/osp4.564insurance‐basedobesityshared medical appointmentsweight management |
| spellingShingle | Jeffrey Wei Lei Lei Albert Shieh Deepashree Gupta Susan Ahern Na Shen Program for Reducing Obesity (PRO): An institutional review of an insurance‐based weight loss program utilizing shared medical appointments Obesity Science & Practice insurance‐based obesity shared medical appointments weight management |
| title | Program for Reducing Obesity (PRO): An institutional review of an insurance‐based weight loss program utilizing shared medical appointments |
| title_full | Program for Reducing Obesity (PRO): An institutional review of an insurance‐based weight loss program utilizing shared medical appointments |
| title_fullStr | Program for Reducing Obesity (PRO): An institutional review of an insurance‐based weight loss program utilizing shared medical appointments |
| title_full_unstemmed | Program for Reducing Obesity (PRO): An institutional review of an insurance‐based weight loss program utilizing shared medical appointments |
| title_short | Program for Reducing Obesity (PRO): An institutional review of an insurance‐based weight loss program utilizing shared medical appointments |
| title_sort | program for reducing obesity pro an institutional review of an insurance based weight loss program utilizing shared medical appointments |
| topic | insurance‐based obesity shared medical appointments weight management |
| url | https://doi.org/10.1002/osp4.564 |
| work_keys_str_mv | AT jeffreywei programforreducingobesityproaninstitutionalreviewofaninsurancebasedweightlossprogramutilizingsharedmedicalappointments AT leilei programforreducingobesityproaninstitutionalreviewofaninsurancebasedweightlossprogramutilizingsharedmedicalappointments AT albertshieh programforreducingobesityproaninstitutionalreviewofaninsurancebasedweightlossprogramutilizingsharedmedicalappointments AT deepashreegupta programforreducingobesityproaninstitutionalreviewofaninsurancebasedweightlossprogramutilizingsharedmedicalappointments AT susanahern programforreducingobesityproaninstitutionalreviewofaninsurancebasedweightlossprogramutilizingsharedmedicalappointments AT nashen programforreducingobesityproaninstitutionalreviewofaninsurancebasedweightlossprogramutilizingsharedmedicalappointments |