Am Fam Physician. 2010 Dec 15;82(12):1434.
Original Article: Office-Based Strategies for the Management of Obesity
Issue Date: June 15, 2010
Available at: http://www.aafp.org/afp/2010/0615/p1449.html
to the editor: In Dr. Rao's excellent article, he recommends several strategies and identifies specific behaviors to facilitate weight loss among obese patients. Another strategy that can be implemented by any family physician is a group weight loss program. These programs combine interdisciplinary health care professionals and may be of tremendous value in achieving and maintaining weight loss.1
I created and oversaw such a program between February 2006 and October 2007 at our institution and witnessed how the group was able to make specific recommendations tailored to each individual patient. These practical weight loss tips were generated by patient members of these groups. Examples included taking the stairs instead of elevators, writing down what you eat and how you feel, eating three meals per day, and parking a block away from your destination. Each group came up with specific dietary interventions that could be applied immediately and reinforced at subsequent weekly check-ins.
Dr. Rao also did not recommend measurement of waist circumference for management of obesity in the office setting. Waist circumference is one of the five parameters that help identify the metabolic syndrome, which places patients at much higher risk of cardiovascular-related morbidity.2 In the group weight loss program, I found that this maneuver was easily taught to medical assistants, and patients readily accepted this step as part of their check-in and appreciated the immediate feedback.
Author disclosure: Nothing to disclose.
1. Melanson KJ, Lowndes J. Type 2 diabetes risk reduction in overweight and obese adults through multidisciplinary group sessions: effects of meeting attendance. Am J Lifestyle Med. 2010;4(3):275–281.
2. Steinberg BA, Cannon CP. Measuring waist circumference. http://www.medscape.com/viewarticle/542635 [login required]. Accessed June 25, 2010.
Send letters to Kenneth W. Lin, MD, MPH, Associate Deputy Editor for AFP Online, e-mail: firstname.lastname@example.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680.
Please include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.
Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the American Academy of Family Physicians permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.
Copyright © 2010 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact email@example.com for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions