Counseling helps reduce obesity, but not by much

Posted March 12, 2012

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

Intensive, two-year behavioral counseling helped obese, sedentary patients cut their waist circumference, but only a little, said an Archives of Internal Medicine study published online Feb. 27 (link).

Trained health educators met with 249 patients in family medicine clinics and counseled them about healthful diet and physical activity. They also used motivational interviewing techniques aimed at helping patients meet their goals. Patients who got all that attention lost .09 centimeters in waist circumference during the two-year period.

While there was an overall decrease in obesity, women in the study did not see any drop in waist circumference. The 241 patients who received usual care gained .02 centimeters in waist circumference. The results show how challenging it is to help patients lose weight once they have put it on, the study said.

Note: This item originally appeared at

Back to top



Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story

Read story


American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story

Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story

Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story

Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story

Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story

Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story

Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn