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Feasibility of an interdisciplinary program for obesity management in Canada.
MedLine Citation:
PMID:  22267637     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective To assess the feasibility of a medically supervised, publicly funded interdisciplinary program for obesity management in a Canadian setting. Design Retrospective chart audit using electronic medical records. Setting Wharton Medical Clinic in Hamilton and Burlington, Ont. Participants A total of 2739 consenting patients attending the interdisciplinary obesity-management program at Wharton Medical Clinic. Main outcome measures Three- and 6-month weight changes and factors affecting weight loss. Results The 1085 patients attending the clinic for at least 3 months (mean [SD] of 8.1 [6.1] visits and 5.4 [4.7] months) lost a mean (SD) of 4.2 (7.1) kg or 3.5% (6.8%) of their initial body weight, with 32% and 9% of these patients attaining weight reductions of 5% or greater and 10% or greater, respectively. The 289 patients attending the clinic for 6 months or more (mean [SD] of 13.2 [9.7] visits and 10.5 [6.9] months) lost a mean (SD) of 5.4 (10.6) kg or 4.3% (9.2%) of their initial body weight, with 47% and 17% attaining reductions of 5% or greater and 10% or greater, respectively. Visit frequency was positively associated with weight loss independent of age, sex, body mass index, and treatment duration. Conclusion Preliminary data support the short-term effectiveness and clinical utility of this publicly funded program. Using this interdisciplinary model, approximately half of patients were able to attain clinically significant weight loss.
Authors:
Sean Wharton; Sarah Vanderlelie; Arya M Sharma; Saaqshi Sharma; Jennifer L Kuk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian family physician Médecin de famille canadien     Volume:  58     ISSN:  1715-5258     ISO Abbreviation:  Can Fam Physician     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0120300     Medline TA:  Can Fam Physician     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  e32-8     Citation Subset:  IM    
Affiliation:
York University, School of Kinesiology and Health Science, Sherman Health Science Research Centre, Room 2002, 4700 Keele St, Toronto, ON M3J 1P3. jennkuk@yorku.ca.
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