| Weight-loss programs in convenient care clinics: a prospective cohort study. | |
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MedLine Citation:
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PMID: 20809828 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Assess whether a convenient care clinic (CCC) medical weight-loss program can promote weight loss. DESIGN: Prospective cohort study with follow-up at 10 weeks. SETTING: A CCC (Lindora Health Clinic) weight-loss program (Lean for Life) based in a retail pharmacy (Rite Aid Pharmacy) in Costa Mesa, California. SUBJECTS: The first 100 people to purchase the weight-loss program. INTERVENTION: A 10-week, $465 medical weight-loss program with individual counseling sessions; a hypocaloric diet of 900 to 1200 kcal/day (25%-30% carbohydrates, 40% protein, 25% fat); and adjunctive pharmacologic treatment, if necessary. MEASURES: We collected data on age, height, weight, visits per week, medication use, comorbid conditions, and weight change. ANALYSIS: Data were analyzed based on length of enrollment and mean percent weight loss. Statistical tests used were t-test and Spearman rank correlation test. RESULTS: Eighty-six subjects had valid data entries for weight change over the 10-week period. Average age was 51.6 years; mean starting body mass index was 30.3. Thirty patients participated for 0 to 4 weeks, 30 for 4 to 9 weeks, and 26 for 10 weeks. Mean percent weight changes for the 0 to 4, 5 to 9, and 10-week groups were -1.6, -6.0, and -8.1, respectively. Forty-five (45%) of the patients achieved medically significant weight loss (> or =5%). CONCLUSION: The study shows that a medical weight-loss program offered at a CCC in a retail pharmacy can produce medically significant weight loss of > or =5%. Further research of collaborations between the retail and medical weight-loss industries is warranted. Study design limitations included selection bias and confounding variables other than the weight-loss program. |
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Authors:
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Samuel Wollner; David Blackburn; Kristina Spellman; Lalita Khaodhiar; George L Blackburn |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of health promotion : AJHP Volume: 25 ISSN: 0890-1171 ISO Abbreviation: Am J Health Promot Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-09-02 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8701680 Medline TA: Am J Health Promot Country: United States |
Other Details:
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Languages: eng Pagination: 26-9 Citation Subset: T |
Affiliation:
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Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA. swollner@bidmc.harvard.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ambulatory Care Facilities / statistics & numerical data* Analysis of Variance Body Mass Index California Feasibility Studies Female Humans Male Middle Aged Motor Activity Obesity / drug therapy, rehabilitation, therapy* Overweight / therapy Pharmacies / statistics & numerical data Prospective Studies Statistics, Nonparametric Weight Loss* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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