Brief Interventions for Weight Loss in Primary Care

被引：5

作者：

Lewis A.L. ^{[1
]}

Aveyard P. ^{[1
]}

Jebb S.A. ^{[2
]}

机构：

[1] Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Oxford, OX2 6GG, Woodstock Road

[2] MRC Human Nutrition Research, Elsie Widdowson Laboratory, Cambridge, CB1 9NL

来源：

Current Obesity Reports | 2013年 / 2卷 / 4期

基金：

英国医学研究理事会;

关键词：

Brief intervention; Interventions; Lifestyle; Obesity; Overweight; Primary care; Weight loss; Weight management;

D O I：

10.1007/s13679-013-0073-8

中图分类号：

学科分类号：

摘要：

Overweight and obesity are common and important causes of chronic disease. This should mean that primary care physicians feel tackling obesity is important, but it is uncommon for them to do so. Physicians perceive that this is not their job; they fear offending their patients and are unclear what may be effective. In this review we found two systematic reviews showing that motivational interviewing can lead to effective weight loss but it may not be practicable in this setting. Two trials show referral to specially trained nurses in primary care appears ineffective. Several randomized trials show referral to commercial weight management companies is effective. Observational data but no trials suggest that screening for and opportunistic brief interventions may motivate attempts to lose weight and lead to some weight loss. We conclude there is insufficient evidence to promote treatment opportunistically but sufficient evidence to refer patients wanting to lose weight to commercial weight management services. © 2013 Springer Science+Business Media New York.

引用

页码：341 / 347

页数：6

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