Review

Obesity: Are shared medical appointments part of the answer?

Kelly Shibuya, BS, Kevin M. Pantalone, DO, ECNU, FACE and Bartolome Burguera, MD, PhD
Cleveland Clinic Journal of Medicine September 2018, 85 (9) 699-706; DOI: https://doi.org/10.3949/ccjm.85a.18006

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Tables

  • TABLE 1

    Interventions to address in shared medical appointments for obesity

    Weight loss
    Interactive education at each appointment
    Led by a prescribing practitioner (physician or nurse practitioner)
    Goal: 7%–10% weight loss in 1 year
    Nutrition
    Structured diet program
    Supervised by a registered dietitian
    Goal: calorie deficit of 500–750/day
    Physical activity
    Individualized exercise program
    Evaluated by an exercise physiologist
    Goals: ≥ 150 minutes/week of aerobic exercise
        200–300 minutes/week for long-term maintenance
    Appetite control
    Evaluation for drug use, as indicated
    Assessed by a prescribing practitioner
    Education on drug use and purpose in obesity treatment
    Sleep
    Education on impact of sleep on weight control
    Screen for sleep apnea
    Refer to a sleep specialist, if indicated
    Promote healthy sleep habits
    Stress and mood disorders
    Structured behavioral program to promote self-management and adherence to treatment
    Refer to a behavioral health specialist, if indicated
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