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 |