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Weight Loss in Five Treatment Options in a Structured Behavioral Program
Gotthelf L, Grant L.
Obes 2006;14 suppl:A101.
Objective: Overweight participants need to be able to choose weight-loss options in a behavioral program that meet their specific needs. The purpose of this study was to document the weight-loss outcomes of five treatment options in a structured, research-based behavioral program.
Method: All patients who were enrolled in three Health Management Resources (HMR®) centers between January 1, 2002 and March 31, 2005 and completed "core classes" (12 wks weight loss) were evaluated (62% of entering patients completed core). HMR offers a range of weight-loss treatment options, including medically supervised low and very low-calorie diets, moderately restricted diets (Healthy Solutions®), and phone-based programs (HMR at Home®). A long-term maintenance program is also offered. All options focus on the same structured lifestyle changes: increased physical activity (>2000 kcals/wk) and the use of meal replacements (>35 servings/wk). Vegetable and fruit intake (>35 servings/wk) is also part of Healthy Solutions and HMR at Home weight loss. Weekly attendance and phone call commitments add accountability in all treatment options.
Results: Medically supervised patients completing core classes enter at the highest BMI (42.5 kg/m2) and lose the most weight (60.9 lbs or 22.6% of initial body weight). The average entering BMI of patients in the other clinic-based options range from 30.5 to 35.6 kg/m2. Patients in these options also lose substantial amounts of wieght, ranging from an average of 35.0—41.4 lbs and representing 18.4%—19.7% of initial body weight. Participants in HMR at Home, the phone-based program, lose an average of 35.2 lbs or 15.9% of initial body weight.
| Measure |
MS |
Inter |
Mod |
HS |
AH |
| # Patients |
734 |
115 |
86 |
309 |
61 |
| Start BMI (kg/m2) |
42.5 |
33.1 |
30.5 |
35.6 |
35.3 |
| Start Weight (lbs.) |
269.8 |
201.0 |
189.8 |
223.9 |
221.2 |
| Weight Loss (lbs.) |
-60.9 |
-39.6 |
-35.0 |
-41.1 |
-35.2 |
| Wks in Wgt Loss |
29 |
29 |
24 |
27 |
27 |
| % Initial Wgt Loss |
22.6 |
19.7 |
18.4 |
18.5 |
15.9 |
Medically Supervised (MS); Intermediate (Int); Moderate (Mod); Healthy Solutions (HS); HMR at Home (AH)
Conclusion: All program options far exceed the standard 5%—10% of initial body weight as is recommended for the health benefits of weight loss. By having a range of options available, all of which are based on the same structured, research-based behavioral program and result in successful weight-loss outcomes, any patient can be offered treatment.
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