alexa A Physician-Directed Commercial Low Calorie Diet with I
ISSN: 2165-7904

Journal of Obesity & Weight Loss Therapy
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Research Article

A Physician-Directed Commercial Low Calorie Diet with Intensive Behavioral Modification Decreases Metabolic Syndrome and Medication Use

Bobbie G Paull-Forney1, Frank Dong2*, Justin B Moore1,2, Jeanene J Fogli3, Linda D Gotthelf3, James L Early2,3, Elizabeth Ablah2
1Via Christi Weight Management, Via Christi Hospitals Wichita, Inc, USA
2University of Kansas School of Medicine-Wichita, Wichita, USA
3Health Management Resources, Boston, Massachusetts, USA
Corresponding Author : Frank Dong
University of Kansas School of Medicine-Wichita
1010 N Kansas St, Wichita, KS, 67228, USA
Tel: (316) 293-2627
Fax: (316) 293-2695
E-mail: [email protected]
Received May 22, 2014; Accepted June 18, 2014; Published June 20, 2014
Citation: Paull-Forney BG, Dong F, Moore JB, Fogli JJ, Gotthelf LD, et al. (2014) A Physician-Directed Commercial Low Calorie Diet with Intensive Behavioral Modification Decreases Metabolic Syndrome and Medication Use. J Obes Weight Loss Ther 4:221. doi:10.4172/2165-7904.1000221
Copyright: © 2014 Paull-Forney BG, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Background: In light of recent Centers for Medicare and Medicaid Services (CMS) recommendations on behavioral therapy for obesity, it is important to assess the outcomes of physician-directed low-calorie diet (LCD) interventions on metabolic risk factors. The aim of this study was to determine the effect of participation in a physiciandirected LCD program coupled with an intensive behavioral intervention on parameters of metabolic syndrome (MetS) and medication usage. Methods: This was a retrospective chart review of 445 participants, who completed at least 12 weeks in a community-based medical weight loss program. MetS was defined using the National Cholesterol Education Program/ Acute Treatment Panel III diagnostic criteria. Logistic regression analysis was conducted to identify factors predicting the MetS status at week 12. Results: Sixty eight percent of participants completing twelve weeks of the program achieved ≥10% initial body weight loss (IBWL). The mean weight loss is 11.8 %IBW. Proportions of participants meeting NCEP/ATP III criteria for MetS decreased for: waist circumference (100% at baseline vs 93.4% at week 12), triglycerides (51.8% at baseline vs 32.1% at week 12), fasting plasma glucose (60.1% at baseline vs 40.8% at week 12) and blood pressure (81.4% at baseline vs 61.1% at week 12). The prevalence of MetS decreased from 96% (n=248) at baseline to 67.8% (n=175) at week 12. Younger age, lower baseline BMI, and higher %IBWL were associated with an increased likelihood of MetS remission at week 12. Use of hypoglycemic and anti-hypertensive agents decreased by 27.5% and 12.8%, respectively, and doses of hypoglycemic and anti-hypertensive agents decreased for 75.3% and 40.4% of participants, respectively. Conclusions: A physician-directed low-calorie diet coupled with an intensive behavioral intervention is an effective option for achieving weight loss, improving individual metabolic risk factors, and reducing the overall need for hypoglycemic and anti-hypertensive medications.

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