Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Proceedings Article
  • Published:

Conceptual basis and clinical rationale for the development of a multidisciplinary weight management center

International Journal of Obesity Supplements volume 2, pages S43–S46 (2012)Cite this article

Subjects

Abstract

Overweight (body mass index (BMI) 25 kg m−2) or obesity (BMI 30>kg m−2) affects more than two-thirds of Americans. Overweight and obesity are commonly associated with multiple coexisting conditions, such as hypertension, diabetes, dyslipidemia, cardiovascular disease, obstructive sleep apnea and cancer. Lifestyle modification can induce a modest weight loss, which is associated with the prevention or improvement of many of these comorbidities. A combination of diet, exercise and behavioral therapy is considered the cornerstone of treatment for all overweight and obese individuals. As the etiology and therapy of obesity is complex, what is needed for these patients is a multidisciplinary clinic where specialists from different disciplines share their knowledge and participate in the treatment of the obese patient.

This is a preview of subscription content, access via your institution

Access options

Buy this article

  • Purchase on Springer Link
  • Instant access to full article PDF
Buy now

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Flegal KM, Carroll MD, Ogden CL, Curtin LR . Prevalence and trends in obesity among US adults, 1999–2008. JAMA 2010; 303: 235–241.

    Article  CAS  Google Scholar 

  2. Lee IM, Paffenbarger Jr RS . Change in body weight and longevity. JAMA 1992; 268: 2045–2049.

    Article  CAS  Google Scholar 

  3. Seagle HM, Strain GW, Makris A, Reeves RS . Position of the American dietetic association: weight management. J Am Diet Assoc 2009; 109: 330–346.

    Article  Google Scholar 

  4. Puhl R, Brownell KD . Bias, discrimination, and obesity. Obes Res 2001; 9: 788–805.

    Article  CAS  Google Scholar 

  5. Cohen SS, Palmieri RT, Nyante SJ, Koralek DO, Kim S, Bradshaw P et al. Obesity and screening for breast, cervical, and colorectal cancer in women: a review. Cancer 2008; 112: 1892–1904.

    Article  Google Scholar 

  6. Kushner RF . Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev Med 1995; 24: 546–552.

    Article  CAS  Google Scholar 

  7. Kolasa KM, Rickett K . Barriers to providing nutrition counseling cited by physicians: a survey of primary care practitioners. Nutr Clin Pract 2010; 25: 502–509.

    Article  Google Scholar 

  8. US Preventive Services Task Force. Screening for obesity in adults: recommendations and rationale. Ann Intern Med 2003; 139: 930–932.

    Article  Google Scholar 

  9. Tsai AG, Wadden TA . Treatment of obesity in primary care practice in the United States: a systematic review. J Gen Intern Med 2009; 24 (9): 1073–1079.

    Article  Google Scholar 

  10. Wadden TA, Butryn ML, Wilson C . Lifestyle modification for the management of obesity. Gastroenterology 2007; 132: 2226–2238.

    Article  Google Scholar 

  11. Perri MG, Sears Jr SF, Clark JE . Strategies for improving maintenance of weight loss. Toward a continuous care model of obesity management. Diabetes Care 1993; 16: 200–209.

    Article  CAS  Google Scholar 

  12. Vogels N, Westerterp-Plantenga MS . Successful long-term weight maintenance: a 2-year follow-up. Obesity 2007; 15: 1258–1266.

    Article  Google Scholar 

  13. Kohn GP, Galanko JA, Overby DW, Farrell TM . Recent trends in bariatric surgery case volume in the United States. Surgery 2009; 146: 375–380.

    Article  Google Scholar 

  14. Golay A, Fossati M, Deletraz M, De Luzy F, Howles MN, Ybarra J . Multidisciplinary approach to obesity treatment. Diabetes Obes Metab 2003; 5: 274–279.

    Article  CAS  Google Scholar 

  15. Vansant G, Hulens M, van der Borght W, Demyttenaere K, Lysens R, Muls E . A multidisciplinary approach to the treatment of obesity. Int J Obes Relat Metab Disord 1999; 23 (Suppl 1): 65–68.

    Article  Google Scholar 

  16. National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Obesity Res 1998; 6 (Suppl 2): 51S–209S.

    Google Scholar 

  17. Wing RR, Lang W, Wadden TA, Safford M, Knowler WC, Bertoni AG et al. Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes. Diabetes Care 2011; 34: 1481–1486.

    Article  CAS  Google Scholar 

  18. The Diabetes Prevention Program Research Group. Design and methods for a clinical trial in the prevention of type 2 diabetes. Diabetes Care 1999; 22: 623–634.

  19. Ryan DH, Espeland MA, Foster GD, Haffner SM, Hubbard VS, Johnson KC et al. Look AHEAD (Action for Health in Diabetes): design and methods for a clinical trial of weight loss for the prevention of cardiovascular disease in type 2 diabetes. Control Clin Trials 2003; 24: 610–628.

    Article  Google Scholar 

  20. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002; 346: 393–403.

    Article  CAS  Google Scholar 

  21. Wadden TA, Neiberg RH, Wing RR, Clark JM, Delahanty LM, Hill JO et al. Four-year weight losses in the Look AHEAD study: factors associated with long-term success. Obesity 2011; 19: 1987–1998.

    Article  Google Scholar 

  22. Wadden TA, West DS, Delahanty L, Jakicic J, Rejeski J, Williamson D et al. The Look AHEAD study: a description of the lifestyle intervention and the evidence supporting it. Obesity 2006; 14: 737–752.

    Article  Google Scholar 

  23. Renjilian DA, Perri MG, Nezu AM, McKelvey WF, Shermer RL, Anton SD . Individual versus group therapy for obesity: effects of matching participants to their treatment preferences. J Consult Clin Psychol 2001; 69: 717–721.

    Article  CAS  Google Scholar 

  24. Heymsfield SB, van Mierlo CA, van der Knaap HC, Heo M, Frier HI . Weight management using a meal replacement strategy: meta and pooling analysis from six studies. Int J Obes Relat Metab Disord 2003; 27: 537–549.

    Article  CAS  Google Scholar 

  25. Wing RR, Jeffery RW, Burton LR, Thorson C, Nissinoff KS, Baxter JE . Food provision vs structured meal plans in the behavioral treatment of obesity. Int J Obes Relat Metab Disord 1996; 20: 56–62.

    CAS  Google Scholar 

  26. Wing RR, Phelan S . Long-term weight loss maintenance. Am J Clin Nutr 2005; 82 (1 Suppl): 222S–225S.

    Article  CAS  Google Scholar 

  27. Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK . American college of sports medicine position stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exercise 2009; 41: 459–471.

    Article  Google Scholar 

  28. Rucker D, Padwal R, Li SK, Curioni C, Lau DC . Long term pharmacotherapy for obesity and overweight: updated meta-analysis. BMJ 2007; 335: 1194–1199.

    Article  CAS  Google Scholar 

  29. Li Z, Maglione M, Tu W, Mojica W, Arterburn D, Shugarman LR et al. Meta-analysis: pharmacologic treatment of obesity. Ann Intern Med 2005; 142: 532–546.

    Article  CAS  Google Scholar 

  30. Yanovski SZ, Yanovski JA . Obesity. N Engl J Med 2002; 346: 591–602.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

I thank Dr Neil Gesundheit for his support and help with the manuscript. Publication of this supplement was partially supported by Nutrilite Health Institute with an unrestricted educational contribution to Stanford Prevention Research Center.

Author information

Authors and Affiliations

  1. Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA

    M K Artandi

Authors
  1. M K Artandi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M K Artandi.

Ethics declarations

Competing interests

The author declares no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Artandi, M. Conceptual basis and clinical rationale for the development of a multidisciplinary weight management center. Int J Obes Supp 2 (Suppl 1), S43–S46 (2012). https://doi.org/10.1038/ijosup.2012.11

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijosup.2012.11

Keywords

Search

Advanced search

Quick links