Evidence mapPaperPMID 34631139Full record

ReviewObesity science & practice2021

Physical activity, diet, and weight loss in patients recruited from primary care settings: An update on obesity management interventions.

Louise de Lannoy, Theresa Cowan, Angela Fernandez, Robert Ross

Abstract readReview
In one paragraph

Review in Obesity science & practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Disparities in Access and Quality of Obesity Care.Gastroenterology clinics of North America · 2023
    Review
  11. Understanding the Perspectives of Latino Adults Who Smoke on Physical Activity: A Qualitative Study.International journal of environmental research and public health · 2023
    Article
  12. Consulting Obese and Overweight Patients for Nutrition and Physical Activity in Primary Healthcare in Poland.International journal of environmental research and public health · 2022
    Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Louise de LannoySchool of Kinesiology and Health Studies Queen's University Kingston Ontario Canada.ORCID https://orcid.org/0000-0002-3204-1427
Theresa CowanSchool of Kinesiology and Health Studies Queen's University Kingston Ontario Canada.
Angela FernandezSchool of Kinesiology and Health Studies Queen's University Kingston Ontario Canada.
Robert RossSchool of Kinesiology and Health Studies Queen's University Kingston Ontario Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity and related comorbidities are the most common chronic conditions in North America where behavior modification including the adoption of physical activity (PA) and a healthful diet are primary treatment strategies. Patients are more likely to engage in behavior modification if encouraged by their physician; however, behavioral counseling in primary care rarely occurs due to lack of training and resources. A more effective method may be to refer patients from clinical settings to other health professionals.

objectiveThis systematic review examines the effectiveness of behavior-based counseling for obesity management among participants referred from clinical settings.

methodsPubMed, CINAHL, and EMBASE were used to identify randomized clinical trials (2014-2020) for weight loss with the following inclusion criteria: trial duration ≥12 months, included a control or usual care group, recruited adults with overweight or obesity from primary care and/or treated in the primary care setting, and the intervention included counseling on PA and diet.

resultsSeventeen studies, encompassing 21 different intervention groups with 6185 unique participants (56% female) met the inclusion criteria. All participants had overweight or obesity, with a body mass index between 28.2 and 41.0 kg/m

conclusionsSustained weight loss regardless of the behavior-based, intervention strategy remains a challenge for most adults. Given the established benefits of routine PA and a healthful diet, prioritizing the adoption of healthy behaviors regardless of weight loss may be a more effective strategy for ensuring long-term health benefit.

Indexed as

dietphysical activityprimary careweight loss

Identifiers

PMID34631139
PMCPMC8488444

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.