Monday, November 21, 2011

Whether phone or in person, obesity counseling effective

Weight-loss programs offering support via telephone and the Web work about as well as in-person counseling to help obese people lose weight, a study has found.

Two intervention programs were compared with a control group in the two-year study released today in the New England Journal of Medicine, in which 415 obese men and women participated. They were randomly placed in a weight-loss program that offered support remotely, via the Web, telephone and email; in a two-year program that included in-person support in addition to the remote support; or in a control group that encouraged independent weight loss.

After two years, the control had lost an average of about 1.8 pounds, but the remote group and the in-person group had similar average weight losses: 10.1 pounds and 11.2 pounds, respectively. At the two-year mark 18.8% of people in the control group had lost 5% of their starting body weight, compared with 38.2% of those in the remote group and 41.4% of those in the in-person group. Achieving and maintaining a 5% drop in body weight is considered an achievement among many health professionals, because it can lower the risk of some weight-related illnesses such as cardiovascular disease and type-2 diabetes.

Bonnie - I have done phone consults for years, and more recently, video consults. For those of you who live a distance away, don't feel that the only way to meet with me is to come in person.

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