Interventions to Change the Behavior of Health Professionals and the Organization of Care to Promote Weight Reduction in Children and Adults with Overweight or Obesity
Description of Resource:
The prevalence of overweight and obesity is increasing globally with major implications for both population health and the cost of health services. This systematic review aimed to assess the effects of strategies to change the behavior of health professionals or the organization of care to promote weight reduction in children and adults with overweight or obesity. It identified 12 studies, 7 targeting health care professionals and 5 targeting the organization of care. It found little evidence for a clinically important effect on weight or body mass index (BMI) for any of the evaluated interventions. Brief education of primary care physicians in weight management may slightly decrease the weight of their patients. Weight loss programs led by a dietitian or by both a doctor and a dietitian may lead to greater weight loss in adult patients than standard care. Organizational restructuring of the delivery of family practice care led to a slightly lower increase in the BMI of children with obesity at intervention clinics compared to standard care.