Effective Medical Treatment of Obesity Among Immigrant Women in Primary Care
– An Obesity Medicine Association Reading Room selection
January 2, 2025This Reading Room is a collaboration between ľ¹ÏÖ±²¥Â® and:
Background
The prevalence of obesity among the general U.S. adults is 42%. With increasing immigrant population in the U.S., the obesity burden among immigrants in the U.S. has been reported to approach or exceed that of the general U.S. population. To our knowledge, this is the first study to report obesity treatment among immigrants in the U.S. The study aims to evaluate the effectiveness of obesity treatment among immigrant women in primary care at a safety-net academic health center in the U.S.
Methods
This was a retrospectively, electronic medical record chart review of patients who had virtual weight management visits in a primary care setting. Self-reported anthropometric and demographic data were used. Primary outcomes were changes in weight and body mass index (BMI) from initial to follow-up visits as well as bodyweight percentage change from initial weight. Secondary outcomes were ≥5% and ≥10% weight reduction. Chi-square or Fisher's exact tests were used for independent categorical variables. Paired t-tests were performed to evaluate the changes in weight and BMI.
Results
The study found average weight reduction of 8.6 kg (100.2–91.6, P<0.01), which corresponds to an average of 8.7% weight reduction among immigrant women in the program. The overall average BMI decreased by 3.4 kg/m2 (38.1–34.1, P<0.01). In the study, 85% lost 5% or more, and 42% lost 10% or more of their initial weight.
Conclusion
Immigrant women followed for weight management in primary care lost significant weight and BMI, and a significant proportion of them achieved clinically meaningful weight reduction. Future large sample size and randomized controlled studies are needed to confirm the findings.
Read an interview about the study here.
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Effective Medical Treatment of Obesity Among Immigrant Women in Primary Care
Primary Source
Obesity Pillars
Source Reference: