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Research ArticleOriginal Research

Effect of a Family Medicine Wellness Group Program on Long-Term Weight Loss Maintenance Outcomes

Hawley Brown, David Randall Brandt, Jessica Chen, Kerri Hawkins, Kimberly R. Dong and Wayne Altman
The Journal of the American Board of Family Medicine November 2024, 37 (6) 1038-1046; DOI: https://doi.org/10.3122/jabfm.2023.230045R1
Hawley Brown
From the Family Practice Group, P.C., Sagov Center for Family Medicine, Arlington, MA (HFB, JC, KH, WA); Northern Kentucky University, Highland Heights, KY (DRB); Tufts University School of Medicine, Boston, MA (KRD, WA).
BS
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David Randall Brandt
From the Family Practice Group, P.C., Sagov Center for Family Medicine, Arlington, MA (HFB, JC, KH, WA); Northern Kentucky University, Highland Heights, KY (DRB); Tufts University School of Medicine, Boston, MA (KRD, WA).
PhD
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Jessica Chen
From the Family Practice Group, P.C., Sagov Center for Family Medicine, Arlington, MA (HFB, JC, KH, WA); Northern Kentucky University, Highland Heights, KY (DRB); Tufts University School of Medicine, Boston, MA (KRD, WA).
BA/MS
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Kerri Hawkins
From the Family Practice Group, P.C., Sagov Center for Family Medicine, Arlington, MA (HFB, JC, KH, WA); Northern Kentucky University, Highland Heights, KY (DRB); Tufts University School of Medicine, Boston, MA (KRD, WA).
RD, CPT
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Kimberly R. Dong
From the Family Practice Group, P.C., Sagov Center for Family Medicine, Arlington, MA (HFB, JC, KH, WA); Northern Kentucky University, Highland Heights, KY (DRB); Tufts University School of Medicine, Boston, MA (KRD, WA).
DrPH, RD
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Wayne Altman
From the Family Practice Group, P.C., Sagov Center for Family Medicine, Arlington, MA (HFB, JC, KH, WA); Northern Kentucky University, Highland Heights, KY (DRB); Tufts University School of Medicine, Boston, MA (KRD, WA).
MD, FAAFP
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Article Figures & Data

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    Figure 1.

    Weight outcomes for patients who did not (A) and did (B) achieve CIWL in their first WG.

Tables

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    Table 1.

    Summary Statistics for Percent Body Weight Loss (%WL) Achieved and Maintained*

    %WL Achieved%WL Maintained
    NMSDMSD
    Total3106.480.493.511.12
    Gender
     Females2006.340.463.471.25
     Males1106.470.543.511.12
    Age group
     18 to 441016.250.531.00a1.37
     45 to 59986.100.513.341.11
     60+1016.480.496.63a1.03
    Starting BMI classification
     Overweight436.460.361.22b1.19
     Obese I1127.010.482.480.92
     Obese II707.330.534.401.13
     Obese III856.280.526.83b1.12
    • ↵*Means having a common letter in the subscript differ significantly at or beyond the 0.05 level of confidence.

    • Abbreviations: SD, Standard deviation; BMI, Body mass index.

    • View popup
    Table 2.

    Group Participation by CIWL Achievement*†

    Number of SessionsMultiple Regular GroupsAny Multiple GroupsAny Advanced Groups
    AttendanceNM‡SDM§SD%‖%
    Outcome
     Lost at least 5%17913.49a2.031.87b1.2239c62 days
     Did not lose at least 5%13112.17a1.581.53b2.0619c38 days
    • ↵*Participants who achieved at least a 5% loss of their starting body weight versus those who did not.

    • ↵†Means having a common letter in the subscript differ significantly at or beyond the 0.05 level of confidence based on a t-test for independent group means. Percentages having a common letter in the subscript differ significantly at or beyond the 0.05 level of confidence based on a z-test for independent proportions.

    • ↵‡Mean number of sessions attended.

    • §Mean number of groups attended.

    • ‖Percent of individuals who participated.

    • Abbreviations: CIWL, clinically important weight loss; SD, Standard deviation.

    • View popup
    Table 3.

    Group Participation by CIWL Maintenance*

    Number of SessionsMultiple Regular GroupsAny Multiple GroupsAny Advanced Groups
    AttendanceNM†SDM‡SD%§%%
    Outcome
     Maintained a CIWL9613.72a1.671.951.1145.461.2632.5b
     Did not maintain a CIWL8313.29a1.441.821.3149.562.148.1b
    • ↵*Means having a common letter in the subscript differ significantly at or beyond the 0.05 level of confidence based on a t-test for independent group means. Percentages having a common letter in the subscript differ significantly at or beyond the 0.05 level of confidence based on a z-test for independent proportions.

    • ↵†Mean number of sessions attended.

    • ↵‡Mean number of groups attended.

    • §Percent of individuals who participated.

    • Abbreviations: CIWL, clinically important weight loss; SD, Standard deviation.

    • View popup
    Table 4.

    Demographic and Starting BMI Classification by Maintenance Outcomes*

    Did Not Maintain CIWLMaintained CIWL
    8396
    N%%
    Total179
    Gender
     Females10967.555.8
     Males7032.544.2
    Age group
     18 to 445937.730.1
     45 to 595633.825.2
     60+6428.6a44.7a
    Starting BMI classification
     Overweight2618.111.5
     Obese I6942.235.4
     Obese II4826.527.1
     Obese III3613.3b26.0b
    • ↵*Means having a common letter in the subscript differ significantly at or beyond the 0.05 level of confidence.

    • Abbreviations: CIWL, clinically important weight loss; SD, Standard deviation.

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The Journal of the American Board of Family     Medicine: 37 (6)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 6
November-December 2024
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Effect of a Family Medicine Wellness Group Program on Long-Term Weight Loss Maintenance Outcomes
Hawley Brown, David Randall Brandt, Jessica Chen, Kerri Hawkins, Kimberly R. Dong, Wayne Altman
The Journal of the American Board of Family Medicine Nov 2024, 37 (6) 1038-1046; DOI: 10.3122/jabfm.2023.230045R1

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Effect of a Family Medicine Wellness Group Program on Long-Term Weight Loss Maintenance Outcomes
Hawley Brown, David Randall Brandt, Jessica Chen, Kerri Hawkins, Kimberly R. Dong, Wayne Altman
The Journal of the American Board of Family Medicine Nov 2024, 37 (6) 1038-1046; DOI: 10.3122/jabfm.2023.230045R1
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