Friday, 18 Jan 2019

You are here

Rising Need for Weight Loss Counseling in Arthritic Patients

The CDC's May 4th MMWR reports that from 2002 to 2014, the prevalence of health care provider counseling for weight loss among adults with arthritis and overweight or obesity increased by 10% (from 35% to 45%).

Weight loss among adults with arthritis and overweight or obesity can improve pain, function, mobility, and health-related quality of life, and reduce disability.

Among the 54.4 million adults with doctor-diagnosed arthritis in the United States, 32.7% are overweight and 38.1% are obese. Moreover obesity is more prevalent among persons with arthritis than among those who do not have arthritis.

The Healthy People 2020 target for health care provider counseling for weight loss among persons with arthritis and overweight or obesity is 45.3%. Important, as overweight or obese adults who receive weight-loss counseling from a provider are approximately four times more likely to attempt to lose weight than are those who do not receive counseling.

A recent CDC analysis of the National Health Interview Survey (NHIS) data, shows that provider counseling for weight loss increased by 10.4 percentage points from 2002 (35.1%) to 2014 (45.5%). These improvements are encouraging; however, approximately 75% of adults with overweight and 50% of those with class 1 obesity are not receiving provider weight-loss counseling.

Findings of the current report also indicate that those who are not receiving counseling for weight loss might also not be receiving counseling for physical activity. 

Strategies to increase provider counseling for weight loss include health system interventions (e.g., electronic medical record clinical decision supports) and provider training.

The author has no conflicts of interest to disclose related to this subject

Add new comment

More Like This

RheumNow Podcast – FDA Panels Meet on Gout & OP (1.18.19)

Dr Jack Cush Reviews the news, articles and FDA Panel discussions from the past week

Assessing the Performance of Aging Physicians

A JAMA Viewpoint article examines the performance of aging surgeons and notes that the effects of aging affects physicians variably and that physician competency should be based on functional age (and abilities) rather than chronologic age. This argues against a mandatory retirement age for surgeons.

RheumNow Podcast – Gout Spot Light (1.11.19)

Dr. Jack Cush discusses the highlights from the past week on

RheumNow Podcast – A Grand New Year (1.4.19)

Dr. Jack Cush reviews the news and journals for the beginning of 2019. All from Best wishes for a charmed 2019! My advice: 1. Just show up. 2. If you can, then you must do. 3. Live each day as if it twas your 1st day/last day/make or break day. 4. Teach.

Best of 2018: U.S. News 2018-19 Rheumatology Rankings

The Annual U.S. News and World Report Rankings of Hospitals has listed the top contenders in the field of rheumatology. The U.S. News Review rates hospitals nationwide in 16 specialties – including rheumatology. Of the 4,500 hospitals covered by U.S. News that were analyzed, 158 were classified nationally in at least one specialty area.