Portion control for the treatment of obesity in the primary care setting

Rebecca L. Kesman, Jon Owen Ebbert, Katherine I. Harris, Darrell R. Schroeder

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Background: The increasing prevalence of obesity is a significant health threat and a major public health challenge. A critical need exists to develop and evaluate practical methods for the treatment of obesity in the clinical setting. One of the factors contributing to the obesity epidemic is food portion sizes. Limited data are available on the efficacy of visual or tactile devices designed to enhance patient understanding and control of portion sizes. A portion control plate is a commercially-available product that can provide visual cues of portion size and potentially contribute to weight loss by enhancing portion size control among obese patients. This tool holds promise as a useful adjunct to dietary counseling. Our objective was to evaluate a portion control intervention including dietary counseling and a portion control plate to facilitate weight loss among obese patients in a primary care practice. Findings. We randomized 65 obese patients [body mass index (BMI) 30 and < 40] to an intervention including counseling by a dietitian incorporating a portion control plate or to usual care. Following initial consultation, patients in the intervention arm were contacted at 1, 3, and 5 months by the dietician for brief follow-up counseling. Usual care subjects received instructional handouts on diet and exercise. Forty-two (65%) subjects returned to have weight assessed at 6 months. Subjects in the portion control intervention had a greater percentage change ( SD) in weight from baseline at 3 months (-2.4% 3.7% vs. -0.5% 2.2%; p = 0.041) and a non significant trend in weight change from baseline at 6 months (-2.1% 3.8% vs. -0.7% 3.7%; p = 0.232) compared with usual care. Nearly one-half of patients assigned to the portion control intervention who completed the study reported the overall intervention was helpful and the majority would recommend it to others. Conclusions: Our findings suggest that a portion control intervention incorporating dietary counseling and a portion control plate may be effective for enhancing weight loss among obese subjects. A portion control intervention deserves further evaluation as a weight control strategy in the primary care setting. Trial registration. Current controlled trials NCT01451554.

Original languageEnglish (US)
Article number346
JournalBMC Research Notes
Volume4
DOIs
StatePublished - 2011

Fingerprint

Portion Size
Primary Health Care
Obesity
Counseling
Weights and Measures
Weight Loss
Nutritionists
Therapeutics
Touch
Cues
Body Mass Index
Referral and Consultation
Public Health
Weight control
Exercise
Diet
Food
Equipment and Supplies
Public health
Nutrition

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

Portion control for the treatment of obesity in the primary care setting. / Kesman, Rebecca L.; Ebbert, Jon Owen; Harris, Katherine I.; Schroeder, Darrell R.

In: BMC Research Notes, Vol. 4, 346, 2011.

Research output: Contribution to journalArticle

Kesman, Rebecca L. ; Ebbert, Jon Owen ; Harris, Katherine I. ; Schroeder, Darrell R. / Portion control for the treatment of obesity in the primary care setting. In: BMC Research Notes. 2011 ; Vol. 4.
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