Research
Adherence
Therapeutic Patient Education (TPS) and motivational interviewing using the '5A' method (Assess, Advise, Agree, Assist, Arrange) are the foundational, first-line interventions for obesity management in primary care, superior to generic advice.
Stop telling patients to just 'eat less and move more.' Instead, use the '5A' framework: Assess their readiness, Advise on risks/benefits, Agree on SMART goals, Assist with barriers, and Arrange follow-up. Focus on empathy and reducing stigma to build trust.
GoodSupportsHIGH confidence
L’éducation thérapeutique du patient (ETP) constitue la pierre angulaire du traitement de l’obésité. [...] La consigne « manger moins, bouger plus » est non seulement inefficace, mais elle peut également être contre-productive et stigmatisante.
Why this rating
Based on clinical guidelines and consensus statements (Refs 7, 13) cited in the review, though not a primary RCT itself.
Source
Comment prendre en charge l’obésité au cabinet d’un médecin généraliste ?
Serpil Berkcan et al. · Archive ouverte UNIGE (University of Geneva) · 2022
narrative_reviewCited 1×
Read the paper More from this paper
- Semaglutide (2.4 mg weekly) and Liraglutide (3.0 mg daily) are effective pharmacological adjuncts for obesity, producing significant weight loss (15% and 8-10% respectively) when combined with lifestyle interventions.Strong
- Orlistat (60mg OTC or 120mg Rx) is a pharmacological option that reduces fat absorption but has significant gastrointestinal side effects (steatorrhea) that can be managed through patient education.Good
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →