Multidisciplinary Approach to Obesity Management: A Case Report.

Abstract

Effective weight management care emphasizes a patient-centered approach that employs evidence-based tools and strategies to address the complex and multifactorial nature of obesity and prevent chronic obesity-related medical conditions. Successful outcomes hinge on personalized care, consistent engagement, and the integration of multiple interventions that are tailored to individual needs and circumstances. In the John Hopkins Healthful Eating, Activity and Weight Program (HEAWP), healthcare professionals specializing in obesity medicine work in partnership with other specialists, including behavioral therapists, dieticians, psychologists, psychiatrists, sleep specialists, bariatric surgeons, gastroenterologists, and physical therapists, while also involving patients in their own care. Each patient starts with an in-person intake meeting with an obesity physician, during which information about their nutrition, sleep, mood, medications, social support, and physical exercise is evaluated. By the end of the visit, realistic goals are set in concert with the patient, and the patient is given specific tasks to assist them in accomplishing these goals. The initial phase of the intensive evaluation and treatment at HEAWP typically lasts 6 months, with follow-up medical visits every month. At that point, goals are reassessed and future treatment plans formulated. The average pace of weight loss is 1-2 pounds (0.4-0.9 kg) per week.