Obesity and overweight are major community health issues in the modern world due to physical inactivity and inappropriate eating habits. Overweight or obesity exists in more than two-thirds of Americans (Fitzpatrick et al., 2018). Many malignancies, type 2 diabetes and cardiovascular disease are associated with obesity. In clinical trials, intensive psychotherapy for obesity significantly reduced the risk of diabetes and cardiovascular disease, with mean weight loss of 8% to 10% of baseline body weight (Fitzpatrick et al., 2018). Additionally, clinical studies have shown that significant weight loss is associated with better control of blood pressure, cholesterol, and diabetes (Semlitsch et al., 2019). Primary care physicians are financially compensated by the Centers for Medicare and Medicaid Services (CMS) to provide rigorous behavioral care for obese patients. A joint statement from the American Heart Association, American College of Cardiology and the Obesity Society, and the American Preventive Services Task Force recommends that physicians screen patients for overweight and obesity in the office and counsel patients who treat behavioral risk factors for enhanced cardiovascular-disease. However, only 30% of primary care patients receive obesity screening and counseling. continue…
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