TY - JOUR
AU - Md Nodelman
AU - Md Shaffer
AU - Bcacp Bc-Adm Rhodes Ma PharmD
AU - Am Do Scott
A1 - 
AB - Obesity management in primary care should begin with lifestyle interventions for patients ready to engage in behavior change. Using the 5As counseling model (assess, advise, agree, assist, arrange) in a patient-centered, nonjudgmental manner enhances motivation and adherence. Comprehensive lifestyle interventions (combining reduced caloric intake, increased physical activity, and behavioral changes) are most effective, typically achieving 5% to 10% weight loss over 6 months. Physicians should refer patients to multidisciplinary programs when possible or recommend digital or commercial alternatives with personalized feedback. Key components include setting specific, measurable, achievable, relevant, and time-based (SMART) goals; calculating caloric deficits; and promoting self-monitoring. Various dietary approaches can be effective and should be tailored to patient preferences. Physical activity lasting at least 150 minutes per week at moderate intensity or at least 75 minutes per week of vigorous activity is recommended. Digital tools (eg, apps, wearable trackers) can enhance engagement and outcomes. Physicians should also address barriers such as food insecurity, time constraints, and lack of support. Although adjunctive strategies such as sleep optimization and workplace modifications may be beneficial, they should not replace core lifestyle changes.
AD - University of South Carolina School of Medicine; Prisma Health Midlands in Columbia, South Carolina.; Primary Care Division of Prisma Health; University of South Carolina School of Medicine; Prisma Health Family Medicine Residency Program (FMRP) in Columbia, South Carolina.; University of South Carolina School of Medicine; Prisma Health Family Medicine Residency Program (FMRP) in Columbia, South Carolina.
AN - 42101581
BT - FP Essent
C5 - Education & Workforce
DA - 04/2026
DP - NLM
JF - FP Essent
LA - eng
N2 - Obesity management in primary care should begin with lifestyle interventions for patients ready to engage in behavior change. Using the 5As counseling model (assess, advise, agree, assist, arrange) in a patient-centered, nonjudgmental manner enhances motivation and adherence. Comprehensive lifestyle interventions (combining reduced caloric intake, increased physical activity, and behavioral changes) are most effective, typically achieving 5% to 10% weight loss over 6 months. Physicians should refer patients to multidisciplinary programs when possible or recommend digital or commercial alternatives with personalized feedback. Key components include setting specific, measurable, achievable, relevant, and time-based (SMART) goals; calculating caloric deficits; and promoting self-monitoring. Various dietary approaches can be effective and should be tailored to patient preferences. Physical activity lasting at least 150 minutes per week at moderate intensity or at least 75 minutes per week of vigorous activity is recommended. Digital tools (eg, apps, wearable trackers) can enhance engagement and outcomes. Physicians should also address barriers such as food insecurity, time constraints, and lack of support. Although adjunctive strategies such as sleep optimization and workplace modifications may be beneficial, they should not replace core lifestyle changes.
PY - 2026
SN - 2159-3000 (Print); 2159-3000
SP - 14
EP - 21+
ST - Obesity Management: Lifestyle Interventions
T1 - Obesity Management: Lifestyle Interventions
T2 - FP Essent
TI - Obesity Management: Lifestyle Interventions
U1 - Education & Workforce
VL - 563
VO - 2159-3000 (Print); 2159-3000
Y1 - 2026
ER -