Background

68% of adults (>55,000 patients) who receive primary care at Denver Health’s nine federally qualified health centers (FQHCs) are overweight or obese. The Healthy Lifestyle Clinic (HLC), a multidisciplinary team approach consisting of a registered dietitian, psychologist, and medical provider, was piloted at two FQHCs to enhance obesity treatment and to comply with US Preventative Task Force recommendations.

Methods

Patients were referred to HLC by their primary care provider. At each visit, patients completed a current behavior questionnaire assessing frequency of certain health behaviors (i.e., physical activity, sugary drinks, emotional eating, junk food, food insecurity). Patients also completed an initial visit questionnaire assessing interest in weight loss medications and/or weight loss surgery. During each visit, patients were seen by a medical provider (MD, PA, or NP) plus either a Psychologist or a Registered Dietitian. Documentation of the visit, questionnaires, and patient vitals were entered into the electronic health record. Data was collected from August 2018 to February 2019.

Results

165 patients completed at least one HLC visit within 6 months. The average number of visits per patient was 1.89.The average BMI at initial visit was 39.038 (range of 24.92 – 69.65). Follow-up weight data was available on 145 patients: 69% (n=101) of patients lost weight after attending one or more HLC visits (average weight loss 3.47kg, range 0.13-20.23kg), compared to 31% (n=45) who maintained or gained weight (average weight gain 2.41kg, range 0.00-7.62kg).

Conclusions

The HLC multidisciplinary team approach appears effective among overweight and obese adults in in a safety-net health care system. Prior to presentation, one year of data will be evaluated for behavior changes, percent of participants losing 3 or 5% of body weight, whether weight loss is sustained and variables that contribute to weight loss.