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Reductions in medications with substantial weight loss with behavioral intervention.
Anderson, James W; Jhaveri, Manan A.
Afiliación
  • Anderson JW; Department of Internal Medicine and Clinical Nutrition, University of Kentucky, 913 Taborlake Court, Lexington, KY 40502, USA. jwandersmd@aol.com
Curr Clin Pharmacol ; 5(4): 232-8, 2010 Nov.
Article en En | MEDLINE | ID: mdl-20925648
Medical costs of obesity in the United States exceed $147 billion annually with medication costs making a sizable contribution. We examined medication costs associated with substantial weight losses in an intensive behavioral weight loss program. Inclusion criteria were medication use for obesity co-morbidities: hypertension, diabetes, dyslipidemia, degenerative joint disease, or gastroesophageal reflux disease. Group A, 83 obese patients on medications completed 8 weeks of classes, lost 19 kg in 20 weeks. Group B, 100 severely obese patients, lost 59 kg in 45 weeks. Medications were discontinued: Group A, 18%; Group B, 64%. Mean numbers of medications decreased significantly for all co-morbidities. Mean numbers of daily medications, initial and final, respectively were: Group A, total, 3.0 ± 0.2 (mean ± SEM) and 1.7 ± 0.2; Group B, total, 2.5 ± 0.2 and 0.7 ± 0.1. Monthly costs for all medications decreased significantly for all co-morbidities and were as follows: Group A, total, $249 ± 25 and $153 ± 19; Group B: total, $237 ± 27 and $65 ± 12. Medically supervised weight loss is very effective approach for improving cardiovascular risk factors and reducing medical costs.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Conductista / Pérdida de Peso / Costos de los Medicamentos / Obesidad Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Curr Clin Pharmacol Año: 2010 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Emiratos Árabes Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Conductista / Pérdida de Peso / Costos de los Medicamentos / Obesidad Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Curr Clin Pharmacol Año: 2010 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Emiratos Árabes Unidos