Physician Weight-Related Counseling Is Unrelated to Extreme Weight Loss Behaviors Among Overweight and Obese Adolescents.

Journal Article (Journal Article)

Some physicians may be hesitant to counsel overweight and obese adolescents about weight because of concerns that such counseling may result in extreme weight loss behaviors and the subsequent development of eating disorders. We compared self-reported extreme weight loss behaviors in 535 overweight/obese adolescents prior to receiving weight-related counseling during primary care visits, and again after 3 months. We found no change in fasting (7.7% vs 6.3%, P = .45), and decreases in diet pill use (4.1% vs 1.7%, P = .003) and laxative use/vomiting (2.6% vs 1.0%, P = .02). Three months following their medical appointment, patients were also less likely to report trying to lose weight in general (80.0% vs 75.6%, P = .04). Physicians should be reassured that providing weight-related counseling to their obese adolescents is unlikely to induce extreme weight loss behaviors. Frequent counseling may be required in order to help patients maintain motivation to attain a healthy weight.

Full Text

Duke Authors

Cited Authors

  • Bravender, T; Lyna, P; Coffman, CJ; Bodner, ME; Østbye, T; Alexander, SC; Lin, P-H; Pollak, KI

Published Date

  • July 2018

Published In

Volume / Issue

  • 57 / 8

Start / End Page

  • 954 - 957

PubMed ID

  • 29084439

Pubmed Central ID

  • PMC6822899

Electronic International Standard Serial Number (EISSN)

  • 1938-2707

Digital Object Identifier (DOI)

  • 10.1177/0009922817737081


  • eng

Conference Location

  • United States