Efficacy of Commercial Weight-Loss Programs
Authors: Kimberly A. Gudzune, Sara N. Bleich, Jeanne M. Clark
Journal: Annals of Internal Medicine (2015)

Letters1 September 2015Efficacy of Commercial Weight-Loss ProgramsKimberly A. Gudzune, MD, MPH, Sara N. Bleich, PhD, and Jeanne M. Clark, MD, MPHKimberly A. Gudzune, MD, MPHFrom The Johns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.Search for more papers by this author, Sara N. Bleich, PhDFrom The Johns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.Search for more papers by this author, and Jeanne M. Clark, MD, MPHFrom The Johns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5130-3 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Langland states that modest weight loss achieved through lifestyle change has failed to reduce mortality or cardiovascular events and that referrals to commercial weight-loss programs should therefore be avoided. Although we agree that long-term benefit for cardiovascular events or mortality through modest weight loss has not been proved, clinical guidelines from the American Heart Association, American College of Cardiology, The Obesity Society (1), and the U.S. Preventive Services Task Force (2) currently recommend weight loss for its benefits regarding diabetes, hypertension, and cholesterol levels. In fact, the U.S. Preventive Services Task Force recommends that clinicians “screen all ...References1. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014;129:S102-38. [PMID: 24222017] doi:10.1161/01.cir.0000437739.71477.ee CrossrefMedlineGoogle Scholar2. Moyer VA; U.S. Preventive Services Task Force. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012;157:373-8. [PMID: 22733087] AbstractGoogle Scholar3. Centers for Medicare & Medicaid Services. Intensive behavioral therapy for obesity. 3 February 2012. Accessed at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R142NCD.pdf on 1 June 2015. Google Scholar4. Congressional Budget Office. Updated estimates of the insurance coverage provisions of the Affordable Care Act. 4 March 2014. Accessed at www.cbo.gov/sites/default/files/cbofiles/attachments/45010-breakout-AppendixB.pdf on 1 June 2015. Google Scholar Author, Article, and Disclosure InformationAuthors: Kimberly A. Gudzune, MD, MPH; Sara N. Bleich, PhD; Jeanne M. Clark, MD, MPHAffiliations: From The Johns Hopkins University School of Medicine and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-2238. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEfficacy of Commercial Weight-Loss Programs Kimberly A. Gudzune , Ruchi S. Doshi , Ambereen K. Mehta , Zoobia W. Chaudhry , David K. Jacobs , Rachit M. Vakil , Clare J. Lee , Sara N. Bleich , and Jeanne M. Clark Efficacy of Commercial Weight-Loss Programs James T. Langland Efficacy of Commercial Weight-Loss Programs William S. Yancy Jr. , Anna Beth Barton , Megan A. McVay , and Corrine I. Voils Efficacy of Commercial Weight-Loss Programs William S. Yancy Jr. , Anna Beth Barton , Megan A. McVay , and Corrine I. Voils Efficacy of Commercial Weight-Loss Programs James T. 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