Obesity

Effects of a 2‐Year Primary Care Weight Loss Intervention on Quality of Life in Patients With Obesity

Obesity (Silver Spring)Published Secondary analysis of a cluster randomised controlled trial

Authors' conclusion

Weight loss was associated with improvements in HRQoL, and race differences were identified in changes in weight-related QoL, highlighting the need for precision medicine approaches to weight loss.

Study context

Population
Patients with obesity in 18 primary care clinics
Participants
803 patients18 clinics
Comparison
Association of weight loss with health-related quality of life (HRQoL) change; 24-month intensive lifestyle intervention vs usual care
Primary endpoint
Association between weight loss and changes in HRQoL (generic HRQoL and weight-related QoL)
Follow-up
Baseline to 24 months
Methodological detailsrepeated-measures linear multilevel models
  • Repeated-measures linear multilevel models

Primary result

As reported in the abstract

Improvement in weight-related QoL by weight loss category

Weight loss <5%

7.4

CI 5.1–9.7

Weight loss 5% to <10%

15.0

CI 11.4–18.5

Weight loss ≥10%

18.9

CI 15.4–22.4

Further findings

Generic HRQoL domains by weight loss

Greater weight loss related to greater improvements in most generic HRQoL domains

Treatment response heterogeneity by race and sex

Changes in generic HRQoL did not differ by race or sex; weight-related QoL did not differ by sex
Black patients had less improvement in weight-related QoL vs other races

Original publication

Effects of a 2‐Year Primary Care Weight Loss Intervention on Quality of Life in Patients With Obesity. Obesity (Silver Spring). Published 4 April 2026. doi:10.1002/oby.70189

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