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Efficient, cost-effective family weight loss program will treat more than 1,000 parents and children

The weight-loss programs will begin in spring 2017 in primarycare offices located in Buffalo and Rochester, New York; Columbus,Ohio; and St. Louis, Missouri. The five-year grant will allow theprograms to treat more than 500 families, reaching more than 1,000overweight or obese children and parents as well as more than 200siblings who are overweight or obese. “The purpose of this grant is to implement and evaluatehighly successful family-based obesity treatment in the primarycare setting, an optimal setting given the established relationshipbetween patients and their primary care providers,” saidEpstein. He is division chief of behavioral medicine in the Department ofPediatrics at the Jacobs School of Medicine and BiomedicalSciences, an internationally recognized expert on childhood weightcontrol and family intervention, and one of the most productiveinvestigators in behavioral medicine and nutrition. During one10-year study of overweight children who had participated inEpstein’s research, the percentage able to maintain a healthyweight at 10-year follow-up was 50 percent, far higher than theusual percentage, which is typically 10 percent or less. Steven Lana, MD, managing partner of Delaware Pediatrics, one ofthe Buffalo practices that will participate, said there is acompelling need for interventions that promote weight loss andmaintenance in children. “The UB study of family-basedbehavioral treatment offers us a unique opportunity to provide anevidence-based, multicomponent intervention to improve treatmentoutcomes for our patients. We are eager to support this projectbecause we witness the early start of obesity complications thatcan significantly influence the children and families in ourpractice.” Integrity Health Group, based in Amherst, and WilliamsvillePediatric Center are the other participating primary care practiceslocated in Western New York. The new study will compare two weight-control approaches in morethan a dozen primary care providers’ offices. One group willget an enhanced version of the standard treatment, where parent andchild receive information on healthy eating and are seen by thephysician four times over two years. Families receiving the intervention will be seen in thedoctor’s office by their own physician, as well as by healthcounselors trained to deliver family-based weight-control programstailored to the needs of each family. “With this grant, we are placing health coaches on thefront lines,” said Epstein.

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