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Invited Commentary
July 2014

Live vs Electronically Delivered Weight-Loss InterventionsPaying for Feasible Interventions

Author Affiliations
  • 1Health Services Research & Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California
  • 2David Geffen School of Medicine, University of California, Los Angeles
  • 3Jonathan and Karin Fielding School of Public Health, University of California, Los Angeles
JAMA Intern Med. 2014;174(7):1157-1159. doi:10.1001/jamainternmed.2014.414

Obesity is a well-recognized problem affecting 35.7% of US adults,1 and there is a critical need for implementation and dissemination of low-cost, evidence-based weight-loss interventions. In November 2013, the American College of Cardiology (ACC), American Heart Association (AHA), and The Obesity Society (TOS) released updated national guidelines on the management of overweight and obese adults in consultation with the US National Heart, Lung, and Blood Institute (NHLBI).2 This long-awaited update emphasizes the importance of routine referral to weight-management programs in patients with a body mass index (BMI) (calculated as weight in kilograms divided by height in meters squared) greater than 30 or those with a BMI of 25 to 29.9 and 1 additional comorbidity (which now includes elevated waist circumference).2

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