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In This Issue of JAMA Internal Medicine
October 28, 2013


JAMA Intern Med. 2013;173(19):1761-1763. doi:10.1001/jamainternmed.2013.6328

Few evidence-based treatments have produced clinically meaningful weight loss among black women, a group with high rates of obesity. In a randomized clinical trial, Bennett and coauthors investigated an alternative approach—weight gain prevention—among 194 premenopausal black women with a body mass index of 25 to 34.9. Patients were randomized to usual care or a behavioral intervention that included weekly telephonic monitoring of personalized behavior change goals and individual coaching sessions with a registered dietitian; the intervention prevented weight gain—and even produced slight weight reductions—over 18 months. In an Invited Commentary, Benjamin and coauthors discuss the challenges of weight loss interventions in the primary care setting.