{"id":13898,"date":"2011-11-16T09:00:20","date_gmt":"2011-11-16T14:00:20","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?post_type=fellowship-training&#038;p=13898"},"modified":"2011-11-16T09:53:10","modified_gmt":"2011-11-16T14:53:10","slug":"power-to-the-people","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/11\/16\/power-to-the-people\/","title":{"rendered":"POWER to the People"},"content":{"rendered":"<p><em>Several Cardiology Fellows who are attending AHA.11 this week are blogging together on CardioExchange.\u00a0 The Fellows include\u00a0<a href=\"..\/members\/revathibalakrishnan378\/\">Revathi Balakrishnan<\/a><a href=\"..\/fellowship-training\/fellowship-training\/fellowship-training\/members\/revathibalakrishnan378\/\">,<\/a> <a href=\"..\/members\/eimanjahangir542\/\">Eiman Jahangir<\/a>, <a href=\"..\/members\/johnryan\/\">John Ryan<\/a> (moderator), and <a href=\"..\/members\/amitshah\/\">Amit Shah<\/a>. Read the previous post <a href=\"http:\/\/blogs.nejm.org\/cardioexchange\/fellowship-training\/an-event-not-a-conference\/\">here<\/a>. Check back often to learn about the biggest buzz in Orlando.<\/em><\/p>\n<p>Tuesday, I heard the presentation of the Practice-Based Opportunities for Weight Reduction (POWER) trial, which was concurrently <a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1108660\">published<\/a> with accompanying <a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMe1111487\">editorial<\/a> in <em>The New England Journal of Medicine<\/em>.<\/p>\n<p>It is important to delineate the three arms of this study them clearly before I comment on the results:<\/p>\n<ul>\n<li>Remote support through a website and telephone and email contact<\/li>\n<li>Remote support, plus individual and group in-person weight counseling sessions<\/li>\n<li>Self-directed weight loss, which included meeting with a weight-loss coach at the beginning of the study and after 24 months<\/li>\n<\/ul>\n<p>At 6 months, the average weight loss in the remote and in-person groups was significantly greater than in the self-directed group. More important, the improvement in the intervention groups was well maintained in the two years of follow-up (about 11 lbs, vs. &lt; 2 lbs in the control group).<\/p>\n<p>This study demonstrates to me two key lessons:<\/p>\n<ul>\n<li>Simply telling patients they need to lose weight does not work. We need to do more.<\/li>\n<li>Internet technology and user comfort with it have improved enough that we can now direct our patients to online, personally convenient counseling.<\/li>\n<\/ul>\n<p>How do you counsel your patients regarding weight management?<\/p>\n<p>Will you be directing your patients to a website such as the one developed for this trial?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Several Cardiology Fellows who are attending AHA.11 this week are blogging together on CardioExchange.\u00a0 The Fellows include\u00a0Revathi Balakrishnan, Eiman Jahangir, John Ryan (moderator), and Amit Shah. Read the previous post here. Check back often to learn about the biggest buzz in Orlando. Tuesday, I heard the presentation of the Practice-Based Opportunities for Weight Reduction (POWER) [&hellip;]<\/p>\n","protected":false},"author":280,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1036,195,284,489],"class_list":["post-13898","post","type-post","status-publish","format-standard","hentry","category-prevention","tag-aha-scientific-sessions","tag-fellowship-training-2","tag-obesity","tag-stroke-prevention"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/13898","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/280"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=13898"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/13898\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=13898"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=13898"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=13898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}