Objective: To evaluate the relationship of a primary care weight loss intervention of low-calorie ketogenic diet (LCKD) led by a Nurse Practitioner (NP) for overweight and obese adults and to evaluate if the measures have correlations to age and gender. Background: There is a need for primary care treatment options given the obesity epidemic. A gap exists in the evaluation of NP led interventions in the management of overweight and obesity as primary care providers. Design: There were 368 subjects who met eligibility criteria of at least 18 years of age with a BMI ≥ 25 kg/m² following an NP led LCDK who were evaluated for weight loss along with BMI reduction and changes in percent body fat. Correlations were analyzed to age and gender. Results: Statistically significant (p ≤ 0.05) reductions in weight loss, body mass index (BMI) and percent fat loss were noted at all intervals with total weight loss after 12 weeks. Males lost slightly more weight than females with a difference of 0.86% greater weight loss. The greatest weight loss occurred between ages 45–54 years however, there were no statistical differences in weight loss between age groups. Case analysis comparison with two physician led studies showed that the NP led study found more weight loss in one case but not the other. Conclusion: The NP led LCKD is a potentially effective weight loss option in primary care. A further prospective study is needed to determine the NP specific interventions that impact overweight and obesity implemented by the NP in primary care.
|Advisor:||Jurado, Leo-Felix M.|
|Commitee:||Gold, Jeffrey, Kamienski, Mary, Meleo-Erwin, Zoe|
|School:||The William Paterson University of New Jersey|
|School Location:||United States -- New Jersey|
|Source:||DAI-B 80/08(E), Dissertation Abstracts International|
|Subjects:||Health sciences, Nursing, Nutrition|
|Keywords:||Ketogenic diet, Nurse practitioner, Obesity, Primary care, Weight loss|
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