University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Primary Care, Obesity Management


Sarah Bolander DMSc, MMS, PA-C, DFAAPA


Obesity is a complex and challenging disease to manage. There are multiple barriers impeding weight loss efforts including genetics, neuroendocrine pathways, habits, and environment. Physician associates (PAs) must be equipped with a wide array of treatment options for patients with obesity. At the cornerstone of treatment plans are intense behavioral change interventions. Unfortunately, standard behavioral therapies fail to promote long-term maintenance of weight loss and are difficult to incorporate into primary care practice. There is growing evidence to support the effectiveness of mindfulness-based practice in obesity management. Mindfulness practice overcomes disordered responses to hunger and satiety cues. It also promotes overall wellness and reduces stress. With this knowledge, PAs should add mindfulness practice to their clinical toolkits and be more effective in their treatment of obesity.


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