Trial reportJournal of epidemiology and community health1999
Nutritional counselling in general practice: a cost effective analysis.
Trial report in Journal of epidemiology and community health, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 12 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes.The Cochrane database of systematic reviews · 2023Pooled it
- American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2022Guideline
- Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials.BMJ (Clinical research ed.) · 2022Pooled it
- Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in children and adults with overweight or obesity.The Cochrane database of systematic reviews · 2017Pooled it
- Evidence for cost-effectiveness of lifestyle primary preventions for cardiovascular disease in the Asia-Pacific Region: a systematic review.Globalization and health · 2014Pooled it
- Pooled it
- A systematic review of behavioural weight-loss interventions involving primary-care physicians in overweight and obese primary-care patients (1999-2011).Public health nutrition · 2013Pooled it
- Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in overweight and obese people.The Cochrane database of systematic reviews · 2010Pooled it
- Primary prevention of CVD: diet and weight loss.BMJ clinical evidence · 2007Pooled it
- Dietary advice for treatment of type 2 diabetes mellitus in adults.The Cochrane database of systematic reviews · 2007Pooled it
- Effectiveness of weight loss and maintenance interventions in women.Current diabetes reports · 2004Pooled it
- Dietary advice given by a dietitian versus other health professional or self-help resources to reduce blood cholesterol.The Cochrane database of systematic reviews · 2001Pooled it
- A within-trial cost-effectiveness analysis of primary care referral to a commercial provider for weight loss treatment, relative to standard care--an international randomised controlled trial.International journal of obesity (2005) · 2013Trial
- Assessing rates of dietary counseling in obstetric patients with hypertensive disorders of pregnancy and related conditions.Pregnancy hypertension · 2025Article
- Article
- Observational
- A network meta-analysis on the comparative efficacy of different dietary approaches on glycaemic control in patients with type 2 diabetes mellitus.European journal of epidemiology · 2018Article
- Preference and willingness to pay for nutritional counseling services in urban Hanoi.F1000Research · 2017Article
- Preventing Obesity in the USA: Impact on Health Service Utilization and Costs.PharmacoEconomics · 2015Article
- A cross-sectional study examining Australian general practitioners' identification of overweight and obese patients.Journal of general internal medicine · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveTo study the clinical and cost outcomes of providing nutritional counselling to patients with one or more of the following conditions: overweight, hypertension and type 2 diabetes.
designThe study was designed as a random controlled trial. Consecutive patients were screened opportunistically for one or more of the above conditions and randomly allocated to one of two intervention groups (doctor/dietitian or dietitian) or a control group. Both intervention groups received six counselling sessions over 12 months from a dietitian. However, in the doctor/dietitian group it was the doctor and not the dietitian who invited the patient to join the study and the same doctor also reviewed progress at two of the six counselling sessions.
settingThe study was conducted in a university group general practice set in a lower socioeconomic outer suburb of Perth, Western Australia. PATIENTS: Of the 273 patients randomly allocated to a study group, 198 were women. Age ranged from 25 to 65 years. Seventy eight per cent of patients resided in the lower two socioecnomic quartiles, 56 per cent described their occupation as home duties and 78 per cent were partnered.
resultsBoth intervention groups reduced weight and blood pressure compared with the control group. Patients in the doctor/dietitian group were more likely to complete the 12 month programme than those in the dietitian group. Patients in the doctor/dietitian group lost an average of 6.7 kg at a cost of $A9.76 per kilogram, while the dietitian group lost 5.6 kg at a cost of $A7.30 per kilogram.
conclusionGeneral practitioners, in conjunction with a dietitian, can produce significant weight and blood pressure improvement by health promotion methods.
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