Intervention in obese patients in primary care and adherence to international guidelines

Introduction: In Ecuador, 6 out of 10 people have presented problems of overweight and obesity. An intervention can increase the proportion of patients who are offered weight control. Objective: To compare the proportion of patients offered intervention-based or guidelinebased weight management. Methods: A randomized cross-sectional cluster study was performed, in which two study arms were randomly assigned. Results: An increase in BMI of 1 kg/m2 led to a 3.4% increase in the odds of being offered a weight management intervention. Conclusions: Our personalized intervention failed to improve the implementation of the obesity guideline