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OBESITY

Implementation of a Weight Management Pharmaceutical Care Service

Director, Auburn University Pharmaceutical Care Center; Associate Professor, Department of Pharmacy Practice, Auburn University, Auburn, AL

Margaret Ryman Thrower, PharmD BCPS

at time of project, Clinical Assistant Professor, Harrison School of Pharmacy, and Clinician, Auburn University Pharmaceutical Care Center, Auburn University; now, Regional Clinical Coordinator, McKesson Medication Management, Auburn

Natasha Boutwell Walters, PharmD

at time of project, PharmD Student, Harrison School of Pharmacy, Auburn University; now, Pharmacist, Target Pharmacy, Pensacola, FL

Kem P Krueger, PharmD PhD

at time of project, Associate Professor, Pharmacy Care Systems Department, Harrison School of Pharmacy, Auburn University; now, Associate Professor of Social/Administrative Pharmacy, School of Pharmacy, University of Wyoming College of Health Sciences, Laramie, WY

Pamela L Stamm, PharmD CDE

Associate Professor of Pharmacy Practice, Harrison School of Pharmacy, Auburn University

R Lee Evans, PharmD FASHP FCCP BCPP

Dean and Professor, Harrison School of Pharmacy, Auburn University

Reprints: Dr. Lloyd, #2155D Walker Building, Harrison School of Pharmacy, Auburn University, Auburn, AL 36849, fax 334/844-4019, lloydkb{at}auburn.edu

BACKGROUND: Obesity, a national epidemic, is one of the leading causes of preventable morbidity and mortality in the US. Pharmacists can play an integral role in weight management. Offering weight management services provides an opportunity to increase public awareness of pharmaceutical care and attract patients to pharmacy programs.

OBJECTIVE: To describe the implementation and evaluate outcomes of a weight management pharmaceutical care service in a stand alone pharmaceutical care center on a college campus.

METHODS: A retrospective review of data was conducted on 289 patient charts to evaluate the change in weight, body mass index (BMI), percent body fat, and weight-related health conditions in patients who participated in the Healthy Habits program.

RESULTS: The net change (change in values observed from first to last appointment) in weight was a loss of 1021.8 kg. The maximum weight change (change seen from the first appointment to the lowest value obtained during the program) was a loss of 1530.5 kg. These values correspond to a net mean weight loss of 3.6 kg per patient (10% of baseline weight) and a maximum mean weight loss per patient of 5.5 kg (15% of baseline weight). Eighty-three patients were able to decrease their BMI category and 76 patients had a decrease in risk status from baseline.

CONCLUSIONS: The Auburn University Pharmaceutical Care Center's Healthy Habits program has been successful in helping patients decrease total body weight, BMI, and risk of weight-related complications. In addition, the program has increased the opportunity to identify other pharmaceutical care needs of patients and help establish the role of pharmacists in the management of obesity.

Key Words: anorexics, anorexiants, obesity, vitamins, weight management

Published Online, February 6, 2007. www.theannals.com, DOI 10.1345/aph.1E466