Highlights
In a nationally representative analysis of US office-based visits by adults with obesity, counseling was far from routine: 21.5% of visits included weight reduction advice, 24.5% exercise counseling, 33.9% dietary counseling, 40.1% any counseling, and only 12.2% all three together.
Preventive visits, chronic problem visits, and visits by patients with hyperlipidemia were more likely to include counseling, suggesting that context and cardiometabolic risk shape physician behavior.
