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Titolo:
COMBINED USE OF BEHAVIOR-MODIFICATION AND VERY-LOW-CALORIE DIET IN WEIGHT-LOSS AND WEIGHT MAINTENANCE
Autore:
KERN PA; TROZZOLINO L; WOLFE G; PURDY L;
Indirizzi:
CEDARS SINAI MED CTR,DEPT MED,DIV ENDOCRINOL,BECKER 131,8700 BEVERLY BLVD LOS ANGELES CA 90048
Titolo Testata:
The American journal of the medical sciences
fascicolo: 5, volume: 307, anno: 1994,
pagine: 325 - 328
SICI:
0002-9629(1994)307:5<325:CUOBAV>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
OBESITY; THERAPY;
Keywords:
OBESITY; OBESITY RECIDIVISM; OBESITY TREATMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
P.A. Kern et al., "COMBINED USE OF BEHAVIOR-MODIFICATION AND VERY-LOW-CALORIE DIET IN WEIGHT-LOSS AND WEIGHT MAINTENANCE", The American journal of the medical sciences, 307(5), 1994, pp. 325-328

Abstract

The authors assessed the long-term efficacy of a weight-loss program combining the use of a very low-calorie diet and behavior modification. This program involved medical supervision as well as group behavior modification classes, which emphasized long-term lifestyle changes, along with nutrition education. A study was conducted in 1984 and again in 1991, of unselected consecutive patients who had completed this hospital-based, weight-control program 12 to 18 months earlier. Patients were asked to return to the medical center to be weighed and complete a questionnaire regarding biobehavioral factors. The results of both the 1984 and 1991 follow-up studies were very similar. The patients' initial body mass index was 34.6 kg/m(2) +/- 0.57 kg/m(2) (mean +/- standard error of the mean, n = 109) and average weight loss was 23.2 kg +/- 1.1 kg, resulting in a body mass index of 26.2 kg/m(2) +/- 0.42 kg/m(2) upon completion of the program. At 12 to 18 months of follow-up, mean body mass index was 29.6 kg/m(2) +/- 0.54 kg/m(2). There was a wide spectrum of long-term compliance and recidivism. On average, 61% ofpatients kept off at least 50% of the weight they had originally lost. In addition, medication usage for hypertension, hyperlipidemia, and diabetes was reduced among the patients with reduced obesity. A retrospective analysis of patient characteristics and habits did not accurately predict which patients would be successful long-term. In conclusion, the combined use of a very low-calorie diet plus behavior modification was successful in the majority of patients who completed the program. Because there was a significant improvement in a number of medicalproblems, this approach continues to warrant consideration for the treatment of obesity.

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Documento generato il 25/11/20 alle ore 19:00:20