Long-term weight loss maintenance for obesity: a multidisciplinary approach

The long-term weight management of obesity remains a very difficult task, associated with a high risk of failure and weight regain. However, many people report that they have successfully managed weight loss maintenance in the long term. Several factors have been associated with better weight loss m...

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Bibliographic Details
Published in:Diabetes, metabolic syndrome and obesity metabolic syndrome and obesity, 2016-01, Vol.9 (Issue 1), p.37-46
Main Authors: Montesi, Luca, El Ghoch, Marwan, Brodosi, Lucia, Calugi, Simona, Marchesini, Giulio, Dalle Grave, Riccardo
Format: Article
Language:English
Subjects:
Behavior
Care and treatment
cognitive behavior therapy
Cognitive behavioral therapy
Diabetes
Diet
lifestyle modification
Lifestyles
Metabolism
multidisciplinary treatment
Nutrition research
Obesity
Review
Risk factors
Weight control
Weight loss maintenance
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Summary:The long-term weight management of obesity remains a very difficult task, associated with a high risk of failure and weight regain. However, many people report that they have successfully managed weight loss maintenance in the long term. Several factors have been associated with better weight loss maintenance in long-term observational and randomized studies. A few pertain to the behavioral area (eg, high levels of physical activity, eating a low-calorie, low-fat diet; frequent self-monitoring of weight), a few to the cognitive component (eg, reduced disinhibition, satisfaction with results achieved, confidence in being able to lose weight without professional help), and a few to personality traits (eg, low novelty seeking) and patient-therapist interaction. Trials based on the most recent protocols of lifestyle modification, with a prolonged extended treatment after the weight loss phase, have also shown promising long-term weight loss results. These data should stimulate the adoption of a lifestyle modification-based approach for the management of obesity, featuring a nonphysician lifestyle counselor (also called "lifestyle trainer" or "healthy lifestyle practitioner") as a pivotal component of the multidisciplinary team. The obesity physicians maintain a primary role in engaging patients, in team coordination and supervision, in managing the complications associated with obesity and, in selected cases, in the decision for drug treatment or bariatric surgery, as possible more intensive, add-on interventions to lifestyle treatment.
ISSN:1178-7007
1178-7007
DOI:10.2147/DMSO.S89836