Improving long-term weight loss: pushing the limits of treatment
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This paper adopts an aggressive stance on short-term and long-term weight losses produced by treatment of obesity. For many years the behavior therapy field has settled for small weight losses. This has resulted in part from a focus on “maintenance,” which implies something worth maintaining. Complacency has occurred because of the contest mentality underlying the design of parametric studies which compare behavior therapy to various alternatives and find behavior therapy to be the “treatment of choice.” It is not surprising that behavior therapy emerges the victor in these contests, given that the comparison groups are pseudotreatments such as nondirective group therapy rather than the widely used forms of dieting (e.g., Weight Watchers, Overeaters Anonymous, self-imposed diets). There is renewed cause for hope, however. The most recent generation of behavioral programs can produce substantial weight losses, apparently because programs are both longer and better. This paper proposes specific methods for testing the limits of treatment for obesity, in hopes that greater initial losses will be accompanied by more effective approaches to maintenance. In addition, we propose that more attention be focused on matching individuals to treatments, so that professionals serve a dual role of providing their treatment to those who are best suited and referring others elsewhere.
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Participants in behavioral treatments on average do not maintain prescribed calorie and physical activity levels and lose less weight than expected from those prescriptions.
“Yet, participants in behavioral treatments, on average, fall far short of maintaining prescribed calorie and PA levels, and lose far less weight than would be expected given these prescriptions.2,3”
From The mind your health project: a randomized controlled trial of an innovative behavioral treatment for obesity (2013) · cites this paper as [2]
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- Authors
- Brownell, K. D., & Jeffery, R. W.
- Affiliations
- University of Pennsylvania (US)
- University of Minnesota (US)
- Corresponding author
- Brownell, Kelly D.
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 1987
- Volume
- 18
- Issue
- 4
- Pages
- 353-374
- ISSN
- 0005-7894 (ISSN-L)
- OpenAlex
- W2041906096
- Cited by
- 198
- References
- 80
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 6 · 2016: 3 · 2014: 4 · 2013: 9 · 2012: 1
- FWCI
- 11.43
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Behavior Therapy (publishedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- obesity treatment, weight loss, long-term weight maintenance, dieting, treatment matching, referral, behavioral weight loss program
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