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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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“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]
Citations
Cites
An Adoption Study of Human Obesity
Stunkard, A. J., Sørensen, T. I. A., Hanis, C., Teasdale, T. W., Chakraborty, R., Schull, W. J., & Schulsinger, F. (1986) · New England Journal of Medicine · doi:10.1056/nejm198601233140401 · Cited by 1,318
Understanding and preventing relapse.
Brownell, K. D., Marlatt, G. A., Lichtenstein, E., & Wilson, G. T. (1986) · American Psychologist · doi:10.1037/0003-066x.41.7.765 · Cited by 935
Self-citationStunkard, A. J. (1986) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1986.03380010055024 · Cited by 912
Harlow, L. L., Newcomb, M. D., & Bentler, P. M. (1986) · Journal of Clinical Psychology · doi:10.1002/1097-4679(198601)42:1 · Cited by 544
Energy Balance and Obesity in Man
Ailshul, M. D. (1975) · Nutrition Today · doi:10.1097/00017285-197509000-00009 · Cited by 460
Kramer, F. M., Jeffery, R. W., Forster, J. L., & Snell, M. K. (1989) · PubMed · Cited by 378
Self-citationEnergy balance and obesity in man
Garrow, J. S. (1974) · Medical Entomology and Zoology · Cited by 349
Social and Psychological Consequences of Obesity
Wadden, T. A., & STUNKARD, A. J. (1985) · Annals of Internal Medicine · doi:10.7326/0003-4819-103-6-1062 · Cited by 345
Diminished energy requirements in reduced-obese patients
Leibel, R. L., & Hirsch, J. (1984) · Metabolism · doi:10.1016/0026-0495(84)90130-6 · Cited by 272
The effects of repeated cycles of weight loss and regain in rats
Brownell, K. D., Greenwood, M. R. C., Stellar, E., & Shrager, E. E. (1986) · Physiology & Behavior · doi:10.1016/0031-9384(86)90411-7 · Cited by 270
Self-citationVery Low Calorie Diets: Their Efficacy, Safety, and Future
Wadden, T. A., STUNKARD, A. J., & BROWNELL, K. D. (1983) · Annals of Internal Medicine · doi:10.7326/0003-4819-99-5-675 · Cited by 265
Self-citationSelf-reward and self-monitoring techniques for weight control
Mahoney, M. J. (1974) · Behavior Therapy · doi:10.1016/s0005-7894(74)80085-7 · Cited by 256
Wadden, T., & Stunkard, A. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.54.4.482 · Cited by 223
Bray, G. A. (1976) · PubMed Central · Cited by 216
Obesity: Understanding and treating a serious, prevalent, and refractory disorder.
Brownell, K. D. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.50.6.820 · Cited by 216
Self-citationBehavior modification in the treatment of obesity. The problem of maintaining weight loss.
Stunkard, A., & Penick, S. (1979) · Archives of General Psychiatry · doi:10.1001/archpsyc.1979.01780070079009 · Cited by 214
Wadden, T. A., & Stunkard, A. J. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.54.4.482 · Cited by 213
Epstein, L. H., Wing, R. R., Koeske, R. D., Ossip, D. J., & Beck, S. J. (1982) · Behavior Therapy · doi:10.1016/s0005-7894(82)80022-1 · Cited by 211
The effect of couples training and partner co-operativeness in the behavioral treatment of obesity
Brownell, K. D., Heckerman, C. L., Westlake, R. J., Hayes, S. C., & Monti, P. M. (1978) · Behaviour Research and Therapy · doi:10.1016/0005-7967(78)90002-5 · Cited by 205
Self-citationPerri, M. G., Shapiro, R. M., Ludwig, W. W., Twentyman, C. T., & McAdoo, W. G. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.52.3.404 · Cited by 189
Weight regulation practices in athletes
Brownell, K. D., Steen, S. N., & Wilmore, J. H. (1987) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198712000-00002 · Cited by 180
Self-citationOutpatient treatments of obesity: a comparison of methodology and clinical results.
Wing, R., & Jeffery, R. W. (1979) · PubMed · Cited by 177
Self-citationMedical psychology : contributions to behavioral medicine
Prokop, C. K., & Bradley, L. A. (1981) · Cited by 176
Obesity: Understanding and treating a serious, prevalent, and refractory disorder.
Brownell, K. D. (1982) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.50.6.820 · Cited by 171
Self-citationBehavioral treatment of obesity: The state of the art 1976
Jeffery, R. W., Wing, R. R., & Stunkard, A. J. (1978) · Behavior Therapy · doi:10.1016/s0005-7894(78)80104-x · Cited by 166
Self-citationBehavior Therapy and Pharmacotherapy for Obesity
Craighead, L. W. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1981.01780320043003 · Cited by 165
Treat Obesity Seriously: A Clinical Manual
Garrow, J. S. (1981) · Medical Entomology and Zoology · Cited by 164
Exercise and obesity: Etiology, physiology, and intervention.
Thompson, J. K., Jarvie, G. J., Lahey, B. B., & Cureton, K. J. (1982) · Psychological Bulletin · doi:10.1037/0033-2909.91.1.55 · Cited by 163
Treat Obesity Seriously. A Clinical Manual
HOFFBRAND, B. I. (1982) · Postgraduate Medical Journal · doi:10.1136/pgmj.58.684.671-b · Cited by 152
Presidential Address-1974: From Explanation to Action in Psychosomatic Medicine: The Case of Obesity
Stunkard, A. J. (1975) · Psychosomatic Medicine · doi:10.1097/00006842-197505000-00001 · Cited by 152
Behavior therapy for obesity: An evaluation of treatment outcome
Wilson, G., & Brownell, K. (1980) · Advances in Behaviour Research and Therapy · doi:10.1016/0146-6402(80)90001-6 · Cited by 142
Self-citationPerri, M. G., McAdoo, W. G., McAllister, D., Lauer, J. B., & Yancey, D. Z. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.54.5.670 · Cited by 139
Weight loss competitions at the work site: impact on weight, morale and cost-effectiveness.
Brownell, K. D., Cohen, R. Y., Stunkard, A. J., Felix, M. R. J., & Cooley, N. B. (1984) · American Journal of Public Health · doi:10.2105/ajph.74.11.1283 · Cited by 137
Self-citationJeffery, R. W., Gerber, W. M., Rosenthal, B., & Lindquist, R. A. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.2.242 · Cited by 137
Self-citationLimitations of behavioral treatment of obesity: Review and analysis
Foreyt, J. P., Goodrick, G. K., & Gotto, A. M. (1981) · Journal of Behavioral Medicine · doi:10.1007/bf00844268 · Cited by 131
Goal-setting and spouse involvement in the treatment of obesity
Dubbert, P. M., & Wilson, G. T. (1984) · Behaviour Research and Therapy · doi:10.1016/0005-7967(84)90003-2 · Cited by 119
Couples Training, Pharmacotherapy, and Behavior Therapy in the Treatment of Obesity
Brownell, K. D. (1981) · Archives of General Psychiatry · doi:10.1001/archpsyc.1981.01780360040003 · Cited by 116
Self-citationObesity and the unbalanced energy equation: exercise versus eating habit change.
Dahlkoetter, J., Callahan, E., & Linton, J. (1979) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.47.5.898 · Cited by 114
Do behavioral treatments of obesity last? A five-year follow-up investigation
Stalonas, P. M., Perri, M. G., & Kerzner, A. B. (1984) · Addictive Behaviors · doi:10.1016/0306-4603(84)90054-6 · Cited by 93
A worksite smoking modification competition: potential for public health impact.
Klesges, R. C., Vasey, M. M., & Glasgow, R. E. (1986) · American Journal of Public Health · doi:10.2105/ajph.76.2.198 · Cited by 89
Jeffery, R. W., Bjornson-Benson, W. M., Rosenthal, B., Kurth, C. L., & Dunn, M. M. (1984) · Behavior Therapy · doi:10.1016/s0005-7894(84)80029-5 · Cited by 86
Self-citationPrice, R. A. (1987) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm0901_2 · Cited by 86
Methodological considerations in treatment outcome research on obesity.
Wilson, G. T. (1978) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.46.4.687 · Cited by 80
Behavioral treatment of the eating disorders
Stunkard, A. J., & Mahoney, M. J. (1976) · Cited by 76
The long-term effects of spouse involvement upon weight loss and maintenance
Murphy, J. K., Williamson, D. A., Buxton, A. E., Moody, S. C., Absher, N., & Warner, M. (1982) · Behavior Therapy · doi:10.1016/s0005-7894(82)80024-5 · Cited by 74
Rosenthal, B., Allen, G. J., & Winter, C. (1980) · PubMed · Cited by 70
Bennett, G. A. (1986) · Behavior Therapy · doi:10.1016/s0005-7894(86)80094-6 · Cited by 69
Behavioral, psychological, and environmental predictors of obesity and success at weight reduction.
Kd, B. (1984) · PubMed · Cited by 60
Metabolic consequences of dieting and exercise in the treatment of obesity.
Donahoe, C. P., Lin, D. H., Kirschenbaum, D. S., & Keesey, R. E. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.52.5.827 · Cited by 59
Hautvast, J. G. A. J. (1983) · Socio-Environmental Systems Modeling · Cited by 57
Public Health Approaches to Obesity and its Management
Brownell, K. D. (1986) · Annual Review of Public Health · doi:10.1146/annurev.pu.07.050186.002513 · Cited by 55
Self-citationMethodological considerations in treatment outcome research on obesity.
Wilson, G. T. (1978) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.46.4.687 · Cited by 53
Black, D. R., & Threlfall, W. E. (1986) · Behavior Therapy · doi:10.1016/s0005-7894(86)80082-x · Cited by 51
Five-year follow-up to a behavioral weight-loss program.
Graham, L. E., Taylor, C. B., Hovell, M. F., & Siegel, W. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.51.2.322 · Cited by 51
Kramer, F. M., Jeffery, R. W., Snell, M. K., & Forster, J. L. (1986) · Behavior Therapy · doi:10.1016/s0005-7894(86)80058-2 · Cited by 50
Self-citationEvaluation and component analysis of a comprehensive weight control program.
Miller, P., & Kl, S. (1981) · PubMed · Cited by 50
Jeffery, R. W., Forster, J. L., & Snell, M. K. (1985) · Preventive Medicine · doi:10.1016/0091-7435(85)90034-9 · Cited by 49
Self-citationBehavioral and pharmacological treatments for obesity: An experimental comparison
Öst, L., & Götestam, K. G. (1976) · Addictive Behaviors · doi:10.1016/0306-4603(76)90041-1 · Cited by 45
Treatment of obesity by behavior therapy and very low calorie diet: A pilot investigation.
Wadden, T. A., Stunkard, A. J., Brownell, K. D., & Day, S. C. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.52.4.692 · Cited by 45
Self-citationJeffery, R. W., & Gerber, W. M. (1982) · Behavior Therapy · doi:10.1016/s0005-7894(82)80047-6 · Cited by 42
Self-citationMaintenance of weight loss in obese patients after jaw wiring.
Garrow, J. S., & Gardiner, G. T. (1981) · BMJ · doi:10.1136/bmj.282.6267.858 · Cited by 41
Management of Obesity by Severe Caloric Restriction.
(1986) · Annals of Internal Medicine · doi:10.7326/0003-4819-104-1-141_6 · Cited by 38
Behavioral Treatment of Obesity
Jeffery, R. M. (1987) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm0901_4 · Cited by 37
Self-citationMurphy, J. K., Bruce, B., & Williamson, D. (1985) · Behavior Therapy · doi:10.1016/s0005-7894(85)80030-7 · Cited by 36
Effect of exercise on food intake in human subjects
Pi-Sunyer, F., & Woo, R. (1985) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/42.5.983 · Cited by 36
Five-year follow-up to a behavioral weight-loss program.
Graham, L. E., Taylor, C. B., Hovell, M., et al. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.2.322 · Cited by 36
Treatment of obesity by behavior therapy and very low calorie diet: A pilot investigation.
Wadden, T. A., Stunkard, A. J., Brownell, K. D., et al. (1984) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.52.4.692 · Cited by 34
Self-citationNatural history of obesity in 6,946 women between 50 and 59 years of age.
Hartz, A. J., & Rimm, A. A. (1980) · American Journal of Public Health · doi:10.2105/ajph.70.4.385 · Cited by 27
A three year follow-up of a behavioral treatment for obesity
Götestam, K. G. (1979) · Addictive Behaviors · doi:10.1016/0306-4603(79)90052-2 · Cited by 27
Therapeutic Options in the Management of Obesity
Stuart, R. B. B., MITCHELL, C., & Jensen, J. (1981) · Medical Psychology · doi:10.1016/b978-0-12-565960-4.50022-9 · Cited by 21
Brookman, R. R. (1987) · Journal of Adolescent Health Care · doi:10.1016/0197-0070(87)90450-5 · Cited by 20
Weight loss: Long-term results in an ambulatory setting
Adams, S. O., Grady, K. E., Lund, A. K., Mukaida, C., & Wolk, C. H. (1983) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(21)07806-8 · Cited by 17
Agüera, Z., & Jiménez‐Múrcia, S. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9124047 · Cited by 17
Weight Control: The Behavioural Strategies
LeBow, M. D. (1981) · Medical Entomology and Zoology · Cited by 15
Behavioral treatment of adult obesity: Attentional controls and a 2-year follow-up
Kirschenbaum, D. S., Stalonas, P. M., Zastowny, T. R., & Tomarken, A. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90065-8 · Cited by 15
Fulwood, R., Abraham, S., & Cl, J. (1981) · Cited by 14
Predictors of weight loss in a behavioral treatment program
Barnstuble, J. A., Klesges, R. C., & Terbizan, D. J. (1986) · Behavior Therapy · doi:10.1016/s0005-7894(86)80057-0 · Cited by 13
A community approach to weight control: The American Cancer Society Weight-A-Thon
Wing, R. R., & Epstein, L. H. (1982) · Preventive Medicine · doi:10.1016/0091-7435(82)90023-8 · Cited by 11
Behavioral Treatment of Eating Disorders
McGee, J. P., & McGee, K. T. (1986) · Occupational Therapy in Mental Health · doi:10.1300/j004v06n01_02 · Cited by 10
Intermittent protein-sparing fasting with abdominal belting.
Gk, S., Dl, F., Carr, P., Sm, G., Ic, S., Donald, P., Steven, F., & Jf, M. (1986) · PubMed · Cited by 7
Johansson, H., Granlund, B., & Sojka, P. A. (1986) · Scandinavian Journal of Behaviour Therapy · doi:10.1080/16506078609456239 · Cited by 5
Research works printed but not linked: 4
- Klesges, 1984, Personality and obesity: Global versus specific measures?, Behavioral Assessment, 6, 347
- Lindner, 1976, Multidisciplinary approach to obesity using fasting modified by protein-sparing therapy, Obesity/Bariatric Medicine, 5, 198
- Rosenthal, 1981, A comparison of standard behavioral and relapse prevention weight reduction programs, Obesity/Bariatric Medicine, 10, 94
- Stern, 1980, Effect of caloric restriction and exercise on basal metabolism and thyroid homrone, Nutrition and Medicine, 1, 361
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A descriptive study of individuals successful at long-term maintenance of substantial weight loss
Klem, M., Wing, R., McGuire, M., Seagle, H., & Hill, J. (1997) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/66.2.239 · Cited by 1,060
The predictive value of childhood body mass index values for overweight at age 35 y
Guo, S., Roche, A., Chumlea, W., Gardner, J., & Siervogel, R. M. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.4.810 · Cited by 737
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Curioni, C. C., & Lourenço, P. M. C. (2005) · International Journal of Obesity · doi:10.1038/sj.ijo.0803015 · Cited by 735
Graham, S., Harris, K. R., & Mason, L. (2005) · Contemporary Educational Psychology · doi:10.1016/j.cedpsych.2004.08.001 · Cited by 605
Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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