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Cited by 297Obesity, Physical Activity, DietNutrition, Health and Food BehaviorEating Disorders and Behaviors

Behavioral treatment of obesity

Open access
Foster, Gary D, Makris, Angela P, Bailer, Brooke A·2005·The American Journal of Clinical Nutrition
DOI 10.1093/ajcn/82.1.230s
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Abstract

Behavioral treatment is an approach used to help individuals develop a set of skills to achieve a healthier weight. It is more than helping people to decide what to change; it is helping them identify how to change. The behavior change process is facilitated through the use of self-monitoring, goal setting, and problem solving. Studies suggest that behavioral treatment produces weight loss of 8-10% during the first 6 mo of treatment. Structured approaches such as meal replacements and food provision have been shown to increase the magnitude of weight loss. Most research on behavioral treatment has been conducted in university-based clinic programs. Although such studies are important, they tell us little about the effectiveness of these approaches in settings outside of specialized clinics. Future research might focus more on determining how these behavioral techniques can be best applied in a real-world setting.

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  • In Foster behavioral treatment, weight loss is approximately 10 kg during the first six months of treatment, yet a recent weight loss maintenance study by Perri and colleagues observed a weight regain of only 3.7 kg in the control group over 12 months.

    “For example, in Foster behavioral treatment produces weight loss of approximately 10 kg during the first six months of treatment (Foster 2005), yet a recent weight loss maintenance study by Perri and colleagues observed a weight regain of only 3.7 kg in the control group over 12 months (Perri 2008).”

    From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Foster 2005

  • Face-to-face (in-person) treatments typically led to a loss of 7% to 10% of body weight over about 26 weeks (the first six months).

    “which typically led to a loss of 7% to 10% of body weight over 26 weeks (Foster 2005).”

    From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Foster 2005

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Research works printed but not linked: 4

  1. Foster GD, Wadden TA, Vogt RA, Brewer G. What is a reasonable weight loss? Patients' expectations and evaluations of obesity treatment outcomes. J Consult Clin Psychol 1997;65:79 -85.
  2. Beck AT, Rush A, Shaw B, Emery G. Cognitive therapy of depression. New York: Guilford Press, 1979.
  3. Wing RR. Behavioral weight control. In: Wadden TA, Stunkard AJ, eds. Handbook of obesity treatment. New York: Guilford Press, 2002; 301-16.
  4. Melin I, Karlstrong B, Lappalainen R, Berglund L, Mohsen R, Vessby B. A programme of behavior modification and nutrition counseling in the treatment of obesity: a randomized 2-year clinical trial. Int J Obes Relat Metab Disord 2003;27:1127-35.

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Authors
Foster, G. D., Makris, A. P., & Bailer, B. A.
Affiliations
University of Pennsylvania (US)
Corresponding author
Foster, Gary D
ORCID
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
2005-07
Volume
82
Issue
1
Pages
230S-235S
ISSN
0002-9165 (ISSN-L)
DOI
10.1093/ajcn/82.1.230s
OpenAlex
W1872618397
Cited by
297
References
54
Citations by year
2026: 5 · 2025: 3 · 2024: 5 · 2023: 7 · 2022: 4 · 2021: 11 · 2020: 18 · 2019: 13 · 2018: 14 · 2017: 21 · 2016: 17 · 2015: 15 · 2014: 22 · 2013: 30 · 2012: 23
FWCI
12.93
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Center for Complementary and Integrative Health (R01AT001103, AT01103-01)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
obesity, behavior therapy, weight loss, self-monitoring, goal setting, problem solving, meal replacement, food provisioning, real-world effectiveness
MeSH terms
Behavior Therapy, Diet, Reducing, Empathy, Feeding Behavior, Female, Humans, Life Style, Obesity, Patient Compliance, Weight Loss, Randomized Controlled Trials as Topic

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