The DOI matches its Crossref record; 81 of the 81 references it cites were found in a registry or an index.
Behavioural Interventions for Obese Adults with Additional Risk Factors for Morbidity: Systematic Review of Effects on Behaviour, Weight and Disease Risk Factors
Open accessAbstract
BACKGROUND: Reducing obesity through effective behaviour change interventions is of key importance to prevent disabling and life-threatening conditions, particularly in individuals already at risk for morbidity. PURPOSE: To assess the effects of behavioural interventions for obese adults with additional risk factors for morbidity on behaviour, weight and disease risk factors. METHODS: Systematic review of randomised controlled trials (RCTs). Three electronic databases and three journals were searched for behavioural interventions (aimed at changing dietary intake and/or physical activity (PA)) for adults (mean BMI ≥30 kg/m(2); mean age ≥40 years) with risk factors for morbidity, reporting follow-up data ≥12 weeks. RESULTS: 44 RCTs met the inclusion criteria. Behavioural outcomes, weight loss, and cardiovascular disease risk factors showed consistent modest improvements over time, especially for interventions targeting both diet and PA. CONCLUSION: Behavioural interventions in at-risk populations showed positive effect tendencies on behaviour, weight, and disease risk factors. However, there is still ample room for improvement, and future research should focus on identifying the most effective means of inducing dietary and PA behaviour change in this vulnerable population.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Behavioral interventions that target improvements in diet and physical activity are an effective way to help people lose weight and decrease chronic disease risk factors [6].”
From Tweets, Apps, and Pods: Results of the 6-Month Mobile Pounds Off Digitally (Mobile POD) Randomized Weight-Loss Intervention Among Adults (2011) · cites this paper as [6]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
2 retracted
Psychological interventions for overweight or obesity
Shaw, K. A., O'Rourke, P., Del Mar, C., & Kenardy, J. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003818.pub2 · Cited by 442
RetractedAdvice on low-fat diets for obesity
Pirozzo, S., Summerbell, C., Cameron, C. M., & Glasziou, P. (2002) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003640 · Cited by 92
RetractedMeasuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin
(2002) · New England Journal of Medicine · doi:10.1056/nejmoa012512 · Cited by 19,011
(2000) · PubMed · Cited by 13,173
Eckel, R. H., Alberti, K., Grundy, S. M., & Zimmet, P. (2010) · The Lancet · doi:10.1016/s0140-6736(09)61794-3 · Cited by 6,317
Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001
Mokdad, A. H., Ford, E. S., Bowman, B. A., Dietz, W. H., Vinicor, F., Bales, V. S., & Marks, J. S. (2003) · JAMA · doi:10.1001/jama.289.1.76 · Cited by 5,866
Eckel, R. H., Grundy, S. M., & Zimmet, P. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66378-7 · Cited by 5,755
THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(1911) · JAMA · doi:10.1001/jama.1911.04260070032017 · Cited by 3,355
Poirier, P., Giles, T. D., Bray, G. A., Hong, Y., Stern, J. S., Pi-Sunyer, F. X., & Eckel, R. H. (2006) · Circulation · doi:10.1161/circulationaha.106.171016 · Cited by 3,165
Research works printed but not linked: 1
- Michie S, Rothman AJ, Sheeran P: . Psychol and Health 2007; 22:249-253.
Cited by
Sorted by citations
Items 101–156 of 156
Evidence Update On Obesity Prevention Across The Life-course
Hector, D., King, L. J., Hardy, L. L., Hebden, L., Espinel, P. T., & Rissel, C. E. (2012) · The Sydney eScholarship Repository (The University of Sydney) · Cited by 6
Acupuncture for obesity: study protocol for a randomised controlled trial
Zhao, X., Wang, Y., Li, X., Wu, N., Zhang, S., Wu, S., Hu, P., Chen, X., Zhou, L., Wei, A., et al. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-083158 · Cited by 5
Nishikage, S., Nakagawa, Y., Hirota, Y., Yoshimura, K., Ueda, M., Yamamoto, A., Takayoshi, T., Matsuoka, A., Takahashi, M., Takeda, A., et al. (2025) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2025.01.008 · Cited by 5
Yu, B., Li, Y., Ma, C., Reinhardt, J. D., Dou, Q., Zuo, H., Yang, X., Li, M., Cai, C., Fan, Y., et al. (2025) · BMC Medicine · doi:10.1186/s12916-025-04135-6 · Cited by 7
“A meta-analysis showed that the effect of fixed behavioral interventions tended to weaken after 6 months [101].”
Franklin, N. C., & Arena, R. A. (2016) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2016.02.003 · Cited by 5
Hebebrand, J. (2010) · Obesity Facts · doi:10.1159/000321815 · Cited by 5
Wu, H. X., Chen, T. T., Ching, B. H., Li, X., & Li, Y. H. (2023) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12965 · Cited by 4
Is weight cycling clinically harmful?
Magkos, F., & Stefan, N. (2026) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(26)00037-9 · Cited by 3
Jepsen, I. E., Petersen, K. B., Wissing, M. L., Hviid, T. V. F., Macklon, N. S., & Englund, A. L. M. (2023) · Reproductive Female and Child Health · doi:10.1002/rfc2.46 · Cited by 3
Design-Led Intervention to Reduce Sedentary Behavior in Young People
Shin, H. D., Nwankwo, F., & Al‐Habaibeh, A. (2022) · She ji · doi:10.1016/j.sheji.2022.10.003 · Cited by 3
Role of Eating Behavior and Stress in Maintenance of Dietary Changes During the PREVIEW Intervention
Jalo, E., Fogelholm, M., Westerterp‐Plantenga, M. S., Adam, T. C., Drummen, M., Huttunen‐Lenz, M., Kjølbæk, L., Martínez, J. A., Handjieva‐Darlenska, T., Taylor, M. A., et al. (2024) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2024.01.001 · Cited by 3
“22 In intervention studies, the greatest behavioral and weight changes have been reported at 6 months, 23 and this was also the case in the PREVIEW intervention.”
BackgroundKurz, D. L., McCrea-Robertson, S., Nelson‐Brantley, H. V., & Befort, C. A. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.11.028 · Cited by 3
Engaging Serious Games for Energy Efficiency
Delemere, E., & Liston, P. M. (2022) · Lecture notes in computer science · doi:10.1007/978-3-031-22131-6_42 · Cited by 2
Santoso, W., & Sudarsih, S. (2022) · Jurnal Kesehatan · doi:10.24252/kesehatan.v14i2.19548 · Cited by 2
Pa, B., Müller, F. O., Malan, J., Torres, J., & Vanderbeke, O. (1978) · PubMed · Cited by 2
Silva, C. C., Presseau, J., van Allen, Z., Schenk, P. M., Moreto, M., Dinsmore, J. G., & Marques, M. M. (2023) · doi:10.31234/osf.io/ch2yx · Cited by 2
Espinel, P. T., King, L. A., & Hector, D. (2014) · The Sydney eScholarship Repository (The University of Sydney) · Cited by 2
Stewart, R. J., Presseau, J., & Dombrowski, S. U. (2026) · Health Psychology Review · doi:10.1080/17437199.2025.2530574 · Cited by 1
Self-citationPsychological Aspects and Rehabilitation Protocols
Castelnuovo, G., Manzoni, G. M., Villa, V., Pietrabissa, G., & Molinari, E. (2013) · Springer eBooks · doi:10.1007/978-3-642-35972-9_9 · Cited by 1
Javadi, A., Kalantari, Z., Javadi, M., Khoeni, M., Homayonfar, A., & Barikani, A. (2014) · The Journal of Qazvin University of Medical Sciences · Cited by 1
Castelnuovo, G., Pietrabissa, G., Manzoni, G. M., Corti, S. P., Novelli, M., Borrello, M., Giusti, E. M., Borgia, F., Molinari, E., Middleton, N. A., et al. (2016) · Advances in medical diagnosis, treatment, and care (AMDTC) book series · doi:10.4018/978-1-5225-0663-8.ch008 · Cited by 1
Castelnuovo, G., Pietrabissa, G., Manzoni, G. M., Corti, S. P., Novelli, M., Borrello, M., Giusti, E. M., Borgia, F., Molinari, E., Middleton, N. A., et al. (2017) · IGI Global eBooks · doi:10.4018/978-1-5225-3926-1.ch063 · Cited by 1
Li, Q., Feng, J., Zhang, X., et al. (2022) · TMR Integrative Medicine · doi:10.53388/tmrim202206010 · Cited by 1
Development and Pilot Testing of a Telehealth Weight Loss Program
Hales, S. B., Smith, C. E., Turner, T. F., Sword, D. O., DuBose-Morris, R., Blackburn, D., Malcolm, R. J., & O'Neil, P. M. (2023) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000226 · Cited by 1
“INTRODUCTION Improvements in diet and physical activity (PA) behaviors are effective means of helping individuals with overweight and obesity lose weight and decrease risk of chronic disease (1).”
BackgroundEffects of Resistance Exercise and Protein on Body Composition Following Weight Loss
Westcott, W., Colligan, A., Lannutti, K., Loud, R. L., & Vallier, S. (2018) · Journal of Clinical Exercise Physiology · doi:10.31189/2165-6193-7.2.25 · Cited by 1
The Impact of Pairing a Wearable Movement Tracker with an Online Community Weight Loss Intervention
Wilson, K. E., Harden, S. M., Kleppe, L., McGuire, T. J., & Estabrooks, P. A. (2020) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000116 · Cited by 1
Wade, K. H., Clifford, L., Simpkin, A. J., Beynon, R. A., Birch, L., Northstone, K., Matthews, S., Smith, G. D., Hamilton-Shield, J. P., & Timpson, N. J. (2020) · Wellcome Open Research · doi:10.12688/wellcomeopenres.16091.1 · Cited by 1
Novel multi-method approach investigating behaviour change maintenance
Kwaśnicka, D. (2015) · Cited by 1
Towards a Holistic Understanding of Obesity among African American Women
Vaewsorn, A. S. (2015) · doi:10.14418/wes01.1.1106
“…interventions, there is little to no evidence that the inclusion of any theoretical framework is associated with higher efficacy in the context of weight loss interventions (Dombrowski et al., 2010; Bronner and Boyington, 2002; Fitzgibbon et al., 2012; Burke et al., 2009; Lancaster et al., 2014).”
BackgroundKossmann, B. (2014) · DuEPublico (University of Duisburg-Essen)
Weight Loss and Maintenance in Adult Populations: What Works?
Wien, M., Monahan-Couch, L., & Davidson, P. (2015) · Primary Prevention Insights · doi:10.4137/ppri.s12292
Sethi, M. (2015) · Journal of Obesity & Weight loss Therapy · doi:10.4172/2165-7904.1000267
“Because medical weight loss literature is dominated by short-term, heterogeneous studies with small sample sizes, the long-term effects of these diets are often unclear [8].”
BackgroundAntipsychotics, Weight Gain and Metabolic Risk
Cooper, S. J., & Reynolds, G. P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781911623465.023
Strategies for Changing Dietary Behaviour
McGowan, L. J. (2021) · Springer eBooks · doi:10.1007/978-3-030-80526-5_8
Diet Quality and Micronutrient Intake in Long-Term Weight Loss Maintainers
Pascual, R. W. (2019) · DigitalCommons - CalPoly (California State Polytechnic University) · doi:10.15368/theses.2019.81
Palacz-Poborczyk, I., Idziak, P., Januszewicz, A., Łuszczyńska, A., Quested, E., Naughton, F., Hagger, M. S., Pagoto, S., Verboon, P., Robinson, S., et al. (2021) · doi:10.2196/preprints.34089
Wade, K. H., Clifford, L., Simpkin, A. J., Beynon, R. A., Birch, L., Northstone, K., Matthews, S., Smith, G. D., Hamilton-Shield, J. P., & Timpson, N. J. (2021) · Wellcome Open Research · doi:10.12688/wellcomeopenres.16091.3
Wade, K. H., Clifford, L., Simpkin, A. J., Beynon, R. A., Birch, L., Northstone, K., Matthews, S., Smith, G. D., Hamilton-Shield, J. P., & Timpson, N. J. (2021) · Wellcome Open Research · doi:10.12688/wellcomeopenres.16091.2
Personalization in digital interventions for behavior change (Preprint)Preprint
Tong, H. L., Quiroz, J. C., Kocaballi, A. B., Kennedy, G., Coiera, E. W., & Laranjo, L. (2020) · doi:10.2196/preprints.20562
Mutiah, D. (2023) · At-Ta dib Jurnal Ilmiah Prodi Pendidikan Agama Islam · doi:10.47498/tadib.v15i1.2037
Brink, S. M., Wortelboer, H. M., ten Hoff, A. F., Emmelot, C. H., Visscher, T. L. S., & van Wietmarschen, H. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21060807
“This criterion led to the inclusion of participants in the IBO with a higher BMI (mean 39.5) compared to the mean baseline BMI (ranging from 30.2 to 36.2 kg/m 2 ) in other CLIs [8–10 , 13 ].”
BackgroundResultInfluentialMacaulay, L., O’Dolan, C., Swingler, J., Torrens, C., MacLean, A., Turner, K. M., Avenell, A., Cotton, S. C., Dombrowski, S. U., Gray, C. M., et al. (2024) · medRxiv · doi:10.1101/2024.12.13.24318555
Self-citationde Boer, N., Vučko, Z., Koster, D. I., van der Horst, M. Z., Davidson, M., Cahn, W., & Luykx, J. J. (2025) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2025.11.014
Huang, S., Shi, K., Ren, Y., Wang, J., Yan, W.-F., Qian, W.-L., Yang, Z.-G., & Li, Y. (2022) · Figshare · doi:10.6084/m9.figshare.19776374
Zhong, L. L. D., Wu, X., Lam, T. F., Wong, Y. P., Cao, P., Wong, E. Y., Zhang, S., & Bian, Z. (2021) · Figshare · doi:10.6084/m9.figshare.14906044
Zhong, L. L. D., Wu, X., Lam, T. F., Wong, Y. P., Cao, P., Wong, E. Y., Zhang, S., & Bian, Z. (2021) · Figshare · doi:10.6084/m9.figshare.14906038
Huang, S., Shi, K., Ren, Y., Wang, J., Yan, W.-F., Qian, W.-L., Yang, Z.-G., & Li, Y. (2022) · Figshare · doi:10.6084/m9.figshare.19776368
Zhong, L. L. D., Wu, X., Lam, T. F., Wong, Y. P., Cao, P., Wong, E. Y., Zhang, S., & Bian, Z. (2021) · Figshare · doi:10.6084/m9.figshare.14906041
Iyen, B., Weng, S. F., Vinogradova, Y., Akyea, R. K., Qureshi, N., & Kai, J. (2021) · Figshare · doi:10.6084/m9.figshare.14423361
Al Ghafri, T., Anwar, H., Hinai, E. A., Harthi, T. A., Jufaili, F. A., Siyabi, R. A., Harthi, S. A., Hasani, S. A., Harthi, M. A., & Al Harthi, S. (2021) · Figshare · doi:10.6084/m9.figshare.15145716
Iyen, B., Weng, S. F., Vinogradova, Y., Akyea, R. K., Qureshi, N., & Kai, J. (2021) · Figshare · doi:10.6084/m9.figshare.14423364
Stubbs, R. J., Duarte, C., Dakin, C. A., Palmeira, A. L., Sniehotta, F. F., Horgan, G. W., Larsen, S. C., Marques, M. M., Encantado, J., Evans, E. H., et al. (2026) · Journal of Medical Internet Research · doi:10.2196/69634
Crochiere, R. J., Goel, D., Dang, I., Kim, A., Schumacher, L. M., Zhang, F., & Arigo, D. (2026) · Annals of Behavioral Medicine · doi:10.1093/abm/kaag043
Macaulay, L., O’Dolan, C., Swingler, J., Torrens, C., MacLean, A., Turner, K. M., Avenell, A., Cotton, S. C., Dombrowski, S. U., Gray, C. M., et al. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-113802
Self-citationPersonalized Nutrition for Hypertension: Current Evidence and Future Directions
Cheong, P., Mangan, C., Clarke, E. D., Stanford, J., Cairns, M. J., Collins, C. E., Marques, F. Z., & Snelson, M. (2026) · Circulation Genomic and Precision Medicine · doi:10.1161/circgen.125.005566
Metadata
- Authors
- Dombrowski, S. U., Avenell, A., & Sniehott, F. F.
- Affiliations
- University of Aberdeen (GB)
- Venue
- Obesity Facts
- Publisher
- S. Karger AG
- Published
- 2010
- Volume
- 3
- Issue
- 6
- Pages
- 377-396
- ISSN
- 1662-4025 (ISSN-L)
- 1662-4033
- PMC
- PMC6515855
- OpenAlex
- W2019706121
- Semantic Scholar
- aa9cff551fb09354d78fb1f42971a4275c3e192e
- Cited by
- 156
- References
- 77
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 9 · 2023: 6 · 2022: 9 · 2021: 19 · 2020: 12 · 2019: 11 · 2018: 5 · 2017: 17 · 2016: 16 · 2015: 15 · 2014: 10 · 2013: 5 · 2012: 4
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Facts (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Aberdeen University Research Archive (Aberdeen University) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- 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
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- obesity, behavioral interventions, adults, comorbid risk factors, weight loss, dietary behavior change, physical activity, cardiovascular risk factors, diet and exercise intervention
- MeSH terms
- Adult, Aged, Behavior Therapy, Body Weight, Cardiovascular Diseases, Feeding Behavior, Female, Humans, Male, Middle Aged, Obesity, Risk Factors, Time Factors, Randomized Controlled Trials as Topic, Treatment Outcome, Risk Assessment, Evidence-Based Medicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
