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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.
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“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]
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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
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