Update on Behavioral Weight Loss Treatments to Reduce Obesity and Lower Cardiometabolic Risks

AbstractPurpose of ReviewObesity is an intractable clinical and public health problem that is associated with morbidity and mortality. This review provides an update on current and emerging behavioral weight loss interventions (BWLIs).Recent FindingsBecause lifestyle behaviors are primary determinants of weight loss success, BWLIs are front-line treatments in the clinical management of obesity. BWLIs provide guidance in dietary restriction, increased physical activity, and decreased sedentary behavior to achieve reductions in body weight. Intensive in-person comprehensive BWLIs providing 14 or more sessions over 6  months are effective in producing weight losses of 5–10% and are recommended by clinical guidelines. High-intensity BWLIs providing frequent contacts during the first 2 years have been shown to be more effective in preventing weight regain than lower intensity programs. The Medicare Diabetes Pr evention Program (MDPP) is an evidence-based, federally supported translational community-based BWLI program that is being made available to communities across the US. Mindfulness-based interventions, acceptance-based interventions, and motivational interviewing are evidence-based modalities that ha ve been recently translated into BWLIs. Current evidence suggests they can provide short-term weight loss similar to established BWLIs, but further research is needed to evaluate their effectiveness for long-term weight loss maintenance. Internet-based delivery of BWLIs offer...
Source: Current Cardiovascular Risk Reports - Category: Cardiology Source Type: research